The NCC (USUHS) GPM Residency is a two-year program consisting of didactics and practicum activities. The two-year contiguous institutional structure affords unsurpassed continuity and longitudinal development of competencies. All residents must have completed an ACGME approved clinical internship (designated PGY1) during which at least eleven months are clinical and in direct patient care. Most NCC (USUHS) GPM residents will also have had significant experience before the residency, either in another medical specialty (such as Family Medicine) or as a General Medical Officer (GMO), often in operational settings. Many have been Flight Surgeons, Undersea Medical Officers, or Battalion Surgeons. These additional experiences are very important to the resident as they develop competence in clinical patient care and decision-making, and frequently provide a first exposure to the military unique aspects of caring for the health of defined populations with specific health risks, such as squadrons, ships, and battalions.
The bulk of the didactic activity within the residency occurs at USUHS during the PGY2 year. This year culminates in the awarding of an MPH or MTM&H degree. The PGY3 year focuses mostly on practicum activities. Residents are based at USUHS, but spend most of their time rotating in a variety of external organizations gaining "on the job" experience in the required competencies. Throughout the PGY3 year, residents still participate in the weekly Journal Club and attend other meetings at USUHS. With the new RRC requirements for Preventive Medicine, requiring two months of Direct Patient Care (DPC) in both the PGY2 and PGY3 years, there will be increased practicum activity in the PGY2 year and increased academic activity in the PGY3 year in this and future years.
Residents may also have the opportunity to attend the Military Tropical Medicine course at USUHS either during the practicum year or immediately after completion of the residency (the Navy has typically accommodated the latter situation for their residents to maximize the opportunity for electives as has the Air Force in recent years). The course consists of four weeks of didactics and laboratory experiences at USUHS and may include two weeks of field medical experience in a tropical setting. Air Force residents may also opt instead for the two week Global Medicine course, held in February at Brooks City-Base in San Antonio, TX. The Residency also provides an opportunity for graduates to attend the American College of Preventive Medicine Board Review course or receive a complete self-study syllabus. Many residents remain assigned to USUHS for about two months after finishing their residency to accomplish these additional activities.