Preventive Medicine and Biometrics

Public Health and General Preventive Medicine Residency


Introduction

This program is part of the National Capital Consortium (NCC), which sponsors over 65 military GME programs in the Washington area. This program is fully accredited by the Accreditation Council on Graduate Medical Education (ACGME) and leads to eligibility for board certification by the American Board of Preventive Medicine.

Overall Residency Structure

The General Preventive Medicine (GPM) residency is a two-year program for military physicians, consisting of didactics and practicum activities. To enter the residency, candidates must have already completed a clinical internship or first year of a clinical residency program. During the PGY2 year, the residents work toward a Masters degree, usually a Master of Public Health (MPH) degree at USUHS. The primary objective of the PGY2 year is to provide a solid foundation in the core disciplines of public health: epidemiology, biostatistics, environmental health, health services administration, and social/behavioral aspects of public health. GPM residents in the MPH program typically elect a specialty track in epidemiology, tropical public health, health services administration, or a generalist track.

Overall Program Structure

The NCC (USUHS) GPM Residency is a two-year program consisting of didactic and practicum activities. It is the only GPM residency in DoD in which the didactic and practicum activities are both located in the same institution. 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 such as squadrons, ships, and battalions. The bulk of the didactic activity within the residency occurs at USUHS during the PGY2 year. This year provides much of the didactic training which will eventually result 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 PGY2 and PGY3 years, there will be increased practicum activity in the PGY3 year and increased academic activity in the PGY3 year in this and future years.

Residents may 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). 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. 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 after completing residency. Most Navy residents remain assigned to USUHS for about two months after finishing their residency to accomplish these additional activities.