HRHCare is pleased to announce its Family Nurse Practitioner Residency Training Program for new Nurse Practioners with a focus on caring for the vulnerable and underserved populations, including rural and migrant health worker communities.
The residency is a 12-month program providing intensive training in both the clinical complexity of family practice in the safety net setting, and training to a high-performance Patient Centered Medical Home (PCMH) model for primary care. The program will incorporate significant rural/migrant health experience, and there is a one-year employment commitment after the one-year residency.
The program is specifically intended for Family Nurse Practitioners who are committed to developing careers as primary care providers in the setting of community health centers. The program structure includes precepted primary care sessions, specialty rotations, mentored independent sessions in the FQHC setting, didactic sessions and quality improvement training.
We train residents to the HRHCare model of high-performance health care: advanced access scheduling, planned care, the chronic care model, integrated behavioral health/primary care, team-based, with expert use of health information technology and the electronic health record.
Three residency slots are available for the (2019-2020) Nurse Practitioner Residency Class. The residency class begins September 2019 and goes through August 31, 2020.
The orientation to the program will include walking tours of local neighborhoods and community-based organizations, HRHCare sites, technical training on the electronic health record, and presentations from senior leadership on the responsibilities and privileges of medical staff participation at HRHCare.
The residency has five key components:
(4 sessions/week) These are the cornerstone of the residency. In precepted sessions, the NP residents develop their own patient panel while having an expert HRHCare primary care provider (MD, APRN or PA) exclusively assigned to them.
(2 sessions/week x 1 month) Ten rotations in areas of high-volume/high-burden/high-risk situations most commonly encountered in the setting of the FQHC. Planned rotations include: OB/GYN, Medication Assisted Therapy, Intensive Diabetes Management, Social Determinants of Health, HIV/Hepatitis, Urgent Care, Behavioral Health.
(2 sessions/week) During mentored sessions, the NP residents work as a member of a team at one of our Hudson Valley health centers, and see patients at the delegation of the primary care providers, who remain available for consultations. The focus is on the practice of episodic and acute care visits.
(1 session/week) Formal learning sessions on a variety of complex clinical challenges most commonly encountered in FQHCs. The content of the presentations is planned to correspond to the residents’ current clinical experiences.
(1 session/week) Training on the quality improvement model, including clinical microsystems and facilitation as well as leadership development.
Evaluations: The HRHCare Nurse Practitioner residency training program provides an ongoing multi-input evaluation component using qualitative and quantitative measures.
The Family Nurse Practitioner Residency Program has the following goals:
- Increase access to quality primary care for underserved and special populations by training Family Nurse Practitioners in a FQHC-based residency program that prepares residents for full and autonomous expert care of complex underserved populations across all life cycles and in multiple settings
- Provide new Nurse Practitioners with a depth, breadth, volume and intensity of clinical training necessary to serve as primary care providers in the complex setting of the country’s FQHCs
- Train new Nurse Practitioners to a model of primary care consistent with the National Academy of Medicine’s principles of health care and the needs of vulnerable populations
- Improve the clinical skills, confidence, productivity, and job satisfaction of new nurse practitioners who choose to work in underserved community settings, as well as contribute to employer satisfaction and workforce retention
- Increase the number of Nurse Practitioners ready to serve in leadership roles in community health settings