Twelve-month parallel clinical and didactic curricula support Advanced Practice Provider (APP) fellows with precepted clinics, interactive, small-group didactic sessions, mentorship, and academic medicine career preparation. Our curriculum also includes training in quality improvement fundamentals and a supported quality improvement proposal project.
Clinical curriculum
APP Fellow Precepted Clinic (5.5 four-hour sessions weekly)
- Precepted by a core group of APP faculty
- Optional clinical focus sessions tailored to your interests and learning needs:
- Pediatrics
- Procedures
- Urgent-only visits
- Women's health
Weekly specialty rotations will enhance your competency in best practices for primary care co-management with specialists, including orthopedics, neurology, adult/critical care, substance use, and gastroenterology.
Weekly physician precepted clinic with the program medical director, with integrated complex case discussion.
Didactic curriculum
The didactic curriculum will complement your clinical activities to reinforce patient-care topics and skills core to primary care. Didactics will include 4 one-hour sessions weekly, including:
- Presentations and self-directed lessons created by APP fellowship program faculty
- Interprofessional learning with medical resident learners
- GIM didactic sessions [Dartmouth Hitchcock Medical Center (DHMC) – Wilkinson classrooms]
- FM didactic sessions (remote, Cheshire Medical Center)
- Self-paced/asynchronous presentations sourced or adapted from the Society of Teachers of Family Medicine Residency Curriculum Resource
- Skills training sessions in collaboration with Geisel School of Medicine Family Medicine Clerkship and with Family Medicine faculty as available (that is, ortho exams, suturing, and dermatologic procedures)
- Additional weekly and semi-weekly opportunities include:
- Grand Rounds – Primary Care, Pediatrics, Community and Family Medicine; Morbidity and Mortality Sessions
- Office of APP-sponsored learning
- Quarterly fellowship trainings
- Lunch and Learn talks
- APP Topics in Medicine and Surgery
Research and quality improvement
The academic medical center offers a unique setting for post-graduate training in quality improvement, practice-based research education, and mentorship. APP fellows will learn the fundamentals of quality improvement work in healthcare through the Green Belt program taught by the Value Institute at DHMC.
Following this foundational learning, you will engage in a quality improvement project design and proposal supported by our embedded primary care Academic Support Hub.
Supervision
During rotations, participants will practice with graduated autonomy under the close supervision and mentorship of physician assistants, nurse practitioners, and attending physicians.
You will meet individually with the faculty throughout the program, focusing on your individual growth and development. Formal feedback and goal setting will be planned at three, six, and nine months into the program.