We survived the three days of wilderness retreat and the new interns are hard at work under the supervision of upper levels and chiefs. The R2s and R3s seem surprised by their competence and confidence in their new roles, the pace of practice and their ability to answer questions and plan projects that they will complete during their tenure here.

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Take a look inside Franklin Square's Residency Program

We are beginning to hear from this years graduates, along with others from the almost 250 graduates of our program as they move around the country. Read a letter from a past resident.

As you go through the interviewing season you will be fortunate to hear this theme accurately describe a number of programs. With the comprehensive, relationship centered, scope of family medicine as its value, and the challenges we face with Health Care Reform on the horizon, this is a tough specialty. We believe that we are the solution to Health Care in America and globally. For the right student, it is a wonderful specialty comprised of outstanding individuals with a worthwhile agenda.

On your visit to Franklin Square, you will learn much about our family medicine residency program:

We have been around a long, long time.

Family medicine became the 20th medical specialty in 1969. That year, Franklin Square recruited Dr. William Reichel to create the Department of Family Medicine, and by 1972, Franklin Square had its first family medicine resident. In 1973, our current Chairman, Dr. Zajano, joined the intern class. The tradition continues, and in June 2009, we graduated our resident!

While serendipity plays a role in creating a residency, from curriculum to culture, it is because of tremendous institutional support, trust, faculty wisdom and hard work that our new interns become Franklin Square family medicine graduates.

Our curriculum is unique.

We require six full-time months in the Family Health Center – one month every semester for three years.

More than a block, and not longitudinal, the Family Health Center experience can only be described as "longitudinal blocks." These periodic immersions, free of distractions, allow the resident to practice and achieve competence in family medicine. It allows the faculty to evaluate and support their effort along the way and allow the resident to learn their specialty rotations from the perspective of a family physician.

The family medicine residents are the pediatric residents.

The pediatric faculty (neonatal intensivists, hospitalists and general pediatricians) were recruited from top academic institutions around the country, including Johns Hopkins and DuPont Children's Hospital, to care for patients and train our residents. The residents rotate through a total of five months of pediatrics (ward, NICU/Nursery and ED) in the R1 and R2 years.

We are recognized as leaders.

Family Medicine at Franklin Square has strong ties to both the Society of Teachers of Family Medicine and the Family Medicine Education Consortium. Last October we hosted the North-East Regional Society of Family Medicine annual meeting. This meeting brought together almost 700 faculty, residents and students to lobby for and further develop curricula and practices leading to real Family Medicine. The strengths of this program can be seen in the awards given to graduates of our program who are now faculty. Both Dr. Adam Dimotrov and Dr. Karen Perkins have won the NE-STFM "Emerging Leaders" Award in 2005 and 2008. We are proud to say that two of our 2008 graduates, Dr. Jon Winter and Dr. Genta Bacci joined the faculties of Shenandoah Valley Family Medicine Residency (Virginia) and the Department of Family Medicine at Boston Medical Center.

We are recognized for our Research and Scholarly Activity.

A glance at the excerpt from our Annual Report demonstrate our scholarly efforts. We have been the recipients of six AAFP Foundation Resident Research grants since 2006 and the winners of the Resident Research Best Paper Award in 2007 and 2008. This year we added the Introduction to the Principles and Practice of Clinical Research (IPPCR) course established by the NIH Clinical Center to our curriculum. Faculty and residents presented this year at nationals, STFM, NE-STFM and our chief resident Dr. Guarin presented in Puerto Rico this year at the North American Primary Care Research Group (NAPCRG) annual meeting.

Service learning is integrated in our curriculum and practice.

Dr. Melly Goodell, vice chairman for the department, is also the medical director of our Health Care for the Homeless site, across the street from the Family Health Center, one floor above the Eastern Family Resource Center. Medical students and residents have the opportunity to work alongside Dr. Goodell and her staff to gain an understanding of the challenges of families experiencing homelessness as well as the resources available to them.

In addition, Dr. Emily Richie has returned to our practice to develop our HIV/AID's curriculum and clinical experience. After a decade of academic and clinical experiences in Philadelphia, Boston and Baltimore, she directed the Department of Tropical Medicine, US Naval Medical Research Unit in Jakarta. She returned to Baltimore city to work with patients at Chase Brexton where the city paper reported that Richie is a part of an amazing team of providers at the Baltimore health center who offer highly personal, above-and-beyond care, with quiet efficiency and grace, doing what no statistician or politician can, working in the trenches of the disease, earning their patients' trust and treating them like human beings worthy of dignity and respect.

The subspecialty rotations (MusculoSkeletal, ENT, ophthalmology and urology) are office-based, as well as the surgery rotation.

Whatever the attending is doing (office hours, rounds or surgery), the resident is doing as well. It is to our advantage that the Family Health Center is a high-volume practice in the community, and that the recipients of our referrals serve as the faculty for these rotations. They know our patients, our residents and our graduates. They value their relationship with our department, and we know the kind of care they deliver. They also understand and appreciate that the objectives for our residents are unique to family medicine. These rotations are not a replay of medical school; rather, residents participate in these rotations only after a great deal of time spent in the Family Health Center. As a result, the resident has had enough experience and patient ownership to have a clear agenda for learning.

Our Sports Medicine Curriculum is closely allied to MedStar Sports Health.

We have strong Graduate Medical Education resources.

We are a community program in every sense of the word. We are also a member of MedStar Health, an organization that encompasses four community teaching hospitals in Baltimore, including Washington Hospital Center, the National Rehabilitation Center, Georgetown University Hospital in Washington, DC., and Montgomery General Hospital. We are affiliated with the University of Maryland School of Medicine. Students from both the University of Maryland and Johns Hopkins University rotate here. These institutional relationships, combined with a fairly flexible curriculum, the opportunities for residents to explore research, public health, integrative medicine, international health and a variety of other experiences are unlimited.

Medical students rotate here on a regular basis.

We continue to provide a Family Medicine rotation and curriculum for students from many schools, including a minimum of 24 a year from the University of Maryland. Dr. Karen Perkins is the coordinator of the Family Medicine Interest Group (FMIG) for JHU. Dr. Joyce King, Dr. Karen Perkins, Dr. Michael Dwyer and Dr. Jay Weiner are involved as Clinical Instructors for the University of Maryland's Second Year Introduction to Clinical Medicine: Physical Diagnosis course. Under the supervision of Dr. Perkins, all students are involved in data collection for a longitudinal quality improvement Family Health Center Medical Home project.

Our family medicine residents really like the program.

MedStar Health Graduate Medical Education surveys all residents anonymously every year. We continue to excel in: curriculum, goals and objectives, level of responsibility, amount of instruction and supervision, training in communication skills, valuable clinical experience, overall educational experience, training in practice management, medical/legal and ethics, opportunity to supervise medical students, opportunities for feedback (both to give and receive), guidance in professional development, quality of attending staff and teaching, encouragement for scholarly activity and work hours.

You will develop a fabulous portfolio.

With a mission to train residents to build healthy communities; and knowing what it takes ...our residents leave with a portfolio documenting:

• Leadership
• Scholarship
• Willingness to serve
• Commitment to full scope and continuity
• Cultural competence

Franklin Square is a great hospital, receiving numerous awards and recognitions.

Franklin Square continues to grow, with the Harry and Jeanette Weinberg Cancer Institute at Franklin Square, a new Endovascular Suite, a new Pediatric Inpatient Unit and Emergency Department and a new Joint Replacement Institute and our $175 million dollar expansion, which will open in 2010. 

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For more information, contact Mary Martin, our Residency Coordinator, at 443-777-6544 or mary.c.martin@medstar.net.