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Practicum Experiences

Monroe Community Public Health Department

  • Required Rotation

Residents are exposed to multiple facets of the local Public Health Department. The experience can include ride along experiences for soil/water testing, STD contact tracing interviews, restaurant inspection, home visits for lead and other residential testing, emergency preparedness exercises and assisting in outbreak investigations.  Direct patient care responsibilities include clinics focused on immunization, STIs, resettled refugee screening, and TB.

The rotation offers real world experience in a traditional Public Health department.  Programs include food safety, water and sanitation (including pest control), emergency preparedness, facility inspections for regulated entitles, WIC, the Nurse-Family Partnership program, the office of the medical Examiner and disease surveillance.  Policy and leadership experience is provided by attendance at County Board of Health meetings and county legislative sessions. Monroe Community Public Health Department Website

Canandaigua Veterans Administration Medical Center (Veterans’ Health Track)

Supervised continuity clinic for veterans in a mainly geriatric setting.  Robust experience in the nationwide VA healthcare system with regular webinars and web-based grand rounds….  Experience covers end-of-life planning, geriatric behavioral health, immunizations and health maintenance best practices.  Optional second year involves a long-term, hospital-based quality improvement project.

This is an extraordinary clinic experience where we approach the patients in a holistic way, offering them a broad spectrum of services.  The team’s goal is to facilitate patients’ personal daily activities, as they are, in the community interactions.

Department of Quality Improvement

  • Required Rotation

Residents will learn about maintaining patient safety, quality improvement and decision making at a large medical institution, working with hospital leadership on Quality Improvement.  Regular safety rounds, leadership huddles on quality, work groups on quality-of-care initiatives and executive level hospital quality presentations culminate in a QI project and harm report.

Working with Quality Improvement and Safety Department at Strong Hospital, we have the opportunity to learn and understand vital “principles” in the management of our patients and community populations.  We know that iatrogenic morbidities happen, and this is a great opportunity to learn how to avoid it.

Residents will learn work with the Chief Quality Officer of the affiliated tertiary, academic, safety-net medical center and learn about addressing patient safety, process standardization, quality improvement, creating a high-reliability organization, institutional policy change and decision making.  Residents perform their own QI project, which is presented to the patient safety committee and author a Harm Report, which is published to the entire institution.

Center for Community Health

Residents will rotate through the Center for Community Health, a division of the UR Medical Center developed to be a connection between the University and the community. The Center for Community Health's mission is To join forces with the community to eliminate health inequalities and improve health through research, education, and service and does so through a team of over 60 faculty and staff and a budget that includes federal, state and local resources.

Under the indirect leadership of Theresa Green, PhD, MBA, Residents will spend the first weeks learning about the different service areas within the Center for Community Health including cancer services, surveillance and epidemiology, teen health and mentoring, health policy, the Healthy Living Center, and several other community engaged programs. Residents will then focus on one particular area of interest and complete a mutually agreed upon project in that area.

This rotation involves meeting with several community groups including the African American Health Coalition, the Community Advisory Council, and the Community Health Improvement Workgroup and focuses on learning the principles of effective community engagement.

Center for Community Health Website

Healthy Living Center  (HLC alone or as part of CCH)

Through the center of Healthy Living, health providers offer to the community an open bidirectional pathway which not only points the health issues of the different vulnerable groups of the population, but also let us deliver preventive services in the most receptive way for these groups… Being part of communities programs is to be part of these populations and understand their social determinants of health. Healthy Living Center Website

U of R Occupational Medicine

Evaluate and manage occupational injuries and illnesses.  Learn about prevention of occupational injuries and illnesses through industrial hygiene.  Learn about the workers compensation system.

The primary goal of this rotation is to learn and apply in your own tobacco-cessation project the skills needed to work with community partners and improve the health of the community. U of R Occupational Medicine Website

Community Health Improvement Practicum for Residents

The primary goal of this rotation is to learn and to apply, in your own self-directed projects, and in a variety of established projects, the knowledge, attitudes and skills necessary to collaborate with community partners on interventions to improve health at the population level.

Center for Employee Wellness

Work with interdisciplinary staff in the development and maintenance of a wellness program for university and hospital employees.

Passport Health/International Travel Clinic

Conduct pre-travel evaluations, including required and recommended vaccinations.  Educate traveler on prevention of common food-borne and water-borne illnesses and healthy travel practices.

Sodus Community Health Center (Part of Finger Lakes Community Health-must speak Spanish)

Residents will have the opportunity to work at a FQHC in a rural county outside Rochester which serves a relatively low income population which includes a significant proportion or migrant farm workers.  The experience includes outreach trips with outreach workers into migrant work camps offering basic blood pressure and glucose screenings, short consultations and providing generic medications for straight-forward conditions such as HTN, DM, and various low-acuity skin conditions. Residents will learn about how non-profits are managed and organized and in particular how one national non-profit organizes its local chapters vis-vis its national organization. Sodus Community Health Center Website

Nutrition in Medicine Clinic

Residents work with Drs. Erin and Thomas Campbell (the latter author of The China Study and The Campbell Plan) counseling patients about using a whole-food, low-fat, plant-based diet to reverse heart disease and diabetes.  The rotation includes assisting with an 8-week lifestyle modification class (held in the evenings) and generating evaluation materials for their weekend and 2-week immersion experiences.

University Health Service

Evaluate and manage common illnesses in a university-aged population. University Health Service Website

Other Practicum Sites

  • Integrative Health Clinic at Family Medicine
  • National Center for Deaf Health Research
  • Trillium Health Care
  • NY State Department of Health
  • Pediatric Hypertension & Hyperlipidemia Clinic
  • Preventive Cardiology Clinic
  • Toxicology Rotation