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Our APSNR Program
WE STRIVE TO:
  • Provide a model of post-graduate training which may become the long- term local solution for the predicted shortage of primary care providers.
  • Provide Advanced Practice Clinicians (APCs) with the comprehensive, integrated primary care training necessary to transition successfully into practice. 
  • Approach primary care treatment plans integrating behavioral health concepts.
  • Broaden the clinical, collaborative and communication skills of APCs
  • Augment the APCs’ knowledge base with training in primary care for special populations.
  • Enhance our preceptors’ and mentors’ knowledge base by sharing resident’s awareness of the most current practice guidelines.

PROGRAM OBJECTIVES:
  • A majority of our residents will choose to serve in a safety net healthcare setting in Western North Carolina.
  • Residents who choose work outside of the healthcare safety net will transition to practice with confidence.
  • All residents will demonstrate core competencies in comprehensive assessments and personalized care plans.
  • Our residents respect, incorporate, and complement other professional's roles.
  • Residents will participate in precepting as a mechanism of their own professional development
  • Exhibit confidence by grasping the foundation of care provided to transgender clients and clients living with HIV.
  • Our residents will exhibit clinical quality improvement in all aspects of care.

STRUCTURE AND PROGRAM ELEMENTS:
  • We train APCs in a model of healthcare that includes integrated teams for same day and planned care visits utilizing preventive, acute and chronic care models.
  • Three (3) residency positions are available for our 13 month, full-time program starting in the Fall of each year and includes an orientation period. 
  • Residents will experience 1000+ patient care opportunities to develop a comprehensive treatment plan under the guidance of a preceptor using the Healthcare Team concept of care (1500 + clinical hours). This residency also includes newer graduates who are already licensed and licensed clinicians changing focus of practice to primary care.
  • We provide a comprehensive orientation which includes:
            - founding principles of community health centers
            - health problems of the safety net population
            - training to use our electronic medical record
            - introduction to responsibilities and privileges of clinical staff participation at our center

THE RESIDENCY PROVIDES THESE KEY COMPONENTS:

Precepted practice
In precepted practice, the residents develop a small patient panel while having exclusive access to preceptors whose time is dedicated to them. Residents develop knowledge and skills caring for new patients enrolling in our clinic who typically have complex health issues. 

Mentored practice
Residents also work as a member of a team and are allowed time independently to see patients with the ability to consult any of our MDs, NPs or PAs in our practice.

Integrated Behavioral Health
Residents are involved directly with the behavioral health team and incorporate treatment plans focused on whole person care, integrating emotional and physical health. (Adverse Childhood Events (ACEs), negative coping skills, personality disorders, high risk medications, depression, bipolar disorder)

Didactic Education
Formal learning sessions are offered weekly on a variety of clinical, personal and professional challenges often encountered in community health centers and with professional role transition.

Specialty Clinics
Residents will rotate between various specialty clinics within the main clinic.  Specialty clinic rotations include, HIV care, Anoscopy, GYN procedure clinic, and Medication Assisted Therapy (MAT) clinics.

Healthcare Team 
Residents will be involved with bi-weekly Patient Centered Medical Home (PCMH) team meetings for interdisciplinary discussions including patient case reviews and care management planning.

Benefits 
Residents are considered full-time employees with many of the benefits of employment including, paid time off, health insurance, dental insurance, continuing education stipend, licensing fees, and opportunities for student loan repayment via National Health Service Corp (NHSC).

OTHER ACTIVITIES
  • Monthly meetings with program coordinator
  • Bi-Weekly Patient Centered Medical Home (PCMH) case reviews
  • Monthly peer supervision (support) group
  • Weekly journaling

EXPECTATIONS
Expect an intense experience! Residents are scheduled 40 hours per week and will serve as first call every 3 weeks.  Physician back up is available for residents on call. Residents are fully accountable to their patients and practice colleagues.  Residents will be expected to see an increased number of patients per day as the year progresses.  This is called "ramp-up".  

EVALUATIONS
We evaluate every element of the program which includes didactic evaluations, quarterly resident performance (knowledge, skills and attitude), patient satisfaction, preceptor and program evaluations. 

TRAINING LOCATION
Minnie Jones Health Center
257 Biltmore Avenue
Asheville, North Carolina.
Phone: (828) 285-0622

OUR WEBSITES
http://www.safetynetresidency.org/
http://www.wncchs.org/

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