Insert Headline
Insert text here.
HomeOur ProgramBackgroundOur TeamApply

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 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 through inter-professional training.
  • 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, cooperate and complement other’s professional 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 practice 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 year-long full-time program starting in the Fall of each year and includes an additional orientation period. Our program coordinators will guide you through the process of licensing so you become fully credentialed with our organization prior to your start date.
  • 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
            - visits to neighborhoods in which our clients reside
            - 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.

Specialty Tracks
Residents may choose an area of focus to hone their skills with special populations such as those living with HIV and transgender clients.

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.

Healthcare Team 
Residents will be involved with bi-weekly team meetings for discussions regarding:
Continuous Quality Improvement, Health Literacy, Motivational Interviewing, Teach Back, Shared Decision Making, Culturally Competent Care, Social Determinants of Health, Pre-visit Planning, Huddling, Chronic disease self-management and more. This Patient Centered Medical Home interdisciplinary team meeting also involves 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 NHSC.

OTHER ACTIVITIES
  • Monthly quality improvement meetings related to the residency and independent performance
  • Bi-Weekly Patient Centered Medical Home (PCMH) case reviews
  • Monthly peer supervision (support) group

EXPECTATIONS
Expect an intense experience! Residents are scheduled 40 hours per week and participate in the on-call schedule (with back-up) during off- hours and are expected to schedule paid time off in advance. They are fully accountable to their patients and practice colleagues and are expected to complete assignments and submit evaluations at required intervals.

EVALUATIONS
We evaluate every element of the program which includes self-assessments, didactic evaluations, quarterly resident performance (knowledge, skills and attitude), patient satisfaction, preceptor and program evaluations. Reflective journaling is also an important part of personal and professional growth and is also included in the program.

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/

HomeOur ProgramBackgroundOur TeamApplyLinks and InfoResourcesWhy Asheville