School of Medicine


Residency Training Track

Care of Medically Vulnerable Populations at UHCMC

 

 

 

Residents in the Family Medicine Residency at University Hospitals Care Medical Center are educated to care for all patients, specifically those from vulnerable and underserved patient populations. In addition, the Care of Medically Vulnerable Populations (CMVP) Track is an option to meet the needs of our residents who want extra training and a certification of special emphasis when they graduate.

 

What is the CMVP curriculum?

In addition to CMVP topics integrated into weekly didactics, outpatient precepting, inpatient teaching, outside rotation experiences, and longitudinal continuity patient care at the Cleveland Free Clinic, Care Alliance, and McGregor at Overlook nursing home, residents will also experience:

  • “Selective” rotations that residents may choose in place of self-planned electives, including: Opioid Use, Abuse and Dependence, Childhood Obesity, Outpatient Adolescent Medicine, Palliative Care - Communication and Prognosis, Palliative Care - Symptom Management, Care of Homeless Persons, Medical House Calls, Transition of Care, Comprehensive Geriatric Assessment, Geriatric Inpatient Consultation. (R2, R3)
  • Resident-faculty journal club specific to care of medically vulnerable populations. Scheduled bi–monthly outside clinic/rotation house. Topics have included: the impact of socio-economic status on physician-patient communication, physician response to patients changing sex/gender, urban food deserts, care of the dying patient, and comorbid mental illness and substance misuse. (R1, R2, R3)
  • Medical simulation (OSCE) cases to reinforce and teach clinical skills for medically vulnerable populations, including a homeless person with chronic illness, a new non-English speaking mother, and a teen with substance use disorder. (R2, R3)
  • Focused Inpatient Teaching (FIT) - Residents on the Family Medicine Inpatient Service participate in resident-led case discussions focused on a teaching topic selected by a non-service faculty. Scheduled on a bi-weekly basis, once per term. FIT teaching topics: geriatrics, palliative care, pharmacological management. (R1, R2, R3)
  • Residents seeking CMVP track certification will complete a scholarly project. Residents will work with a faculty mentor to develop a written project. Residents are strongly encouraged to submit their scholarship for presentation or publication at the local, regional or national level. (R3)
  • All residents are encouraged to explore opportunities for community service and advocacy as related to their community and the communities of their patients and to share those experiences with their colleagues. (R1, R2, R3)