Our primary care residents are clustered at several core clinics that range from our traditional, on-site faculty-resident teaching practice, to community health centers and to newly-built, patient-centered medical homes. Occasionally, a special site is used for residents with a particular area of interest. For example, one of our DGM residents had a strong interest in primary care for patients with mental illness, and the program worked with her to develop a primary care continuity clinic opportunity at the Mass Mental Health Primary Care Clinic.
The Jen Center is our flagship teaching practice located within Brigham and Women's Hospital. Faculty preceptors are from the Division of General Medicine. Residents are matched to a primary longitudinal preceptor, while also receiving small-group teaching from all 3-5 faculty who precept during their clinic session. Each resident is assigned to a team with its own RN, LPN, and social worker. Shared resources include an embedded clinical pharmacist/diabetes educator, diabetologist, geriatrician, consulting psychiatrist, pain management pharmacist, behavioral health resource specialist and community resource specialists. Each resident also consults collaboratively with a population health manager at regular intervals to ensure high-quality care for all of their patients. Many patients live in the neighborhoods surrounding BWH, although some travel from father away for evaluation of specialized or complex medical needs. A majority of residents’ patients are insured through Medicare or Masshealth. Patients are exceptionally diverse in terms of nationality, languages spoken, medical complexity and socioeconomic status.
South Huntington is an innovative adult primary care practice located one mile from BWH in Jamaica Plain. Residents are integrated into a highly team-based model of care, with each team comprised of physicians, a physician’s assistant, an LPN, a clinical social worker, and two medical assistants. All teams share multidisciplinary staff consisting of a clinical pharmacist, a nutritionist, an RN care manager, a population health manager, and administrative assistants. Residents take care of a diverse population of patients, comprising a broad spectrum of age, socioeconomic status and healthcare needs. South Huntington has been a major “learning laboratory” in which to pilot innovations in primary care including robust behavioral health integration, shared medical appointments, interventions to decrease acute care utilization and more.
As a federally qualified health center, Upham’s mission is to serve the surrounding community and provide care to an ethnically and linguistically diverse population of patients, many of whom are from lower socioeconomic backgrounds. Patient populations served by Upham’s include Latinx, Cape Verdean, Haitian and Vietnamese patients, among others. The clinic provides comprehensive care, including behavioral health, nutrition, and community advocacy services. The preceptors at Upham’s Corner have a strong interest in evidence-based medicine and community-based primary care, and several are trained in family medicine. Fluency in Spanish, Portuguese, French or Vietnamese is helpful but not essential. The health center is a twenty-minute drive from the Brigham and on-street parking is available. Residents often carpool or use ride-sharing services.
Brookside Community Health Center provides comprehensive, multi-disciplinary primary care to residents of Jamaica Plain and surrounding communities. BCHC was one of the original Model Cities’ Administration Health Centers that was started by a committee of residents to establish access to high quality health care, avoid unnecessary emergency room care, and address a wide range of issues that are now termed “social determinants of health.” The health center provides adult, pediatrics, obstetrics, gynecology, family planning, midwifery, dental, nutrition, cardiology, pulmonology, substance abuse services, including office-based treatment of addiction, and a wide range of mental and behavioral health services. The health center has 28,000 patients, of whom 67% are Latinx, 8% African-American, 16% White and the remaining 9% Asian, American Indian and other. Brookside’s patient population is socio-economically and culturally diverse, but the majority are disadvantaged by a combination of economic, racial, cultural and linguistic factors. As the majority of patients speak Spanish, it is highly preferred that staff, students and resident speak Spanish in order to communicate effectively with patients and families. BCHC is accessible by public transportation (bus and MBTA subway) and bicycle. It is a 10 minute drive from the Brigham, with free parking available on site and within a short walking distance.
Southern Jamaica Plain Community Health Center provides community-based comprehensive primary care to a diverse patient population and has been a foundation for the Jamaica Plain community since 1973. SJPHC is located in the heart of the business district of JP, a ten-minute drive from the Brigham. The health center provides the following services: adult medicine, pediatrics, obstetrics, gynecology, family planning, nutrition, podiatry, cardiology, nephrology, mental health, substance abuse services, and social services. The health center also has a Health Promotion Center that offers a variety of services and group classes including Zumba, yoga, Spanish-language cooking classes and other support groups. Patients represent a diversity of age, economic background, and race and ethnicity. Fifty percent of the patients are Hispanic; 11% are African-American and 39% are White. Fluency in Spanish is highly preferred. From the Brigham, you can take the bus, bike or drive; there is on-street free parking a few blocks from the clinic.
The Fish Center is a group practice focused on women's health. The preceptors at Fish are passionate about women's health and help residents hone their skills in pre-conception counseling, contraception, menopause, and preventive medicine. Residents also build a strong foundation in general primary care. Resident panels are primarily women, with a small percentage of male patients. The clinic is located at 850 Boylston Street in Brookline, which is co-located with multiple sub-specialty practices including OBGYN, rheumatology, orthopedics and GI, as well as the Osher Center for Integrative Medicine. The Fish Center also has embedded social workers and mental health providers, allowing for robust coordination of care. The Fish Center is accessible by a shuttle that runs from the main BWH hospital.
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