Leadership and Preventive Medicine

Dartmouth Institute for Health Policy and Clinical Practice

The Leadership Preventive Medicine Residency (Fellowship) (LPMR) is a unique program in quality improvement, leadership, and population health for residents and fellows already training at Dartmouth Hitchcock Medical Center. The program allows you to obtain a Master's in Public Health (MPH) degree from The Dartmouth Institute, lead a practicum focused on improving care, and be able to sit for Boards in Preventive Medicine.

Following an Internal Medicine residency, this program is 2 years in length or can be combined with any subspecialty fellowship with 1 additional year of training. The program has 3 major components:

  • Academic: Participants are enrolled in The Dartmouth Institute's MPH program, which focuses on the science of quality improvement. All participants receive a full tuition waiver, and continue to be paid at their appropriate PGY level.
  • Clinical: Participants continue to spend 20% of their time practicing clinical medicine, either Hospital Medicine, outpatient GIM practice, or subspecialty clinical practice.
  • Practicum: Participants develop a quality improvement project: determining a quality gap, measuring that gap and exploring root causes, meeting with stakeholders, developing a quality improvement plan, leading the QI process to implementation, measuring outcomes, managing conflict, and scientifically disseminating results. Residents learn the key skill of leading change in complex systems.

Please see the Leadership and Preventive Medicine Residency Program for full details.