Areas of Expertise
The Dartmouth Institute for Health Policy and Clinical Practice, an MPH, MS and PhD degree-granting institute at Dartmouth College, adds significantly to the teaching and research opportunities at Dartmouth-Hitchcock. Residents and fellows can work with faculty on projects in decision analysis, clinical epidemiology, or health care delivery. To keep the residents and fellows apprised of this rapidly evolving field, faculty members affiliated with the Institute and other clinical science departments routinely present their research at Medical Grand Rounds and Journal Club. Opportunities to develop expertise in statistical and critical analysis are also available to our residents and fellows. The Institute is also involved in our medical center's patient education programs and is an integral part of the innovative and interdisciplinary Center for Shared Decision Making.
Norris Cotton Cancer Center, one of only 39 federally funded comprehensive cancer sites, is an integral part of our medical center. Conceived in 1972 as a local center for the diagnosis and care of cancer patients, the Norris Cotton Cancer Center has grown into an internationally recognized cancer center which supports patients with a dynamic program of basic research, advanced clinical technologies, cancer prevention strategies, outreach care, and education programs. Patients with all forms of cancer are treated at the NCCC and receive the most technologically advanced cancer treatments, which are being developed here and in collaboration with scientists throughout the nation. NCCC underwent a significant expansion in 2003.
The Dartmouth-Hitchcock Patient Safety Training Center is an 8,000 square-foot on site facility consisting of a simulated inpatient and outpatient clinical experiences. The goal of the Simulation Center is to focus learning experiences linked to clinical needs through two initiatives: technical skill training and improvement in communication/group dynamics.
As the only academic, tertiary care center in New Hampshire, DHMC provides care to a population base of over 2 million people. The medical center's catchment area stretches north to the Vermont and New Hampshire Canadian borders, east to Maine, south into Massachusetts and west to New York State. Dartmouth-Hitchcock Advanced Response Team (DHART) air-transports 700 critically ill medical and trauma patients to our medical center annually. Our faculty and residents and fellows also provide primary care to the communities of the Upper Connecticut River Valley. Our patients are rated in the highest group on the National Hospital Index of patient illness severity and complexity. Health care at DHMC is a unique and interesting mix of tertiary and primary care.
All inpatient training sites include a full electronic medical record system, including eDH (EPIC) at DHMC and the Graphic User Interface (GUI) system at the White River Junction VA Hospital. Both systems are fully integrated including electonic order entry, digital radiology, and offsite access. The entire DHMC campus is equipped with wireless access for use with laptop and/or tablet computing. Medline, UpToDate, and other evidence-based databases as well as the DHMC intranet are available from all medical center work stations and throughout the outpatient clinics. The Biomedical Libraries of Dartmouth College have approximately 2500 current journal subscriptions, including 1500 digital journals. The libraries also provide access to over 40 digital textbooks, including Harrisons Online, and MDConsult. The biomedical librarians offer practical lectures and regularly scheduled workshops on manipulating resources and navigating medical data bases available on the web.
Leadership Preventive Medicine Residency
After completing a three-year internal medicine residency, Dartmouth-Hitchcock residents may apply to the Leadership Preventive Medicine Residency, a unique program at Dartmouth that allows residents from various fields to expand their training. They gain knowledge and skills in the measurement of outcomes, the leadership of change, and the improvement of health care systems. Through a combination of coursework and practicum projects, residents learn to evaluate clinical microsystems and take leadership roles in effecting change. This training includes the awarding of a Masters of Public Health degree from Dartmouth College at no cost to you.
Dartmouth-Hitchcock offers a full array of fellowship programs, enhancing the educational experience as well as facilitating the fellowship application process for our residents.
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