Maine Track Curriculum (Abridged)

TUSM MMC Program Maine TrackUndergraduate Medical Education Teaching Partnership 2016 Program rePort

Maine Track Curriculum (Abridged)

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Foundations:Classroom/Lab

Foundations:Classroom/Lab

Clinical Preceptorships

Clinical Preceptorships

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Clerkship: Trad. or LICClinicalPrep for Residency

Class of 2020 Class of 2019 Class of 2018 Class of 2017 Class of 2013, 2014, 2015, 2016

“I have just begun my preceptorship in Portland at Maine Medical Partners Pediatric Clinic. I have been delighted to realize that nearly every patient is so receptive to taking part in my training, and more than willing to let me shadow, interview, and examine when necessary. I am especially happy to tell them that I am a Maine girl myself, as this brings a sort of comfort to them and a degree of pride for me.” – Meghan Keane, M19, Dover-Foxcroft

TUSM MMC Program Maine Track: To create a new pipeline of physicians with robust skills in, and understanding of, the practice of rural medicine. And, to encourage these new physicians to practice here in Maine, particularly as primary care physicians in our underserved rural communities.

Address the Shortage of Doctors in Maine

The overarching aim of the Maine Track is to address Maine's physician shortage - particularly in primary care and in our underserved rural communities. The combination of financial support for students with Maine roots paired with an immersive community-based curriculum, likened to a primary care experience, has set the stage for achieving our goals. To date, four Maine Track classes have graduated–131 graduates exposed to undeserved rural clinical environments. Two metrics best describe the program's ultimate trajectory: specialty choice and practice location. Early indicators share a story that bodes well for Maine's future.

50%Of all graduates pursue a primary care related specialty

Primary care specialties include family medicine, internal medicine and pediatrics. The program has outpaced the national trend in graduates matching to a primary care specialty all four years.

Bangor

Biddeford

Skowhegan

Yarmouth Falmouth Portland

Class of 2013

Maine PracticeMilitary Service Fellowship Other States Extended Residency

Alumni Practice Sites

For the first time in the program's history we are able to begin reporting alumni data. Of the 32 Maine Track students graduating in our first class, Class of 2013, 14 have completed their training, making them eligible to start active practice this year. Of these, 64% (9) are practicing in Maine now. These are exceptional results that will only be improved upon in the years to come as many of the 18 remaining

“I grew up in Maine, went to college here, and now I have gone to medical school here too with the help of the Maine Track. On the interview trail for residency, many people have commented on my affinity for this state. When they ask where I see myself in ten, fifteen, twenty years, I always start with: ‘In Maine.’” –Nathaniel Johnson, M16, New Gloucester

Class of 2013: Clearing a Path Back to Maine

graduates–either completing extended residencies, entering fellowship programs, or completing military service–have indicated they intend to return to Maine in the future.

Class of 2013 Practice Status

Maine Practice

Continued Residency

Fellowship Years

Other States

Military Service

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Offer Maine Students the Means to Pursue a Medical CareerM

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“In the purest sense, this scholarship has opened the door to my professional goals. Before the Maine Track and this scholarship, medical school was a daunting endeavor. Not because I was afraid of the work, but because I was unsure if I could afford the burden of a private medical education. With this scholarship, I was able to push those doubts and concerns aside. I am able to focus on the one thing that truly matters, becoming the best clinician possible.” – John Gilboy, M18, Saco

Welcome Maine Track Class of 2020!

The Maine Track is designed with the expectation that as we eliminate the financial barriers which discourage Maine young people from pursuing their dreams of a medical career, the outcome will be a pipeline of physicians with the freedom to choose to practice here in Maine. By all accounts, it's working.

40%Increase in Maine applicants to medical school overall since the program was founded – 6th highest growth rate in the country

161Number of students who have received a Maine Track scholarship

2.5XApplications to the Maine Track have more than doubled since 2008

Design an Innovative Community-Based Curriculum

Meaningful exposure to rural clinical practice is what sets the Maine Track apart. Students are exposed to rural medicine from day one. Incoming students’ orientation sites span the state. They are followed by the Competency Based Apprenticeship in Primary Care (CAP) at the end of Year 1 and experiences become more immersive during the students’ clerkship in Year 3.

During Year 3, students are invited to participate in the program’s hallmark 9-month Longitudinal Integrated Clerkship (LIC), an innovative training model most reflective of a true primary care experience. The LIC covers all six core clerkship disciplines by having students follow a personalized panel of patients as they move through out the healthcare system. Strong faculty guidance and mentoring paired with self-directed learning modules creates flexible educational programs tailored to the student’s individual needs.

“The Maine Track has been an amazing experience. I have an unbelievably talented group of peers that I know I can rely on throughout my career. I gained excellent exposure to all aspects of medicine, most notably though my experience in the LIC. The LIC gave me great access to attending physicians who wanted to give me as much patient exposure as possible. I feel very well trained and ready to start residency.” – Will LaPlant, M16, Waterville

Maine Track is an Academic SuccessOur partnership with Tufts University School of Medicine (TUSM) continues to be an absolute success. Maine Medical Center is one of TUSM's six major academic partners. Of these, MMC's core clerkships (Medicine, Surgery, Pediatrics, Ob/Gyn, Psychiatry, Pediatrics) ranked second overall with a rating of 4.48 (Likert scale of 1-5 with 5=excellent). Our Medicine Clerkship, with an unprecedented rating of 5.0, and the Psychiatry Clerkship, overall rating of 4.5, were the highest rated sites at TUSM within their respective disciplines.

35%Of the Class of 2016 Maine Track graduates have matched to prestigious Maine residency programs. Those who have matched to programs out of state have done so at other prestigious hospitals including Duke University Medical Center, Mayo School of Medicine at Mayo Clinic, Yale-New Haven Hospital, and Brigham & Women's Hospital.

100%Matched to Residency of Choice

Stevens Memorial HospitalNorway

MMC Launches Next Step in the Educational Pipeline

The success of the TUSM-MMC Maine Track “LIC” has clearly demonstrated the value of medical education training in rural settings, and offered evidence that a more longitudinal training experience can be delivered in a rural setting with strong outcomes. That knowledge spurred the Internal Medicine Residency program to collaborate with Western Maine Healthcare (Stephens Memorial Hospital and Oxford Hills Internal Medicine) to develop an innovative graduate medical education (GME) track called the Rural Internal Medicine Maine (RIMM) Residency Track.

For medical students interested in rural medicine, particularly graduates of the Maine Track, a rural internal medicine track at Maine Medical Center will provide a missing section of the pipeline from rural-based undergraduate medical education to rural-based internal medicine practice. And for internal medicine residents, the proposed track will offer the increased rural-based clinical experiences necessary to gain the skills and confidence to enter practice in rural medicine. Additionally, the infusion of residents into the rural community will strengthen the medical education mission of the local practices, provide additional medical providers immediately, and help recruit future providers based on the unique opportunity to teach at the GME level in a rural setting.

The new RIMM Residency Track will:• Promote careers in rural internal medicine through enhanced exposure to,

and training within, rural settings during residency.

• Develop internal medicine physicians, with the expanded skill set required of the 21st century physician, ready to become healthcare leaders in rural communities.

• Reduce health disparities and address physician workforce needs in rural Maine through expansion of graduate medical education into a rural setting.

• Provide opportunity for medical students attracted to rural internal medicine to continue their medical education in rural settings at the GME level.

• More effectively provide residents with the necessary knowledge, skills, attitudes, and confidence to practice internal medicine in a rural setting.

Watch the video at: https://youtu.be/hSwzJGLw3qk

Central to fulfilling the Maine Track mission is to offer Maine’s brightest students the financial means to pursue a career in medicine. This is accomplished by subsidizing half the tuition ($25,000/year) of 20 Maine students in each class through scholarships. That works out to a savings of $100,000 for each recipient, enough to reduce the pressure that might otherwise lead them to choose a higher paying specialty than primary care or a more affluent area than a rural state like Maine can offer.

For more information or to support a student in the Maine Track Program, please visit our website at www.mmc.org/mainetrack or contact the Maine Medical Center Philanthropy Department at (207) 662-2669.

2016 Scholarship Standings

“I’ve always been interested in rural practice, and I’m so grateful to have received this scholarship, as it will really help me achieve my desire to practice in an underserved community.” –Valerie Smith, M17, Brunswick

$34MFunds secured in support of the TUSM-MMC Program Maine Track as of May 2016

$20.6MMarket value of the Maine Track endowment

$11.1MValue of scholarship funds awarded to Maine students since 2008

When forming the Maine Track, Maine Medical Center and Tufts University School of Medicine took on the responsibility of underwriting these scholarships through philanthropic donations. Each year the program provides $2,000,000 in tuition subsidies (80 scholarships at $25,000 each) through outright and endowed scholarship funds to support the 20 recipients in each of the four class years.

Ultimately, the goal is to raise $40,000,000 in endowed funds to sustain these 80 program scholarships for Maine’s future. We are more than halfway there with over $20 million of endowment funding in place. Concurrent to our focus on securing endowment donations, we continue to pursue outright gifts to meet our current scholarship requirements. This year, the esteemed list of philanthropic partners includes the following new and renewed named scholarship funds for the class of 2020:

Bank of America Scholarship FundBingham Scholarship FundBoulos Asset Management Scholarship FundBurke Family Endowed Scholarship FundCurran Family Endowed Scholarship FundDoctors for Maine’s Future Program (supporting 4 students)Dean L. Fisher Scholarship Fund (supporting 2 students)Richard & Rakia Hatch Endowed Scholarship Fund (supporting 2 students)Medical Mutual Insurance Co. of Maine Scholarship FundDonald & Nancy Morse Endowed Scholarship FundMarjorie Higbee Saunders, RN, BSN & Henry W. Saunders Endowed Scholarship FundSuffolk Endowed Scholarship FundWomen’s Board Endowed Scholarship Fund