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Graduate Medical Education

 

We have designed our program to prepare you for a successful, sustainable and meaningful career in medicine. Our program mission emphasizes the importance of balance and interconnectedness among self, colleagues, patients, community, and the land, striving to enhance the well-being of all. To achieve this, we have curated a rigorous but balanced purpose-driven curriculum.  

We offer comprehensive training that encompasses both inpatient and outpatient settings, ensuring you attain core competencies essential for internal medicine practice. Rotations will be primarily based out of San Juan Regional medical Center (SJRMC). SJRMC is a 198-bed community owned and operated hospital located in San Juan County in Northwest New Mexico serving the culturally rich and geographically diverse beautiful four corners region. We serve the underserved with 24% of adults and 30% of children living below the poverty line which is notably higher compared to the state and national average. We serve a racially diverse population with nearly 40% Native Americans. Life expectancy in San Juan County is 71 years as compared to the US life expectancy of 76 years. As a result, our patient population is high acuity and medically complex offering unrivaled learning opportunities and potential for positive impact.

We foster a deep appreciation for primary care through innovative educational experiences that include cultural immersion, specialty rotations, exploration of healthcare systems beyond the clinic, and analysis of continuity clinic panels to understand the impact of social determinants of health. As the only teaching program within our health system, you will have the opportunity for well-supported, robust POCUS program and procedural training, beginning with simulation and advancing to supervised repetition, tailored to individual interests and career aspirations. 

Our program instills a strong foundation in quality improvement processes, evidence-based research, and critical analysis of medical literature. Recognizing the significance of well-being, we maintain a rigorous wellness curriculum that promotes health, life balance, and a sense of community. Professionalism and inclusivity are cornerstones of our training, as we prepare you to become exemplary internal medicine physicians committed to excellence and equity in healthcare.

Several unique rotation opportunities will be offered including, but not limited to: Street Medicine, a highly encouraged third year rotation to Whakatane, New Zealand, and a high-altitude medicine rotation. 

Living in Farmington, New Mexico, offers a vibrant mix of activities for outdoor enthusiasts, with nearby landscapes like the Bisti/De-Na-Zin Wilderness and the San Juan River providing excellent hiking, biking, and river rafting experiences. Farmington's thriving arts scene includes local galleries, theaters, and music festivals, fostering a strong sense of community among young creatives. With a relatively low cost of living, access to diverse dining options, and a variety of local events, such as the Four Corners Musical Theatre and the annual Red Apple Farm Fair, residents can enjoy a balanced lifestyle filled with adventure and cultural richness. Adventure awaits, whether exploring the stunning natural surroundings stretching across the four corners or engaging in the lively local scene.

We have highly motivated faculty and staff ready to welcome and support you in a high-quality training environment. Thank you for your interest in our program, and we invite you to apply to be a part of shaping the resident culture in our beautiful region. 

Mission: 

To cultivate compassionate, innovative, skilled internal medicine physicians with a deep sense of curiosity yielding lifelong learning and a dedication to providing High-Quality, patient-centered care across diverse populations. Grounded in our mission, we honor the balance and interconnectedness of self, each other, our patients, our community, and the land, creating a better life for all. 

Aims:

• To provide a multitude of experiences teaching the core competencies yielding skilled internal medicine physicians proficient in both the inpatient and outpatient settings
• To provide opportunity for robust procedural training through first simulation then supervised repetition of the core internal medicine procedures as well as advanced procedures personalized to interest and career path 
• To generate a love for primary care through an innovative curriculum with the following: 
o Development of an understanding and appreciation of the people and cultures inhabiting our region
o Attainment of a sense of confidence and competence in primary care through multiple specialty rotations
o Exploration of the services and systems outside the clinic
o Completion of a continuity clinic panel analysis to appreciate the impacts of the Social Determinates of Health
o Development of a sense of deep purpose as a primary care physician through daily exercises highlighting a purpose-driven framework 
• To teach a foundational process for effective quality improvement initiatives, proficiency in performance of evidence-based research as well as effective analysis and interpretation of the evidence 
• To maintain resident health, wellness, and life balance while simultaneously generating a sense of interconnectedness with each other, faculty, patients and the environment around them through a rigorous wellness curriculum
• To teach and maintain an expectation of extraordinary and consistent professionalism and nurture a sense of inclusion 
• To seek residents reflective of the diverse patient population we serve 

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