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What do PM residents at WRAIR do during residency training?

PGY-2 year:This year involves both didactic training and an introduction to clinical public health clinics and activities. This results in a fully-funded MPH (Master of Public Health) or MTM&H (Master of Tropical Medicine and Hygiene) at the Johns Hopkins Bloomberg School of Public Health or the Uniformed Services University (USU) by the end of residency training.

Core academic courses include:
  • Epidemiology concepts and methods
  • Statistical concepts and methods
  • Health Services Administration
  • Social and behavioral public health
  • Environmental health
  • Clinical preventive medicine
  • Travel and tropical medicine
  • Risk communication
  • Toxicology and clinical occupational medicine
Additional courses that are strongly encouraged include:
  • Certificate course in tropical medicine
  • Disaster and humanitarian medicine
  • Cost-effectiveness methods
  • Advanced epidemiology and biostatistics methods
  • Specific epidemiologic interest areas: HIV, TB, Nutrition, Injuries
There are at least 2 months of clinical activities during the PGY-2 year. These may include:
  • Weekly ½ day clinics in Preventive Medicine, Public Health and Occupational Medicine settings.
  • 4-8 week clinical rotations in a Public Health Department and/or Occupational Medicine clinic.
  • These clinical activities include (but are not limited to):
    • Travel Medicine
    • TB clinics
    • HIV and STI (Sexually transmitted infections) clinics
    • Vaccination clinics
    • Blood look-back program
    • Lifestyle medicine
    • Occupational health
    • Recruit and Soldier Health
PGY-3 year:This is the year where residents get a chance to practice and refine the skills learned during the didactics of the PGY-2 year. The practicum year consists of:

  • A research project. A final research project is the focus of the practicum year, and about ½ of the time during the year is devoted to this project. This gives residents a chance to apply the epidemiologic and statistical methods learned during the PGY-2 year and apply directly to a public health problem. A proposal defense is held in November, and the project is submitted for publication and presented at the Residency Advisory Committee (RAC) in May.
  • EPICON (Epidemiologic Consultations). These are run by the Public Health Command, but at least one resident typically participates in each outbreak investigation or EPICON. Along with the research project, these are often the best practical learning experiences of the practicum year. (1-4 weeks)
  • Core Rotations. The other half of the year is devoted to courses and rotations which allow residents to practice other core competencies of public health. The required rotations include:
    • The 4-week Military Tropical Medicine course at USU in July.
    • The 2-week Military Tropical Medicine Field Mission in August.
    • A 6-week rotation at a local civilian or military health department.
    • A 6-week rotation at the Armed Forces Health Surveillance Center (AFHSC).
    • A 4-week rotation at the Proponency Office for Preventive Medicine (POPM) at the Office of the Surgeon General (OTSG).
    • A rotation performing a performance improvement (PI) project.
  • Clinical activities. Clinical activities are performed regularly during the PM practicum year, and total about 3 months of the year. These activities may include (but are not limited to):
    • Travel clinic
    • Tuberculosis clinic
    • HIV clinic
    • Sexually transmitted infections (STI) clinic
    • Refugee health clinic
    • HIV and blood borne pathogen counseling and treatment
    • Other communicable disease control and contact investigation
    • Tobacco cessation
    • Occupational medicine clinics
  • Required courses.
    • Medical Management of Chemical and Biological Casualties (1 week).
    • Risk Communication (1 week).
    • Armed Forces Public Health Conference (1 week).
    • Deployment Occupational and Environmental Surveillance course (1 week).
    • A tuberculosis (TB) course at National Jewish, Francis Curry, or others (1 week).
  • Electives. These are subject to individual residents’ skills and interests. Some of the more popular electives include:
    • Completing a research project at one of the DoD Overseas Research labs such as Thailand or Kenya (4-6 weeks).
    • Participating in public health education and evaluation programs in the former Soviet republics of Azerbaijan, Ukraine, Armenia, and others (1-2 weeks).
    • Participating in public health evaluations and research projects associated with the President’s Emergency Plan for AIDS Relief (PEPFAR) activities in Africa (1-4 weeks).
    • Rotations at the National Center for Medical Intelligence (NCMI) or US Army Medical Institute for Infectious Diseases (USAMRIID) at Fort Detrick (4 weeks).
    • Rotate at the American College of Preventive Medicine (ACPM) working on PM policy at the national level (4-8 weeks).

Last Modified Date: 09-September-2016

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