Mission

Embody the values of: Service, Pluripotency, Tenacity, Humility, in order to treat all beneficiaries like family, ensure an operationally ready medical force, committed to the highest standards for health care and education. This is adapted around our medical center's Mission: Faithfully serve military and civilian communities through health care excellence, readiness, and professional development, and be the paramount military medical center for superior, family-centered care and a force for operational and academic readiness.

Vision

Enhance the delivery of full scope medical care to active duty and dependents through exceptional graduate medical education training to support military readiness, military operations, and the care of military beneficiaries.

Aims

• Develop military leaders who are confident and competent in caring for all patients spanning from birth to the grave.
• Enhance the skillset of all trainees to support the Defense Health Agency mission of patient care delivery.
• Enhance the warfighting capability of the DOD through operational medicine and the care of the service member and their families.

Lectures are prepared and provided by the Family Medicine faculty, specialty physicians, and residents to enhance clinical knowledge and practice. Monthly Morbidity and Mortality reports as well as Journal Clubs are utilized to foster clinical evidence review, reflective practice, continuous improvement, and academic pursuit.

Electives include:

• Allergy
• Gastroenterology
• Neurology
• Obesity
• Ophthalmology
• Orthopedics
• Otolaryngology (ENT)
• Pharmacy
• Pulmonary
• Pathology
• Radiology
• Research
• Tropical Medicine
• Urology

Outpatient rotation will take call typically 2-3 times per month.

Curriculum includes two weeks of Operational Medicine with focus on operational units including Marine Logistics, Marine Division, Marine Headquarters, Marine Wing, and Marine Special Operations Units.

Inpatient medicine, Pediatrics, Nursery, Obstetrics, Gynecology, Intensive Care, Procedures, Emergency Medicine, Surgery, Operational Medicine, Geriatrics, and Musculoskeletal Medicine.

During the procedure rotation weekly simulation is completed in the Bioskills simulation lab to include training in injections, performance of CODEs, ultrasound, and obstetric skills. Trauma orientation, Obstetric emergency, and Fundamental of Critical Care Support are also performed with extensive simulation training.

Curriculum includes four weeks of Practice Management and Quality Improvement. Additionally, all residents are required to enhance in hospital committees to develop leadership and team skills to enhance patient care.

All residents are required to complete scholarly activity in the form of published or presented case reports, published, or presented process improvement projects, authorship in help desk or articles in peer reviewed publications.  The residency is support by a research department and the institution hosts a regional research symposium annually.

All residents are required to engage in Quality improvement and process improvement projects in their second and third year of training.  This promotes the transition from trainee to develop leadership qualities that support the enhancement of clinical practice.  Residents work with a faculty mentor or with the quality council to implement clinic or institution wide projects.  Prior examples include improving clinical coding, medication reconciliation, patient checkout process, and antibiotic stewardship.

Inpatient Pediatrics and Intensive Care Unit rotations occur at East Carolina University Health Care Center in Greenville, North Carolina.

Family Medicine Clerkships

If you are a Medical Student through Uniformed Services University of the Health Sciences (USUHS), or an Health Professions Scholarship Program (HPSP) or Health Services Collegiate Program (HSCP) candidate we would love to have you rotate with us for a Family Medicine Clerkship. Clerkship experience consists of:

• Inpatient Medicine
• Labor & Delivery
• Operational Medicine
• Outpatient Medicine
• Sports Medicine Clinic
• Procedures Clinic
• Weekly Didactics

Interview season for prospective PGY1 and PGY2 residents is July-October on Thursday mornings. To request an interview, please email dha.lejeune.camp-lejeune-nmc.list.nmccl-fammed@health.mil.

Program graduates take the Family Medicine Certification Exam which is offered bi-annually.  Residents who are expected to complete training between June 1 and October 31 may be permitted to apply for the April examination, and Residents who will complete training after November 1 may be permitted to apply for the November examination.  To be eligible to take specialty board exams, graduates must complete all pre-requisites required by Family Medicine Certification Board by February for the April exam and September for the November exam.

Prerequisites include the completion of self-assessment and quality improvement activities totaling a minimum of 50 points which are achieved through Knowledge Self-Assessment Activities and Performance Improvement Activities.

All residents are trained to transition to teach. Residents are actively engaged starting in PGY-1 to educate rotating medical students. The transition continues through PGY-2 and 3 as Senior residents are charged to lead the medical teams in inpatient medicine and obstetrics. The resident teaching is performed with supervision by attending physicians.

Residents have opportunities to teach peers through didactic lectures and have also been selected to serve as instructors in certification courses including Advanced Life Support in Obstetrics (ALSO), Basic Life Support (BLS), Advanced Cardiac Life Support (ACLS), and Advanced Trauma Life Support (ATLS).

Core family medicine Faculty are fellowship trained in Obstetrics, Geriatrics, and Sports Medicine.

Residents are encouraged to pursue Faculty mentorship and at times required to pursue mentorship in support of clinical and practice development. PGY1s are positioned to share office spaces with PGY-2s and PGY-3s to support systems-based practice.

The residency has strategically enhanced resident wellness through dedicated quarterly reflective practice, Resident wellness days (5th Thursdays), Biannual resident retreats, Intern/General Medical Officer welcoming dinner, Hail/Farewell, and Monthly resident gatherings coordinated by the resident wellness champion.  Additionally, the residency has developed a forum including resident townhalls to address and act on real time concerns.