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Frequently Asked Questions

Swift River Rural Track FAQs

Given that time during your interview day is limited, here is a list of questions and answers about our residency that we hope will provide helpful information.

Top Ten FAQ's about the Swift River Rural Track Program

 

Q Are there separate NRMP match numbers for the two locations?
A YES! The number for Lewiston is 2327120C0 and the number for Rumford is 2327120C1
   
Q What will the call frequency be?
A The frequency will be 1:6 PGY2 and 1:8 PGY3. This is a frequent but not very busy call (to allow residents the maximum opportunity to obtain experience in admitting pediatric patients and to be involved in as many deliveries as possible). A couple of rotations calls will be at CMMC. There will be some rotations when you will not be scheduled for call.
   
Q Will call be in-house or from home?
A In-house call for the beginning of PGYII. Pending faculty review of each resident, call will then be from home if location permits .
   
Q What is the financial incentive package?
A $300 per month housing stipend (PGY 2 and 3), mileage (Rumford-Lewiston), membership in National Rural Health Association (NRHA), stipend to attend one NRHA national meeting, paid membership at Rumford Hospital Wellness Center, season pass to Black Mountain ski area, $500 moving allowance (Lewiston-Rumford) (in addition, all PGY1 residents receive a moving allowance to move to Lewiston), and housing while on rotations in Lewiston during PGY 2 & 3.  All other benefits received by Lewiston residents will be provided to RT residents.  Call room will be provided at Rumford Hospital (for times requiring resident presence).
   
Q Where will I see my continuity patients?
A During PGY1, rural residents will see outpatients in Lewiston. PGY1 is mainly an inpatient year and there is limited outpatient clinic time for all first-year resident with the exception of the Outpatient Family Medicine - Teaching block. Starting at the beginning of PGY2, residents will see their own continuity patients at Swift River in Rumford. Residents will also follow their continuity patients as an inpatient, on Labor and Delivery, at some sub-specialty clinics and one of two local nursing homes as well as during home visits.
   
Q Who will be your preceptors?
A Precepting duties will be shared among the Rural Track Faculty (including the rural rrack Site Coordinator based at Swift River Family Medicine along with three rural track faculty who practice in a family medicine center in close proximity to Rumford) and the Lewiston-based faculty. Occasionally a community-based non-faculty preceptor who has completed preceptor training may be utilized. The full range of preceptors will allow residents to gain knowledge and skills in all areas of Family Medicine.
   
Q Will I learn procedures?
A As with many rural practices, Swift River performs many in-office procedures, including skin lesions & suturing, fracture management, colposcopies, and OB ultrasounds. Given the small size and personal nature of the program, residents will also have the opportunity to be involved in many of the procedures performed at the hospital.
   
Q What type of Obstetrical training can I expect?
A The Lewiston program is currently developing a "Maternity Care Path or Emphasis." Rural track residents will automatically be enrolled in this path/emphasis which will include three months of Maternity Care in Lewiston and an away-elective in high volume/high risk obstetrics. In addition, Swift River currently has 80 deliveries a year shared by the FP's and an Ob-Gyn, all of whom practice in the same office. Rural track residents should have sufficient obstetrical experience to gain privileges for routine obstetrical care upon graduation.
   
Q How will subspecialty rotations happen?
A There are many subspecialty clinics that take place onsite at Rumford Hospital, including Cardiology, Orthopedics, Physical Medicine and Rehabilitations, Hematology/Oncology, Podiatry, and Audiology. Rotations in these areas will take place longitudinally over the two years (i.e. instead of a month on cardiology or ortho, you may spend one half day twice a month for six months in the cardiology clinic, where you will also see your referred continuity patients with the cardiologist/orthopedist). Other specialty rotations will take place in Lewiston (ICU, Maternity Care, Dermatology, Inpatient Pediatrics). Continuity clinic responsibilities will vary according to the rotation in order to provide the maximum continuity for the resident (and patients) but to allow for educational time in different locations with the minimum of commuting.
   
Q Can I transfer from the Lewiston program to the Rumford program or vice versa?
A The possibility of transferring between programs will be considered only if there are open spots in either program (or in rare  circumstances). This is necessary due to budget and staffing issues.
   

For more information please contact:
Dieter Kreckel, M.D.
Rural Site Coordinator
rickarsh@rh.cmhc.org