Fletcher Allen, a Vermont university hospital and medical center, serves all of
Vermont and the northern New York region. Located in Burlington, Fletcher Allen is a regional, academic healthcare center and teaching hospital in alliance with the University of Vermont.
Frequently Asked Questions
1. Does your program work with underserved populations?
The population of Milton has many financially underserved residents. Our inpatient team admits all the patients from the Community Health Center of Burlington which includes a large refugee population. Also, as part of the Milton Family Practice/ Community Medicine rotation, our residents work at the Community Health Center, farm worker clinics, the Safe Harbor Clinic which is a medical and dental clinic offering no-cost appointments and walk-ins for adults and families experiencing homelessness, the Pearl Street Youth Center, which provides counseling services for youth and young adults thru age 25 and special services for at-risk youth, homeless teens and young adults as well as the crisis center. Residents also practice at rural Vermont family medicine offices.
2. Does the residency clinic use an electronic medical record?
The Family Medicine offices in Milton and Fletcher Allen Health Care have an integrated EHR based on the EPIC system. All of the clinical documentation, labs, imaging, messaging, and prescribing is done through the EHR. Advanced family medicine practice in a patient-centered medical home is enhanced by the EHR. We have recently implemented Care-Everywhere, offered by EPIC. With patient consent, we are able to directly obtain records from other institutions who use EPIC.
3. Upon graduation, where do your residents go?
About half of the residency graduates remain in Vermont. About 10% have chosen academic careers and about 15% practice obstetrics. Another 10% have gone on to fellowships in Sports Medicine, ER, OB and Addiction Medicine. See a comprehensive list of where our previous residents have gone>>
4. When was the program established?
The University of Vermont College of Medicine (UVM) and Fletcher Allen Health Care (Medical Center Hospital Campus) established the residency program in Family Practice in 1972. The Program fulfills all requirements of the American Board of Family Medicine and has been fully approved by the Accreditation Council for Graduate Medical Education since 1975. The ACGME Residency Review Committee has awarded our program a five year, maximum length, accreditation following its June 2009 review and site visit. This is a strong outside objective endorsement of the quality of our residency program. We have fully matched without a scramble since 2002.
5. What makes this program unique from other Family Medicine residency programs?
We combine an academic medical center with a rural family medicine practice 14 miles away. Our real strength is in our diverse faculty, strong committed residents and amazing staff. Family Medicine is highly regarded within the hospital and represented outside the hospital with numerous referring physicians around the area and state. Our team works extremely well with other services in the hospital.
6. How well do residents do on board certification exams?
Over the past 5 years, our residency graduates have a 92% pass rate on the board certification examinations, above the national average of 89%. Over the last two years, our graduates have a 100% pass rate on the board certification examinations. The average score over 5 years was 507, above the national average of 480.
7. What sorts of perks are offered?
Membership in the AAFP is paid for all residents. Residents receive a meal card allowance, free parking, generous yearly continuing medical education funds, three weeks of vacation plus four days off over at least one of the major holidays each year.
8. Is the University of Vermont/Fletcher Allen Health Care a good institution for residency training?
It is the best academic tertiary care level 1 trauma center with a community hospital feel—a collegial atmosphere amongst all specialties with patient-centeredness at the heart of care. Faculty are dedicated to teaching and to scholarly activity.
9. Does your program have a Family Medicine Inpatient Service?
The University of Vermont Family Medicine Residency has its own inpatient hospital service, which services any patients from our six clinical sites who might require admission to the hospital. Our team is made up of one G1, one G2, and one G3 resident supervised by an on-site family medicine faculty member. Family medicine faculty lead daily morning rounds, teaching and radiology rounds, and supervise inpatient procedures. We work closely with hospital staff including nurses, physical therapists, consultants, and our dedicated Family Medicine case manager. One of the primary missions for our Family Medicine inpatient service is to provide quality, patient-centered care.
10. Will I have the opportunity to do scholarly activity like research or writing journal articles?
Our program is a member of the Family Physicians Inquiry Network (FPIN) and requires residents to participate in scholarly activities such as presenting grand rounds, publishing in the Evidence-Based Practice Journal, and presenting posters and publications at national conferences.
The department has a research division led by one of our faculty that helps faculty and residents develop, coordinate, implement, analyze, and disseminate projects and project data, and assists with grant writing and project evaluation. Residents work closely with faculty in Milton to provide quality improvement at the Milton Family Practice. The emphasis is on evidence-based practice, personal development, and leadership of health systems.
11. How much OB do residents do?
Our average resident does about 75 deliveries. Those who choose to include OB in their practice can do electives and do quite a bit more. All residents are required to have 3 continuity deliveries. Those wanting to practice OB in the future are encouraged to follow at least 10 continuity patients.
12. How often will I be on call?
In your first year, there will be three months with no call and during call months, shifts are limited to 16 hours as is required. The call frequency is minimal in your second and third years. Night rotations occur on second year OB and one second and third Family Medicine service month.