by
Akane Naka, Project Manager | April 24, 2007
DHLPMR focuses on leading
change in the small systems
that connect patients,
patients' needs and health care
Dartmouth-Hitchcock Medical Center (DHMC) is New Hampshire's only academic medical center. Internationally renowned, nationally ranked, and regionally respected, we integrate high-quality patient care, advanced medical education, and translational research to provide a full spectrum of health care.
Dartmouth-Hitchcock Medical Center Leadership Preventive Medicine Residency

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Program Overview
The Preventive Medicine program focuses on developing knowledge and skills in the measurement of outcomes and the leadership of change and improvement in health care systems. In general, the combined training adds 18-24 months to the length of the "home" residency or fellowship program.
The "core competencies" of DHLPMR are:
* Leadership-including design and redesign-of small systems in health care.
* Measurement of illness burden in individuals and populations.
* Measurement of the outcomes of health service interventions.
* Leadership of change for improvement of quality, value and safety of health care of individuals and of populations.
* Reflection on personal professional practice & linkage of that reflection to ongoing personal and professional development.
Clinical Component
The clinical requirement is fulfilled by the resident or fellow's work in his or her "home" program (including Anesthesiology, Family Practice, Internal Medicine, Obstetrics and Gynecology, Pathology, Pediatrics, Psychiatry, Radiology, Surgery, and a variety of subspecialty programs). During the first Leadership Preventive Medicine (LPM) year, residents complete a number of rotations designed to develop knowledge and skills in the leadership of health care improvement and to set the stage for the second Practicum year. The pathways for residents within the various clinical specialities can be veiwed here.
Academic Component
The academic component includes a Masters in Public Health from the Center for the Evaluative Clinical Sciences (CECS) at Dartmouth Medical School. Coursework is highly integrated with LPM rotations and includes classes in:
*ECS 100: Introduction to the Evaluative Clinical Sciences
This course provides students with an overview to the evaluative clinical sciences. Three major areas are covered in the course: origins and rationale for the evaluative clinical sciences, an introduction to the diverse methods employed in outcomes research, and an introduction to basic methods of inference in research.
Fall term; one credit; (HP, P, LP, NC)