Adult Medicine & Critical Care
Many residents consider adult medicine and critical care to be some of the best experiences. Our residents obtain the confidence to diagnose and care for a diverse population with a variety of diseases rarely seen outside a public hospital. Residents also care for continuity patients alongside family medicine faculty on inpatient teams.
Advanced Rural/Global Medicine and Surgical Experience
The ARMS (Advanced Rural/Global Medicine and Surgical) Track is a unique and innovative four-year track designed to prepare “comprehensivists” capable of providing essential medical and surgical care in low-resource settings. ARMS builds on the core competencies of medicine, pediatrics, obstetrics, and rural-global training at JPS to include training in General and Plastic Surgery, advanced procedural skills, endoscopy, and additional intensive care training (PICU, NICU, SICU, MICU). Residents are encouraged to pursue electives in international or rural sites with a heavy surgical focus, including C-sections. During the fourth year, all of the ARMS residents take an international trip with JPS faculty from General Surgery, Family Medicine, and Plastic Surgery. Some ARMS residents also join a general surgery resident and attending on international trips to the Philippines and Sub-Saharan Africa (Niger or Kenya).
All JPS Family Medicine residents receive training in behavioral medicine aimed at producing well-rounded, do-it-all family doctors. Interns spend time with behavioral medicine faculty in a variety of contexts including health psychology clinic, street medicine outreach, addiction treatment centers, and women’s mental health. Curriculum also includes cases and workshops focused on psychiatric diagnosis/management, communication skills, and health and behavior change as well as inpatient medical consult and liaison psychiatry experiences.
This track is designed to be a three- or four-year program where residents will gain knowledge and competency in the principles of community and public health and will have the opportunity to obtain a degree or certificate in a chosen area of their choosing: Public Health, Lifestyle Medicine, Obesity Medicine, or HIV Primary Care. Through the four-year track, a learner can obtain a Master’s of Public Health. Residents will receive education in chronic disease management, social determinants of health, population health, obesity management, and care of vulnerable populations — including homeless outreach, addiction medicine and Suboxone management, and HIV primary care. Residents will also have the opportunity to work on a community project that will positively impact the community and improve patient care.
All JPS residents receive robust training in geriatric medicine, including the opportunity to complete a fourth year of advanced training. Through home visits and nursing home experiences, our residents care for our elderly population in a variety of settings.
Practicing medicine on a global scale comes with its own unique set of challenges and opportunities. On any given day, you might find yourself treating people with cerebral malaria, eclampsia, severe malnutrition, or a venomous snake bite.
That’s why the training you receive at JPS is designed to help you be ready for anything. Residents considering a global medicine career have the opportunity to treat refugees from around the world in our International Health Clinic, be part of the Acclaim Street Medicine team, and provide care for people living with HIV. We offer global health didactics twice a month and rotations in a dozen locations in Latin America, sub-Saharan Africa, and Asia. Many of our residents who are preparing for overseas service opt to stay on for a fourth year of advanced training in surgical obstetrics or general surgery.
Launched in 2013, the mission of our HIV Primary Care Track is to train future physicians who have a clinical interest in HIV medicine. This program offers in depth training for new physicians committed to careers in HIV in the primary care setting for vulnerable populations. With a growing shortage of primary care providers focused on HIV - and the continuing need to improve treatment and access to care for people living with HIV - this program aims to develop the next generation of physicians specializing in HIV to serve people disproportionately impacted by the virus. This shortage of healthcare providers focused on HIV was also highlighted as a key issue in the White House's "National HIV/AIDS Strategy for the United States: Updated to 2020." Which calls for "deliberate steps to increase the capacity of systems as well as the number and diversity of available providers of clinical care and related servicesfor people living with HIV."
Training Site: Our training site is Healing Wings, a federally qualified health center serving close to 1,400 HIV patients. The main hospital and other subspecialty facilitiesare within a short walking distance of Healing wings. Healing wings is also a NCQA level III certified patient centered medical home.
Structure of Program: HIV Primary Care Track residents provide continuity care for at least twenty HIV-infected patients. They receive enhanced training in HIV medicine from Healing Wings faculty. At the conclusion of their training, residents will be qualified to sit for the HIV Specialty Certification Examination from the American Academy of HIV Medicine. So far Residents have chosen to take this certification at the completion of their first or second year with a 100% pass rate. There are 2 didactic lectures per month available to continuity residents on basic and in-depth HIV and HIV related topics.
Program Leadership: Dr. Robin McKelvey, Medical Director of Healing Wings, also provides leadership for the HIV Primary Care Track. Other faculty include Dr. Golub, Infectious Disease Chairman, Dr. Matta, Infectious Disease, Dr. Rausch JPS Family Medicine Residency, and Stephanie Thompson, ANP. All Healing Wings Practitioners are experienced HIV practitioners.
JPS Family Medicine residents have the option to participate in a 24-month Lifestyle Medicine track, certified by the American College of Lifestyle Medicine (ACLM). Lifestyle factors are being increasingly recognized for their central role in the prevention and management of chronic disease. Accordingly, the next generation of primary care physicians can benefit from having advanced training in this growing sub-discipline. Upon completion of this track, residents will be eligible to sit for the ACLM board certification exam in Lifestyle Medicine.
One of the hallmarks of the JPS Family Medicine Residency Program is maternity care. Operative obstetrics is emphasized in the Maternal Child Health Area of Emphasis (MCH AOE). Since its inception over fifteen years ago, graduates have each performed over 150 Cesarean sections during their MCH rotations. Operative obstetrics is emphasized in the third and fourth year maternal-child, rural, and international medicine areas of emphasis. MCH residents also complete a formal obstetric, procedural, and ultrasound curriculum.
The pediatric hospitalist inpatient experience provides unique one-on-one care for a variety of general pediatric conditions. They will experience high-volume nursery care, neonatal resuscitation, and pediatric outpatient care. Residents care for the 4,000 babies born at JPS each year through experiences in our nursery, NICU, and outpatient clinics after discharge.
Pediatrics and Adolescents
Over the years, pediatrics has become one of the strengths of our program. Our residents do rotations at both Children’s Health Dallas and Cook Children’s in Fort Worth – two of the top pediatric hospitals in the world. The inpatient and emergency medicine rotations are some of the most popular resident experiences.
With so many people relying on them for medical care, rural physicians have to be ready for anything. At JPS, our rural medicine training program is nationally recognized as one of the best in the country. You’ll learn to handle internal medicine, ICU, emergency medicine, procedures, orthopedics, and obstetrics with complete confidence. Plus, residents routinely rotate through several small Texas communities with JPS alumni. It’s this kind of real-world experience that sets JPS apart.
At JPS, we introduce all our family medicine residents to sports medicine because we know this type of treatment is useful far beyond the playing field. Sports medicine training gives our residents the opportunity to examine, diagnose, and treat common musculoskeletal pathology under more extreme conditions than you would generally find in a primary care facility.
Residents receive comprehensive, hands-on training for the examination and treatment of athletes at a variety of facilities and attend lectures by sports medicine physicians. JPS Sports Medicine Physicians are the official team doctors for Texas Christian University, and they work with a variety of athletic programs and organizations in the Fort Worth area.
JPS Health Network’s location in the busy Southside of Fort Worth offers many opportunities to care for those who need us most. Our residency has a track entirely dedicated to Street Medicine, meeting our patients where they are in their reality, on the streets, under bridges, and in their encampments within Tarrant County. The Street Medicine Track includes: time spent in direct patient care on the streets, didactics regarding special topics for vulnerable patients (i.e., addiction medicine or wound care), and specialized opportunities to interact with the healthcare and homeless service systems for people experiencing homelessness (i.e., an inpatient consult team, working with local political and mental health officials).
Visit https://www.star-telegram.com/news/local/community/fort-worth/article65033927.html to learn more about this program
Trauma and Emergency Medicine
JPS is Tarrant County’s Level I Trauma Center and has more than 125,000 emergency department visits per year. At JPS, you’ll be exposed to countless pathologies and treat many diseases in their most advanced stages. Residents are front-line providers in advanced resuscitation, trauma management, and acute care. There are countless opportunities for procedural training, and residents are fully integrated into the multidisciplinary team. Opportunities are available for residents to complete an Advanced Acute Care track with additional experiences in Emergency/Critical Care and procedures.
JPS Health Network is located in the inner city of the Fort Worth- Dallas Metroplex and is the only health network in Tarrant County dedicated to caring for medically vulnerable populations. From day one, you will be an integral part of our team’s efforts to care for those who need us most.