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Project Name: Affordable Care Act Teaching Health Center (THC) Graduate Medical Education (GME) Payment Program (T91)
Applicant Title: Connecticut Institute for Communities, Inc.
Abstract Text: The Connecticut Institute For Communities, Inc. (CIFC) Internal Medicine Residency Program began training residents in 2013 and ACGME accreditation is in the name of Connecticut Institute For Communities, Inc. Therefore, this is a continuation application. This is a community-based, ambulatory patient care training program at a Federally Qualified Health Center (FQHC), CIFC Health, and the training program is not part of a consortium. We are requesting 29 FTE resident positions for a 3-year Internal Medicine Residency Program to be funded under the THCGME program for AY2024, and we are requesting 29 FTE resident positions to be funded under this program for all years thereafter. The program is operated by CIFC Health, a Federally Qualified Health Center, and a program and d/b/a of CIFC (previously known as the d/b/a Greater Danbury Community Health Center), which provides comprehensive primary medical care (Pediatrics, Adult Medicine and Women`s Health), behavioral health care, and oral health care services on a sliding fee basis to people of all ages. CIFC Health is recognized by the National Committee for Quality Assurance as a Patient Centered Medical Home. CIFC Health services are available to all; however, our target population is people living below 200% of the Federal Poverty Level, people who are underinsured or uninsured, people receiving public assistance, vulnerable populations such as the elderly, and those who are otherwise out of the health care mainstream. As a well-functioning, full-service community health center, CIFC Health served 14,773 unique patients with approximately 72,000 patient visits in 2022. The patient population is very diverse. In 2022, about 62 percent of patients reported they were Hispanic/Latino; 8 percent, black; 7 percent, Asian; and 31 percent white, non-Hispanic.?? CIFC Health’s Internal Medicine residency program operates independently and affiliates with area hospitals to create a curriculum that meets the requirements for American Board of Internal Medicine (ABIM) and the regulations from the residency accreditation body – Accreditation Council for Graduate Medical Education (ACGME). The program has a strong primary care curriculum where our residents spend more than one third of their training time in the outpatient primary care setting. The program operates towards the mission of primary care education with careful and balanced shifting of Internal Medicine training curriculum from the traditional hospital-based training to ambulatory training, while adding comprehensive outpatient curricula sensitive to changing needs in the community. To fulfill the ABIM and ACGME requirements and to provide a well-rounded, diverse training experience for the residents, the program collaborates with Danbury Hospital (Danbury, CT), Griffin Hospital (Derby, CT), and Yale New Haven Hospital (New Haven, CT) for inpatient and several elective rotations for our residents. These hospital training sites were all part of CIFC Health’s Internal Medicine Residency Program’s sites in the prior academic year and are not new in AY 2024. CIFC supports and continually works on developing a robust residency staff and faculty infrastructure for the program and, provides ample training spaces for the residency program which includes patient exam rooms, collaborative spaces, state-of-art outpatient Simulation Lab, Library and other Resident facilities. The organization and the residency program are aligned with, and committed to, serving the underserved community in the best possible ways.