Cahaba Family Medicine Residency Urban Track

Cahaba Family Medicine Residency Urban Track

“We are caught in an inescapable network of mutuality, tied in a single garment of destiny. Whatever affects one directly, affects all indirectly.” - Martin Luther King, Jr. - “Letter from a Birmingham Jail”

“And work for the peace and prosperity of the city where I sent you into exile. Pray to the Lord for it, for its welfare will determine your welfare.” - Jeremiah 29:7

The urban residency’s main health center is located in the community of West End in Birmingham, AL. Inequitable systems have taken their toll on this beautiful community. This has created an opportunity to walk in the footsteps of Jesus and minister in his love through the provision of high quality healthcare.

We believe in being on mission together in this way. Being on mission together creates a deep community among our residency family. Our community and family feel that this is one of the hallmarks of our residency. Additionally, many of our residents and faculty have chosen to live in the health center’s neighborhood, to invest our lives here. This allows us to engage as neighbors and to share rich experiences in the community.  

Through our award-winning quality metrics and rigorous full-scope training, our residents are equipped to deliver comprehensive care that truly impacts our community.

While our storefront is healthcare, what’s inside is a deep concern for all aspects of the welfare of our neighbors and community. “If you’re going to care at all, you must care about it all.” “For its welfare will determine [our] welfare.” 

After graduation, our residents are equipped to carry these lessons and practices with them to impact individuals and their communities wherever they may go … whether streets, fields, or ends of the earth.

History

Cahaba Family Medicine Residency started in 2013 as a rural residency program in Centreville, AL. The program was created to provide full spectrum preparation for marginalized rural and international communities. In 2018 the Cahaba Urban residency was formed when Resurrection Health in Memphis, TN transferred its program to Cahaba. (see more below)

Our residency is designed to equip graduates to flourish in resource-poor areas domestically and internationally. Therefore our curriculum incorporates full spectrum Family Medicine training, as you’ll see in the section entitled “The Program.” From a broad array of procedures in the clinic and hospital … to multiple overseas rotations … to advocacy locally and nationally, we provide residents with comprehensive training that will serve as the foundation on which they will build their careers.

Curriculum Overview

Medical

The program has implemented a very innovative and unique approach to its family medicine curriculum. We call it the Longitudinal Integrated Curriculum (LIC).

Within the LIC, the majority of the required experiences for family medicine training are spread out over years 1 and 3 instead of being lumped together in traditional block rotations. Educational and expert practice research shows that interspersing and interweaving different components creates more durable mastery. To use an analogy, a batter who sees 30 fast balls then 30 curve balls then 30 sliders will be great at those pitches momentarily. But to be a great batter she’ll need to face real-life pitch mixes. That’s what the LIC does. Also, it allows the resident to experience the life of a full scope community physician … i.e. our residents will be experts at coordinating inpatient, clinic, and obstetrics into their typical workday. We’re preparing full-scope family physicians for underserved communities domestically and internationally, so we take this philosophy seriously.

A typical week in the life of an urban track resident includes covering the inpatient service at UAB Medical West in Bessemer in the AM followed by clinic or another LIC component such as ultrasounds and echocardiograms, endoscopy, working in the specialty clinic on-site, working in our school-based health centers, and much more. When on call, the residents also cover the emergency department at Medical West. Additionally, on other weeks, residents cover our OB service at St Vincent’s.

In the second year of training, residents will complete several months of traditional block rotations at our partner sites (see list below) while still maintaining their panel of patients in continuity clinic.

• Inpatient hospitalist, trauma surgery (rural & frontier), emergency medicine (urban & highlands), sports medicine, high risk OB/MFM (frontier & highlands), and orthopedics at UAB in downtown Birmingham

• Inpatient Pediatrics and pediatric emergency medicine at Children’s Hospital of Alabama

Furthermore, each resident has a block EACH YEAR to spend overseas at a site of their choice. This is a critical part of our curriculum in which we help foster a WORLD view in our residents. We hope each graduate will go, send, and support around the world.

Community (Health)

More than a residency, we are a community.

We encourage our residents to fully invest in our communities. We strongly value relocation into the communities where our clinics and patients are. As we walk in the footsteps of Jesus and minister in His love together, all the while living in proximity to one another and to our health centers, we lead interwoven lives of such great depth and richness.

There is no greater way to understand the social determinants of health impacting our patients than to experience the issues with housing, education, crime, nutrition, transportation, infrastructure, etc. first hand. There is no greater way to seek the health of our communities than to invest our lives in them. As the old exhortation goes, “Build houses and live in them; plant gardens and eat their produce … seek the welfare of the city where I have sent you into exile, and pray to the Lord on its behalf, for in its welfare you will find your welfare.”

Perhaps the greatest thing about relocating to our patients’ neighborhoods is the relationships we form that change us forever.

Beyond that, we have a robust community health experience that includes:

• spending time with local students in their schools teaching on a range of health topics
• working in our school based health clinics
• spending time with partner organizations working on education, housing, vocational training, etc.
• working in our food pantry and clothes closets alongside our social workers
• teaching AP biology courses
• fundraising for community health projects like our Cahaba River Canoe Launch project.
• And so much more ….

Pioneers, Leaders

We prepare our graduates to open new clinics and start new projects domestically and internationally that will impact areas with the greatest need.  

Experiences

• International Rotations - our residents spend up to one month per year overseas in an area of their choice. For many, this is in preparation to go to those areas (or at least be able to support and send workers in those areas) after residency.
• Launch Weeks - each year our residents have a week set aside to take a step back and pray and plan for the post-residency work. Residency is hard, and these weeks are lifelines.
• Pioneers, Leaders Sessions - we invite some of our heroes to teach us from their own experiences in pioneering and leading.
• MGR - a monthly forum where some of our hero overseas workers spend an evening in a living room with us talking about various aspects of international medicine.

Spiritual Health

We work prayerfully

Our spiritual health curriculum has the dual aim of effectively addressing our patients' spiritual health needs and also fostering spiritual growth within our residency. We work through monthly spiritual health sessions on a wide array of topics. There is a strong spiritual component to our community life. As we walk together as a community, we lovingly work to build one another up.

Medicine has devolved into a business sector. While, individually, most people believe there is something “sacred” or “miraculous” or “transcendent” about human life, we have corporately over-enlightened our way into a focus on cells and cents and have forbade our medical trainees from addressing the “sacredness” in each patient.

And yet, practitioners who have allowed for acknowledgement of the sacred in their care are finding that patients desperately long for this. “Deep calls to deep.”