Advanced Practice Clinician Residency Training Program

Training future leaders of primary healthcare in community health

»This program is currently not offered at our health center«

The APC Residency Training Program application cycle will open on Friday, December 14th, 2018. The deadline for applications is Monday, April 1st, 2019. The APC Residency Training Program class of 2019-2020 is anticipated to run from Tuesday, September 3rd, 2019 – Friday, August 8th, 2020.

Lancaster Health Center’s Advanced Practice Clinician (APC) Residency Training Program aims to train primary care providers in order to meet the growing healthcare needs within our own organization as well as our local community. Building on the advanced practice clinician’s previous training, we will provide a structured environment for the transition from school to practice for certified-registered nurse practitioners and physician assistants who will choose to work in a community health setting in full-scope primary care.

It is the mission of Lancaster Health Center’s APC Residency Training Program to provide an engaging and cutting-edge learning environment. Our program offers a healthy balance of educational and service-based experience, rooted in evidence-based practices and the care delivery models most effective for underserved patient populations.

Our graduates will be agents of change in healthcare, addressing needs of access to high quality and compassionate care for vulnerable populations for today, tomorrow and beyond.

APC Residency Training Program core goals and values
  • Be passionate champions for all seeking healthcare, regardless of economic status
  • Create partnerships to strengthen ourselves and our community
  • Strive for excellence in clinical education, using innovative teaching tools and evidence-based curriculum
  • Endorse team-based care and the core principles of Patient Centered Medical Home
  • Trust one another to work for the common good
  • Foster integrity by demonstrating ethical and congruent behavior
  • Demonstrate authentic communication
  • Advocate for just treatment for all individuals
  • Have the courage to be an agent of change
  • Find joy in our work
Application Requirements:
  1. Completed application
  2. CV
  3. Three (3) letters of recommendation

Note: Candidate must have graduated within 18 months of starting the residency.

Structure and Program Elements

Advanced practice clinician (APC) residents will be trained to Lancaster Health Center’s model of high-quality healthcare: Primary care, Patient-Centered Medical Home, the chronic care model, integrated behavioral health/primary care, team-based care, and quality improvement, with expert use of health information technology and the electronic health record.

Three residency slots are available annually. The program is anticipated to run from September 3rd, 2019-August 28th, 2020 and is a full-employment opportunity, followed by a one year post-residency commitment at Lancaster Health Center or one of our local partner primary healthcare organizations.

The residency year begins with an intensive orientation to Lancaster Health Center, the city in which the training site is located, and the neighborhoods in which our patients live. Orientation will include an overview of health problems of the target population, introduction to our clinical team by other members of the clinical services staff, and orientation by our chief medical officer to the responsibilities and privileges of clinical staff participation at Lancaster Health Center.  It also includes walking tours of neighborhoods, tours of Lancaster Health Center sites, meetings with organizational and community leaders, and technical training on electronic health record.  The APC residents receive the same clinical and administrative support as other primary care providers including IT, billing, and others.

Components of the Program

The APC Residency Training Program has four key components:

Precepted Continuity Clinics:
(50%) These are the cornerstone of the residency. In precepted clinics, the APC residents develop their own patient panel while having either a Lancaster Health Center or community-based provider (physician or seasoned CRNP or PA) exclusively assigned to them.

Specialty Rotations:
(20%) Ten rotations in areas of high-volume/high-burden/high-risk situations most commonly encountered in the setting of the FQHC. Rotations may include: Women’s Health/Obstetrics, Refugee Care, Pediatrics, Orthopedics/Sports Medicine, Dermatology, Procedure Clinics, Geriatrics, Newborn Nursery, Addiction Medicine, Chronic Pain Management, Behavioral Health, and School Based Health.

Mentored Clinics:
(10%) During mentored clinic, the APC resident works as part of an integrated care team and sees patients at the delegation of a primary care provider mentor, who are available for consultation.

Didactic Education Sessions:
(10%) Formal learning sessions on a variety of complex clinical challenges most commonly encountered in FQHCs. The content of the presentations is planned to correspond to the residents’ current clinical experiences.

Quality Improvement Longitudinal Learning and Projects:
(10%) Participation in Quality Improvement projects allows the APC residents the opportunity to develop knowledge and skills to improve care by using quality improvement and systems-based learning.

Other Activities

Other activities involved in the APC Residency Training Program include:

  • Weekly residency meetings
  • Monthly provider meetings and combined provider/clinical support staff meetings
  • Patient care team meetings
  • Community-based continuing education events and participation in Lancaster Health Center’s lecture series
  • Morbidity and Mortality conferences (4-5 times per year)
  • Membership on Lancaster Health Center clinical committees and task forces
  • Continuous training on Lancaster Health center model of care: Access, continuity, planned care, team-based, prevention focused, and use of electronic technology

Frequently Asked Questions

What is the application deadline for the residency program?

The APC Residency Training Program application cycle will open on Friday, December 14th, 2018. The deadline for applications is Monday, April 1st, 2019.

What are the application requirements?

A completed application, your CV, and 3 letters of recommendation. You must have graduated within 18 months of starting the residency.

How many resident slots are available annually?

There will be 3 slots each year. Each is a full-employment opportunity.

What are the dates for the 2019-2020 residency program class?

The APC Residency Training Program class of 2019-2020 is anticipated to run from Tuesday, September 3rd, 2019 – Friday, August 8th, 2020.

Are there any post-residency commitments?

There is a one year post-residency commitment to employment at Lancaster Health Center or one of our local partner primary healthcare organizations.

What are the key components of the residency program?

Precepted Continuity Clinics (50%), Specialty Rotations (20%), Mentored Clinics (10%), Didactic Education Sessions (10%), and Improvement Longitudinal Learning and Projects (10%). Our program offers a healthy balance of educational and service-based experience, rooted in evidence-based practices and the care delivery models most effective for underserved patient populations.

What is the mission of the residency program?

Training future leaders of primary healthcare in community health. We will provide a structured environment for the transition from school to practice for CRNPs and PA-Cs who will choose to work in a community health setting in full-scope primary care.

What training models will be used?

Primary care, Patient-Centered Medical Home, the chronic care model, integrated behavioral health/primary care, team-based care, and quality improvement, with expert use of health information technology and the electronic health record.

What are some of the core goals and values of the program?

  • Be passionate champions for all seeking healthcare, regardless of economic status.
  • Create partnerships to strengthen ourselves and our community.
  • Strive for excellence in clinical education, using innovative teaching tools and evidence-based curriculum.
  • Foster integrity by demonstrating ethical and congruent behavior.
  • Demonstrate authentic communication.
  • Find joy in our work.

Who should I reach out to with additional questions?

You can email apcresidency@lanchc.org with any questions.