Diego I. Shmuels MD,MPH,MSN,CHCQM Ph: (305)576-6611 ext 1230. Fax: dshmuels@borinquenhealth.org https://www.borinquenhealth.org No funding preference. 1. Name of the training program. Borinquen Health Care Center TCHGME 2. Discipline of the residency program. Family Medicine 3. Type of application. Expansion 4. Eligible Entity type. BHCC operates the residency program as a community-based ambulatory patient care center that an accredited primary care residency program. It is a Federally qualified health centers, as defined in section 1905(l)(2)(B) of the Social Security Act [42 U.S.C. 1396d(l)(2)(B)]. 5. Year program first began training residents. 2018 6. Organization website address https://www.borinquenhealth.org 7. A brief overview of the residency program that includes the name of the accredited sponsoring institution (as designated by ACGME or CODA) and description of the main primary care training location including populations served. The prime mission of the Family Medicine Residency Program is to train the future leaders in family physicians at Borinquen Health Care Center, Inc. (BHCC), a Federally Qualified Health Center (FQHC) and Teaching Health Center. The purpose of the proposed program is to: expand the family medicine residency training program at BHCC’s community-based ambulatory patient care centers; prepare residents to provide high quality care, particularly in underserved communities; and prepare residents to develop competencies to serve diverse populations and communities. BHCC is located in Miami-Dade County, Florida and has served the culturally diverse communities of Wynwood, Allapatah, Little River, Little Havana, Overtown, North Miami, North Miami Beach, Kendall, West Dade, Sweetwater, Flagami and Little Haiti since 1972. As of July 2022, BHCC will offer an ACGME accredited residency program for four family medicine residents with accreditation for 12 family medicine residents. We are requesting to
expand the program resources, support an additional eight FTE residents, and improve the training program to meet the needs of an evolving health care environment. The population served is underserved, low-income, and has a high percentage of uninsured individuals, minorities, and persons who speak English less than very well. These groups face greater barriers to care and health disparities than the general population of the US. The per capita income in the county is below that of the country and the state while the rates of poverty are higher. The percentage of unemployed people in the county also ranks above both the state and nation. Furthermore, one-fifth of children in the county live in poverty, a rate that is higher than both the US and Florida. Compared to their peers, children in poverty are more likely to have serious health problems like low birth weight; chronic diseases such as asthma, obesity and high blood pressure; increased accidental injuries; toxic stress; and adverse childhood experiences. (American Academy of Pediatrics, Poverty and Child Health, 2016) 8. Total resident FTE positions requested to be funded under this program for all post-graduate years of training, e.g., 12 (4-4-4) resident FTE above the baseline resident FTEs trained by the program in AY 2018-2019. 4 ( 4-0-0) 9. Resident FTE positions requested to be funded under this program for AY 2022-2023, e.g., 4 (4-0-0). 12 (4-4-4). Only 8 will be funded by THCGME. 10. Rotation Sites: State if residents within the applicant residency program will perform rotations at a hospital rotation site(s) that has not provided resident training in any prior academic year. N/A