• Name of the training program/title: FHC Internal Medicine Residency Program Expansion • Discipline of residency program: Internal Medicine • Type of application: THCGME Expansion Applicant • Eligible Entity type: Sunset Park Health Council, Inc. (dba Family Health Centers at NYU Langone or FHC), Federally Qualified Health Center, FHC operates the residency program alone not as a GME consortium • Address: 150 55th Street, Brooklyn, NY 11220-2508 • Principal Investigator: Ramiro Jervis, MD, Residency Program Director • Contact Phone Number: (Voice) 718-630-7095 • Email Address: Ramiro.Jervis@nyulangone.org • Website Address: https://nyulangone.org/locations/family-health-centers-at-nyu-langone • Year program first began training residents: July 2014 • Total FTE positions requested to be funded for all years of training: Funding is requested to support 54 FTEs across four years: six (Year 1), 12 (Year 2), 18 (Year 3), and 18 (Year 4) • FTE positions requested to be funded under this program for AY 2022-2023: 6 (6-0-0) • All grant program funds requested in the application: $8,640,000 • Overview of residency program: As a principal provider of primary care in Brooklyn, Sunset Park Health Council, Inc. (dba Family Health Centers at NYU Langone or FHC), is the institutional sponsor of an accredited ACGME Internal Medicine Residency Program, led by Ramiro Jervis, MD, Residency Program Director. FHC is approved by ACGME to support 18 internal medicine resident positions and all positions have been filled for AY 2021-2022 (12 of which are currently supported with THCGME funds). FHC proposes to double its resident FTEs in the existing internal medicine residency program, expanding by six FTEs in each year (PGY1, PGY2, PGY3) for a total of 18 new THCGME-supported resident FTEs at the end of the period of performance. The full breadth of FHC clinics will be utilized in residency rotations for the proposed THCGME program, including nine primary care and sp
ecialty clinics and 12 Community Medicine sites which serve individuals experiencing homelessness. The Adult Medicine-Sunset Park FHC location (150 55th Street, Brooklyn, NY 11220) will serve as the primary training site with NYU Langone-Hospital Brooklyn as a hospital training partner. The internal medicine residency’s mission and core purpose is to train residents to be highly proficient in community-based care for the medically underserved and vulnerable, with an acute understanding of health disparities. Program expansion will allow for a deeper focus on achieving health equity, conducting community-based research, as well as the skills required to support Transitions in Care, from hospital to home. As one of the largest FQHC networks in the U.S., FHC draws patients from communities throughout Brooklyn (Kings County). The primary service area includes the neighborhoods of Sunset Park, East Flatbush-Flatbush, Park Slope, Red Hook, Brownsville, and Bedford Stuyvesant-Crown Heights (across 14 zip codes) with over 900,000 residents. Sunset Park, East Flatbush-Flatbush, and Bedford Stuyvesant-Crown Heights are HRSA-designated Health Professional Shortage Areas for Primary Care. The Sunset Terrace FHC location, the network hub of co-located primary care including HIV/AIDS primary care as well as behavioral health care services, is located in a Medically Underserved Area. In 2020, FHC served 131,237 patients, a population comprised of predominantly minority households with large subpopulations of Hispanic/Latino, Afro-Caribbean, Russian, Arabic, and Chinese immigrants. The Sunset Park neighborhood ranks near the bottom (54th) of all NYC neighborhoods (59 total) in self-reported health status. Social determinants of health (i.e., low educational attainment, unstable housing, poor physical neighborhood conditions, disproportionate incarceration rates, patterns of residential segregation) contribute to high incidence and prevalence of chronic diseases and other poor healt
h outcomes.