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Family Medicine Residency Program

Montgomery, Alabama

Welcome to Jackson Hospital & Clinic!

We are excited that are you considering Jackson Hospital & Clinic for your next career adventure. This site is intended to provide you with resources about your work environment, the community, and the lifestyle in Montgomery, AL. 

About Us

Jackson Hospital's history is integral to the history of medicine in Central Alabama. The hospital's origin dates back to 1894 when Watkins Infirmary received its 1st patients at the hospital's present location. On September 16, 1946, Jackson Hospital opened with 37 patient beds and 5 attending physicians.

Today, licensed for 344 beds, Jackson Hospital is a community not-for-profit hospital serving Montgomery and the Alabama River Region. Our comprehensive healthcare services include cardiac, cancer, neurosciences, orthopedics, and women's and children's care, along with 24-hour emergency services. It ranks among the largest hospitals in Alabama and is widely recognized for providing excellence in care. Even with our leading-edge technology and facilities, we remain true to our mission of providing superior personal healthcare in a safe, compassionate environment.

Our Mission
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Jackson Hospital is a not-for-profit organization committed to improving the health of all members of our community by providing superior, patient-centered and cost-effective care in a safe, compassionate environment.

Program Director Greeting from Dr. Thomas Horton

Welcome to Jackson Hospital and Clinic Family Medicine Residency Program. We are delighted to have the opportunity to share information about our program. We hope you enjoy exploring our website and, please, feel free to contact us by phone or email for more information.

As a not-for-profit, private hospital with a mission to provide high quality and affordable healthcare to the population of central Alabama, Jackson Hospital and Clinic is a premier provider of care in the River Region boasting a large multi-specialty clinic and multiple satellite clinics in Montgomery and the surrounding counties. This operational independence allows Jackson Hospital and our residency program to rapidly adapt and adjust to changing educational needs while providing access to a broad spectrum of medical specialties during the post-graduate training experience.

The well-equipped and modern facilities at Jackson Hospital and the experienced specialists in the Jackson Clinic support current “state of the art” medical practice. However, the residency curriculum is not limited to urban, “high-tech” medicine. The location of our program allows collaboration with other hospitals and organizations providing desperately needed basic services in rural and underserved areas of our region. Residents easily gain meaningful and first-hand insight into this type of practice as they progress through the program.

 

Thomas L. Horton, MD

Dr. Thomas Horton

PROGRAM DIRECTOR

Thank you for viewing our website and learning more about our program. Please allow me to introduce myself and spend some time describing the formative experiences motivating me to want to build a unique residency program comprised of faculty with "real world" experience and residents seeking to serve where they are most needed. 


My path began many years ago when I graduated from the University of Mississippi Medical Center in Jackson, MS and accepted a PGY-1 position in the original Montgomery Family Practice Residency Program at Jackson Hospital in Montgomery, AL. Because I was anxious to resolve a National Health Service Corp (NHSC) obligation requiring two years of practice in an underserved area in return for receiving funding for part of my medical education, I left residency at the end of my PGY-1 year. 


I completed my NHSC obligation via the 'private practice option' (meaning I was self-employed and had no funding) by practicing in unserved areas in Mississippi. In the process, I developed a lifelong affinity for the rural communities so desperately needing healthcare and a deep admiration for the physicians willing to serve there. I also incurred a lot of debt and learned first-hand of the difficulty of running a private practice in those areas. The economic, bureaucratic, psychologic, and physical challenges are very real and demanding. Still, the reward was tremendous. 

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Curriculum

Jackson Hospital & Clinic Family Medicine Residency Program (JHCFMR) accepts six residents per academic year. We are focused on offering skills to prepare you to in patient care for the underdeveloped communities in rural settings. We will offer experiences to help train family medicine physicians to help patients and families through their social, cultural, physiological, economic, and biological factors our patients may face. We help family medicine residents learn a treatment approach that is comprehensive, continuous, and caring to our patients. Help residents develop health-assessment, preventive-medicine skills, and enhance residents’ skills in the practice of medicine. Our program will teach family dynamics and community interactions in the treatment of patients.

 

The focus of the curriculum is to allow the graduate the potential to practice the full range of family medicine. This is accomplished through a variety of 13 blocks of 2- to 4-week block rotations. Evaluation and feedback are given on a regular basis through a variety of means.

First Year-PGY1

  • Orientation/ Night Float (1 block)

  • Family Medicine Wards (2 blocks) 

  • Night Float (1 block) 

  • Cardiology (1 block)

  • Pulmonary/ICU (1 block)

  • Surgery (1 block)

  • OB (2 blocks)

  • Radiology (1 block)

  • Rural Health (Pediatric, Sports Industrial, Geriatrics, and Behavioral Health) (1 block)

  • Adult Emergency Room (1 block)

  • Elective (1 Block)

 

PGY1 has an average one continuity clinic per week. ​

Second Year-PGY2

  • Family Medicine Wards (2 blocks)

  • Pulmonary/ ICU (1 block)

  • Urology (1 block)

  • Emergency Room (1 block)

  • Orthopedics (1 block)

  • Infectious Disease (1 block)

  • Night Float (2 blocks)

  • Rural Health (Pediatric, Sports Industrial, Geriatrics, and Behavioral Health) (2 block) 

  • Outpatient Clinic/Community Medicine (1 block)      

  • Elective (1 blocks)

 

PGY2 has an average of two continuity clinics per week.

Third Year-PGY3

  • Family Medicine Wards (2 blocks)

  • Gynecology/ Women’s Health (1 block)

  • Otolaryngology (ENT) (1 block) 

  • Pediatric ER (1 block)   

  • Practice Management/ Board Review (1 block)        

  • Geriatrics (1 block)  

  • Outpatient Clinic/ Community Medicine (1 block)

  • Night Float (2 blocks)

  • Sports Medicine (1 block)

  • Elective (2 blocks)

 
PGY3 has an average of at least three continuity clinics per week.

First Year-PGY1

  • Orientation/ Night Float (1 block)

  • Family Medicine Wards (2 blocks) 

  • Night Float (1 block) 

  • Cardiology (1 block)

  • Pulmonary/ICU (1 block)

  • Surgery (1 block)

  • OB (2 blocks)

  • Radiology (1 block)

  • Rural Health (Pediatric, Sports Industrial, Geriatrics, & Behavioral Health) (1 block)

  • Adult Emergency Room (1 block)

  • Elective (1 Block)

 

PGY1 has an average one continuity clinic per week.

Second Year-PGY2

  • Family Medicine Wards (2 blocks)

  • Pulmonary/ ICU (1 block)

  • Urology (1 block)

  • Emergency Room (1 block)

  • Orthopedics (1 block)

  • Infectious Disease (1 block)

  • Night Float (2 blocks)

  • Rural Health (Pediatric, Sports Industrial, Geriatrics, & Behavioral Health) (2 block) 

  • Outpatient Clinic/Community Medicine (1 block)

  • Elective (1 blocks)

PGY2 has an average of two continuity clinics per week.

Third Year-PGY3

  • Family Medicine Wards (2 blocks)

  • Gynecology/ Women’s Health (1 block)

  • Otolaryngology (ENT) (1 block) 

  • Pediatric ER (1 block)

  • Practice Management/Board Review (1 block)

  • Geriatrics (1 block)

  • Outpatient Clinic/Community Medicine (1 block)

  • Night Float (2 blocks)

  • Sports Medicine (1 block)

  • Elective (2 blocks)

 

PGY3 has an average of at least three continuity clinics per week.

Conferences

Core curriculum conferences are presented throughout the week. These include a variety of lectures, discussion, and workshop formats. Residents are involved in presenting during journal club, case presentations, and senior conferences.

 

Procedure Training

Procedure workshops are held throughout the residency. These include workshops on colposcopy, joint injections, splinting and casting, IUD and Nexplanon training, endometrial biopsy, toenail removal and any other training needed. Additional training in ultrasound is offered electively.

 

Workload

Our program is committed to providing a reasonable workload for all residents – one that allows time with family and for outside hobbies. All schedules abide by the ACGME duty hours.

 

Community Involvement

Many opportunities are provided through the announcement from Jackson Hospital & Clinic Marketing Department.

Base Salary

Salaries for the incoming PGY1, PGY2, and PGY3 residents:

PGY1 base: $55,080 /year  

PGY2 base: $56,700/year    

PGY3 base: $58,400/year   

Benefits
  • Health Insurance with favorable rates for dental, health and life insurance plans for residents, spouses, and children

  • Optional benefits include supplemental life, accidental death, long-term disability, and short-term disability

  • Discount membership available at Jackson Wellness Center

  • Employee discounts available to several establishments

  • Employee Assistance Program (EAP)

  • Meals at hospital when on duty

  • Free employee parking

  • On-Call Sleep Rooms

  • Monogrammed Lab Coats provided each year

  • Taxi voucher program

  • CME: $500 (PGY1) / $1,000 (PGY2) / $1,500 (PGY3) for educational only

  • $1,000 funds toward Step 3 and Board Exam (1 testing)

  • Moving expenses up to $1,500 is reimbursed with proper receipts provided to Program Coordinator

  • Paid CME to the Alabama Academy of Family Medicine Update (Annual Meeting) for PGY 3 residents

  • Free email, e-journal, and internet access

  • Vacation/personal leave: Each resident is entitled to 15 paid vacation days each academic year. There are an additional five holidays each year; however, these holidays are not necessarily granted on the normally recognized holiday dates. Those official days are:

    1. Christmas Day

    2. New Year’s Day

    3. July 4th

    4. Labor Day

    5. Thanksgiving Day

  • Sick days

  • Professional liability coverage: covered by Jackson Hospital

  • Paid subscription to American Family Physician Journal

  • Professional dues: Paid Membership in Alabama Academy of Family Physicians (AAFP) and American Academy of Family Physicians (AAFP)

  • Certification courses: Paid ACLS, PALS

  • Private call rooms with computer, library, and refrigerator

  • Orientation resident retreat

  • Web-based procedure documentation and evaluation system

  • Longitudinal Board review course

Malpractice Insurance
Our practice provides all malpractice insurance for the residents for all work done in connection with the Jackson Hospital & Clinic Family Medicine Residency Program.

Moonlighting
Moonlighting is limited to the second- and third-year residents who are fully licensed (U.S. graduate, unless 36 months of residency has been completed in another specialty).

CME Allowance
Resident physicians are allowed up to five days per year for out-of-town educational conferences. The educational expenditure must have prior approval and the amount is determined by resident academic year.

Licensing Fees and Membership Dues
Fees associated with the Alabama limited license, Alabama permanent license and USMLE Step 3, along with membership costs for the American Medical Association (AMA), Medical Association of the State of Alabama (MASA), Montgomery County Medical Society and American Academy of Family Physicians (AAFP) are all paid by Jackson Hospital & Clinic Family Medicine.  Our program also pays for interns’ initial DEA certification numbers and certification in advanced cardiac life support (ACLS), pediatric advanced life support (PALS) and advanced life support in obstetrics (ALSO).

Laptop

JHC-FMRP utilizes an electronic health record system. While in residency training each resident is provided with a laptop computer that will allow residents to chart patient office visits during clinics and access clinic and hospital data while off campus.
 

Preventive Health Program
Hepatitis B immunization, TDaP, MMR, Influenza, and any other vaccine required by policy are provided at no cost to residents.

Varicella immunization is provided at no cost to residents who have not had chickenpox.

COVID vaccinations are available at no cost to residents.

Interview Criteria

We interview applicants each year for our PGY-1 residency positions. While all interested are welcome to apply, the criteria below will be used to select qualified applicants for interviews. 

  • The program abides by all ERAS criteria and deadlines.

  • Applicants must participate in the Electronic Residency Application Service (ERAS) and the National Resident Matching Program (NRMP). Only electronic applications submitted through ERAS are considered.

  • Preference will be given to applicants that have graduated within the past 18 months. 

  • Applications through any fax or email will not considered and directed to ERAS.

 

Application

  • Our institution does not sponsor any visas.

  • Graduate of a medical school outside the U.S: to be considered, the applicant must have a currently valid certificate from the Education Commission for Foreign Medical Graduates (ECFMG) and have graduated from a school recognized by all 50 states to begin residency training. The applicant must have a valid ECFMG certificate prior to submission of rank order list submitted in ERAS. To be able to hold a full and unrestricted license to practice medicine in the United States licensing jurisdiction in which the ACGME-accredited program is located. (III.A.1.b).(2) ACGME requirements)

  • Applicants to the residency program must be currently authorized to work in the United States on a full-time basis.

  • If you have previous residency training, you must have a letter of recommendation from previous residency program director with specific information regarding performance in the six ACGME competency areas (Patient Care, Medical Knowledge, Professionalism, Interpersonal and Communication Skills, Practice-based Learning and Improvement, and Systems-based Practice).

  • Applicants must have taken USMLE Steps 1 and 11 (pass first attempt and score of >215 preferred).

  • Applicants must have taken Complex (passed first attempt and score of >485 preferred)

  • Applicants must prove competence in both spoken and written English language.

 

Application Consideration Criteria to Our Program

  • Graduate (or anticipated graduation prior to July 1 of application year) of a medical school accredited by the Liaison Committee on Medical Education (LCME).

  • Graduate (or anticipated graduation prior to July 1 of application year) of a medical school accredited by the American Osteopathic Association (AOA).

  • Should have a clear, demonstrated interest in Family Medicine.

  • Must have graduated from medical school within 18 months of application.

  • Must have USMLE Step 1 and Step 2 scores above 215 or COMLEX scores above 500, and must have passed with no more than one failure for both steps.

  • Must have successfully passed Step 3 if out of medical school for longer than one year at the time they apply.

  • The Admissions Committee will review applications once the stated criteria are met. Candidates who meet the above criteria are not guaranteed an interview as time, space and economic capacities are limited.

 

Application Requirements

  • Curriculum Vitae

  • Personal statement should describe your background, aspirations, vision, and commitment to Family Medicine and specific interest in our program.

  • Medical Student Performance Evaluation (MSPE)/ Dean’s Letter

  • Transcripts for medical school and USMLE / COMLEX examinations

  • Copy of Medical School Diploma sent to JHCFMR@jackson.org with submission of application. Must be received before the interview is scheduled.

  • Three recent letters of recommendation. The three current letters should comment on the applicant’s medical knowledge, clinical judgement, and character.

  • ECFMG certificate (for International Medical Graduates) sent to JHCFMR@jackson.org with submission of application. Must be received before submission rank order.

 

Logistics

  • Applicants for all positions will be selected from among those deemed eligible on the basis of their preparedness, ability, and interest in completion of the program without regard to race, creed, gender, or sexual preference. This process will consist of review of information as outlined in the application document, dean’s letter, letters of recommendation, and personal interview. Aptitudes, academic credentials, personal characteristics, and ability to communicate will be strongly considered in the selection process. Applicants not expressing a strong interest in Family Medicine will not be considered for a PGY-1 position.

If you meet these criteria, we'd love to review your application. Submit your application through ERAS. Our residency program coordinator will get in touch with you to schedule an interview.

DISCLAIMER: The current documents are of 2022 residency and are subject to change for the 2023 guidelines. Any updates to the documents will be notified to the residents during onboarding/orientation. You may find the updated documents through Jackson Hospital and Clinic Family Medicine Residency Intranet.

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