Population Health Management in Primary Care Fellowship

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Is our Population Health Management Fellowship right for you?

  • Are you a Primary Care (Family Medicine, Internal Medicine or Pediatric) resident physician interested in innovation?
  • Are you interested in working with teams to deliver cutting-edge primary care?
  • Would you like to learn more about measuring and improving the health of populations of patients?
  • Are you interested in creating new strategies to address the needs of vulnerable patients?
  • Are you interested in pursuing a Masters in Science and Public Health (Optional)?

Participating departments are:

Family Medicine located at the Clark K Sleeth Family Medicine Center, University Town Centre –NCQA PCMH Level 3 recognition

Internal Medicine Department located at Medical Group Practice, Physician Office Center and University Town Centre—NCQA PCMH Level 3 recognition

Pediatrics Department located at the University Town Centre—engaged in active process to become NCQA PCMH recognized.

About the Population Health Management Fellowship

One-Year Fellowship or Two-Year option to pursue Master’s Degree:

Fellows may select the two-year training option to pursue their choice of a Master’s in Public Health from the WVU School of Public Health or Master’s in Science. The curricula of these degree programs are well suited to combine with the fellowship requirements with reasonable work assignment accommodation to maintain the required 50% clinical effort. The fellow is expected to qualify for six credit hour per semester tuition waiver, with remaining tuition and fees program paid by the fellowship program.


  • Facilitate transformation of primary care delivery into a patient-centered medical home model to promote compassionate, appropriate and effective patient care. Further develop clinical skills as a primary care physician including team-based and inter-professional models of care delivery.
  • Demonstrate and disseminate knowledge of the established and evolving evidence for population health approaches, new models of care delivery for enhanced healthcare value
  • Acquire leadership and patient-centered communication skills to work successfully with individual physicians, teams, practices and health related agencies.
  • Demonstrate respect, compassion and responsiveness toward patients and coworkers. Demonstrates commitment to ethical principles, including confidentiality, patient autonomy.
  • Evaluate the quality of care of practice population(s) based on best available scientific evidence and improve care through continuous quality improvement strategies.
  • Demonstrate and promote awareness of the system-based nature of health care quality and the relationship of the practice microsystem to the larger “medical neighborhood.”  


Candidates must have the following qualifications to be considered for this fellowship:

  • Graduate of an accredited residency program in Internal Medicine, Pediatrics, or Family Medicine, with board eligibility or board certification
  • Excellent academic and clinical record
  • Note: ECFMG candidates are eligible to apply for the one-year fellowship. The two-year option is not possible due to visa restrictions.

Scholarship Requirements

  • The Fellow will be required to present at least one presentation (poster or other presentation) related to primary care practice transformation at a national or regional conference. The Fellow will be encouraged to participate in scholarly exchanges about PCMH and primary care redesign including practice improvement workshops and online learning communities such as Transformed Delta Exchange or Patient Centered Primary Care Collaborative.