The Vermont, Granite State (New Hampshire), and Maine chapters of Physicians for a National Health Program are once again offering five-week, full-time internships for at least six students during the summer of 2025. Accepted medical students and students of other health professions will each receive a stipend of $1,500. With the video-conference format we seek a seminar atmosphere, encouraging interns to interact with eminent guest speakers and discussion leaders from medicine, industry, and government. We make an effort to include viewpoints from all sides of a given issue.
The primary goal of the internship is to cultivate leaders who will fuse a solid understanding of health policy with the basic values of kindness and human decency so that they can transform the U.S. health care system to better serve the needs of all.
The dates of the internship will depend on the dates that applicants are available, since medical school academic calendars vary. Typically the internship starts sometime between June 1 and the day after Fatherās Day, with some orientation time before the first day and a holiday on the Fourth of July or on the day Independence Day is observed.
If you are passionate about achieving health care for all in a fiscally-responsible way, but the size of the stipend prohibits you from applying, please contact internship program preceptor Dr. Betty Keller.
There are three components to the internship:
1. READINGS/DIDACTIC AND DISCUSSION SESSIONS ON HEALTH POLICY
Our prime aim is to give the student a solid foundation in current health policy. This comes from reading, lectures, and discussions on the following topics:
- Health care systems: How all other developed countries provide coverage to all their citizens throughout the life cycle at far lower cost compared to the U.S.
- The hodge-podge tactics for delivering and financing health care in the United States; our reliance on federal funding; and the obstacles to state-based reform.
- The history of the U.S. multi-payer system, including reform efforts at both the national and state levels.
- The effectiveness of both demand-side reforms (Medicaid, Medicare, Obamacare) and supply-side reforms (community health centers, Veterans Administration, Indian Health Service, etc.).
- āMarket failuresā encountered when attempting to apply market forces to the health sector.Ā
- Disparities in the delivery of medical services and in outcomes in different U.S. communities and populations.
- Advantages and shortcomings of various reform models:
- Voucher-based reforms
- Categorical reforms (income-based, disease-based, etc.)
- Universal reforms, including single-payer reform
- Cost-control strategies, including:
- ACO/HMO structuresĀ
- Bundled payments
- Global budgeting for hospitals
- Centralized vs. free-market approaches to distribution of health resources
- Approaches toward reducing the cost of pharmaceuticals, medical supplies, and equipment
- Current sources of waste in the U.S. health care system
- The relationship between reform and planning of health information systems and health coverage.
- The business model of the pharmaceutical industry, including research priorities, marketing strategies, and factors that lead to extravagant drug prices.
This educational component will include a substantial reading and audio-visual media curriculum.
2. VIDEO CONFERENCE MEETINGS WITH THOUGHT LEADERS FROM GOVERNMENT; THE PRIVATE SECTOR; AND SAFETY NET AND OTHER HEALTH INSTITUTIONS, AS WELL AS DISCUSSIONS WITH ACTIVISTS
Interns will interview physicians and other professionals working in community health centers, free clinics, a community outreach team, a concierge practice, and a Veterans Administration facility. They will interview hospital and private insurance administrators, as well as other private sector leaders. Interns will also meet with advocates on various sides of the health reform effort and with health sector leaders within state government.
3. LEADERSHIP DEVELOPMENT, ORGANIZING SKILLS & STRATEGIES TO FOSTER PUBLIC EDUCATION: PUBLIC SPEAKING, WORKING WITH MEDIA, OUTREACH TO PEERS
- Didactic sessions are organized around strategies for working with traditional and social media; using local cable access TV or radio for education and advocacy; and organizing peers/developing SNaHP chapters.
- Interns are encouraged to develop an outreach/education plan directed at fellow medical students and other health professions students.
- Interns are responsible for completing two projects during the internship. Preceptors must approve the project choice, and must approve whether they work with partners or a small group, if requested.
- The first is a presentation on the health care system of another country. If there are more than 6 interns, other options for a topic may be offered. Each intern will present their work to preceptors and other interns around the third week of the internship. We anticipate that interns will want to give their presentations to peers or the public in the fall.
- The second project is a āSingle Payer 101ā presentation intended for an audience of the internās choice (e.g. peers, religious congregations, business associations, the general public, etc.). Each intern will give their presentation to preceptors and other interns in the fourth or last week of the internship, and again to their preferred audience in the fall. Alternative projects may be considered, especially if a PNHP member already gives a SP 101 talk at the internās school, or another intern from the same school is giving that SP 101 talk.
REQUIREMENTS
Electronics: All interns will need their own computer and access to a broadband internet connection permitting participation by both video and audio. Some preceptors and guest speakers are discouraged by a computer screen half-filled with black boxes, so plan to have your video on.
This is a full-time program, with interns accountable to the program Monday through Friday from 9:00 a.m. ET to 5:00 p.m. ET, but scheduled videoconference time is generally 4 to 6 hours per workday. Occasionally, a speaker may only be available at 7:30 a.m. ET, or may not be able to meet until after 5:00 p.m. ET.Ā
Interns should think of the program as being as rigorous as a graduate program, with reading and projects that may require working evenings or weekends, but any weekend events would be optional. As with a graduate-level seminar, attendance includes active participation in discussions.
The skills listed in the application are not prerequisites for this internship. They are asked merely to have an idea of where our interns are starting from, which interns might be of help to each other, and which skill instruction may be desired in our curriculum.
ELIGIBILITY
Students from any medical school or other health professions school are eligible to apply. Students accepted to medical school, to start in the fall of 2025, are especially encouraged to apply.
APPLICATIONS
If you have a resume, please review the application, fill out the first section, then be sure to also include other sections that are not in your resume.
Please submit the application via this Google form and send a cover letter, and your resume if you have one, toĀ
- Betty Keller, M.D., bjkellermd@gmail.com AND
- Henk Goorhuis, M.D., henkmaine@gmail.com
On the application, for education and work experience that is on your resume, you may simply state āsee resume.ā
We typically donāt start interviewing until after December 28. You can send your application without naming your references to expedite, and send that information by email as soon after as you can.
We will interview by telephone or video conference. Ideally, each intern is interviewed by two preceptors. We plan to accept four interns in January or February and additional interns in March or April.
We look forward to meeting and working with students from the classes of 2028 and 2029!
PRECEPTORS, NORTHERN NEW ENGLAND INTERNSHIP PROGRAM
Betty Keller, M.D., President, Vermont PNHP
bjkellermd@gmail.com
Marvin Malek, M.D., M.P.H., Past President, Vermont PNHP
mmalek66@gmail.com
Ken Dolkart, M.D., Granite State PNHP
kenneth.dolkart@gmail.com
Henk Goorhuis, M.D., Maine AllCare
henkmaine@gmail.com
Ted Cody, M.D., Sc.D., Secretary, Vermont PNHP
tscody@vermontel.net
STUDENT TESTIMONIAL
Medical student India Claflin describes her experience as an intern with the PNHP Northern New England 2021 summer internship program.
