PNHP

Northern New England PNHP Internship, Summer 2023

Note: As of March 9, 2023, we are no longer accepting new applications for this yearā€™s internship …

… however, we would like to collect information about who we are missing due to closing applications at this time. If you would like to be notified if more stipends become available, or want to learn about other educational and advocacy opportunities, please fill out this survey.

The Vermont and Granite State (New Hampshire) 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 2023. Accepted medical students and students of other health professions will each be provided a stipend of $1,350. This internship will be ā€œremoteā€ again this year, with eminent guest speakers and discussion leaders from medicine, industry, and government. An effort is made 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 be both efficient and humane.

This yearā€™s internship will be June 19 through July 21,, with some orientation time before the first day and a holiday on the Fourth of July.

If you are passionate about achieving a publicly-funded universal health care system, but the size of the stipend prohibits you from applying, please contact Dr. Keller.

There are three aspects to the internship:

1. READINGS/DIDACTIC AND DISCUSSION SESSIONS ON HEALTH POLICY

The top priority for the internship is education, including readings and didactic/discussion sessions by video conference 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.).
  • ā€œMarket failuresā€ encountered when attemptingĀ 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 structures;Ā 
    • Bundled payments;Ā 
    • Global budgeting for hospitals;Ā 
    • Centralized vs. free-market approaches to distribution of health resources;Ā 
    • Approaches toward reducing the cost of pharmaceuticals, medical supplies, and equipment; and
    • 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 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.Ā If there are more than 6 interns, other options for a topic may be offered. Each intern presents to preceptors and other interns in the second or third week of the internship. We anticipate the intern will also give this presentation to peers or the public in the fall.
    • The second project is a ā€œSingle Payer 101ā€ presentation intended for an audience of the internā€™s choice (e.g. peers, religious congregations, business associations, the general public, etc.). The intern presents 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 your school, or another intern from your school is giving that SP 101 talk.

REQUIREMENTS:

Electronics: All interns will need their own computer and access to the internet. Internet should be strong enough to allow you to participate 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.Ā 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, but scheduled videoconference time is generally 4 to 6 hours per workday. 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 2023, are especially encouraged to apply.

APPLICATIONS:

If you have a resume, please review the application, determine which parts are not included in your resume, and be sure to fill out those portions of the application that are not in your resume.

Note: Please download the application as a Word doc, fill it out, and then export it as a PDF. Do not attempt to fill out the Google Doc itself as it is read-only.

Please send a cover letter, your resume if you have one, and your application toĀ 

On the application, for education and work experience that is on your resume, you may simply state ā€œsee resume.ā€

We typically donā€™t start interviewing until after December 28. If you are sending your application after January 1, you can send it without naming your references, and send that information by email as soon after as you can.

We will interview by telephone or video conference. Typically 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 2026 and 2027!

PRECEPTORS, NORTHERN NEW ENGLAND INTERNSHIP PROGRAM

Betty Keller, M.D., President, Vermont PNHP
bjkellermd@gmail.com

Marvin Malek, M.D., Past President, Vermont PNHP
mmalek66@gmail.com

Ken Dolkart, M.D., Granite State PNHP
kenneth.dolkart@gmail.com

Ted Cody, M.D., Secretary, Vermont PNHP
tscody@vermontel.net

STUDENT TESTIMONIALS:

Medical student India Claflin describes her experience as an intern with the PNHP Northern New England 2021 summer internship program.

Medical student Kaitlyn Sbrollini relates her enthusiasm about the upcoming PNHP Northern New England 2022 summer internship program.