Our Med-Peds Clinic
What is it? A combined faculty-resident practice! This model is well recognized NATIONALLY to be the optimal model for primary care training. Why? It is the closest approximation of private practice enabling residents to feel ready for primary care in any setting.
We have a true group practice. All of our patients get the same excellent level of care inpatient and outpatient. YOU are the primary care provider, so when your patients need you during the day, we will call you! You share call with the faculty, and have their back up, as well as nurse triage taking first call after 10 pm.
What is the history of our practice? We started our combined Med-Pedspeds faculty-residency program in February of 1995. It was the vision of ideal primary care: residents and faculty practicing shoulder to shoulder caring for adults and children in sickness and in health. If that sounds like a marriage, well it required that kind of commitment from the faculty and residents involved!
In August of 2001, we moved into our current state-of-the-art facility. This office space was designed with significant input from our physicians and staff. The exam rooms are large, and with 17 of them, we are usually able to give each resident 2 rooms per clinic session. The rooms have beautiful new equipment that allows for multiple functions, including regular visits for children and adults and office gynecologic exams as well.
Who is there? From the vision of idealism has grown a thriving and much loved practice. There are 7 clinician-educator faculty and 2 to 3 chiefs who see patients there and precept. There are also 3 private Med-Peds practitioners, and 4 more research-clinician-educator faculty who come to precept the residents. These 16+ faculty represent an amazing wealth of interests and experiences in the academic realm (for more information click here: Med Peds Faculty).
What about our staff? We have been very fortunate over the last few years to have a team of staff who are dedicated to our patients, the physicians, and each other. This core group of individuals keeps our practice working, and we are most grateful to them.
What is the structure? You have one clinic a week during wards and ED, and two clinics a week during electives. We use a set clinic day by the day of the week. This allows the formation of partnerships with fellow residents by the day of the week-each day of the week has a partnership of residents.
Why is this important? For a few reasons! You can use your partners to improve continuity and coverage when you are out of the office. It allows for a private office "feel" (6 partners instead of 30!). It fosters close working relationships that you maintain for the duration of residency with residents from all 4 classes. And come graduation, it is easier to transition patients from graduating seniors to their intern partners.
What is the patient balance pediatric/adult? We have been most fortunate to have an even balance in pediatric to adult percentages. We have been able to meet the pediatric and internal medicine RRCs requirements for numbers of patients and clinics.
What type of patients do we have? We enjoy a diverse spectrum of disease as well as ample opportunity to provide preventive care. Our payor mix consists of 50% Medicare/Medicaid, 30% private insurers, and 20% indigent care. There are some special experiences that we can offer because of our unique skills as Med-Peds practitioners-something that you will have in your future as well! Transitional care from the pediatric subspecialty clinics including adults with "pediatric diseases" like congenital heart disease, autism, Down Syndrome, Reye and William's syndromes, prune belly, tuberous sclerosis, ... We have subspecialty clinic with pediatric genetics faculty in adult neurofibromatosis and other genetic disorders in adults. We have a grant funded cutting edge transition clinic for patients with Sickle Cell Anemia. We are the only pediatricians for UC student health, so we see patients from all over the world. And we have a rapidly growing Latino population thanks to a few Spanish speaking providers (including a number of our attendings).
What is the experience for residents? Because our faculty work along side the residents seeing patients, we are able to offer as close to real life experience for the residents. We have a very strong focus on continuity. We want your patients to see YOU as their doctor, and anyone else in emergencies. When you visit our program, please review our data, which we review biannually to assure the residents are seeing enough breadth and depth of patient care!
What is the preceptor set up? There are usually 3 per afternoon for 6 to7 residents, including someone to help out should things get busy. All of the preceptors are med-peds trained faculty. The residents spend one year with these 3 preceptors, but rotate every year to new preceptors. That means they have in depth mentoring experience, but their experience is not limited to just 3 people! The goal is to teach evidence based medicine for both preventive care and disease management.
What is the practice management experience? Since we have many patients with private insurance, the residents get hands on experience with practice management. That means you learn how to work effectively in the managed care setting by providing patient care in this environment. We also have multiple conferences on practice management as well as a career day for Pediatrics and Med-Peds. Additionally, we have instituted the Practice Improvement Modules from the American Board of Internal Medicine as part of the ambulatory curriculum, to teach the residents the important skills of quality improvement.
What procedures are done in the Med Peds office? There is a strong emphasis on office gynecology. Other procedures: Arthrocentesis, joint injections, splinting, cryotherapy, punch biopsies, I/Ds of abscesses, Fluorescein/woods lamp exams, tympanometry and pure tone audiometry. In addition, suturing, splinting, and stress testing availed on electives and in the ED.
What are the goals of the Med Peds office? In 1999 and 2004 we surveyed our graduates to assess the training we had provided to them. The survey results indicated they felt exceedingly well trained! Our goal is that you will be a top notch clinician, able to take any job when you finish residency. And that you will have adequate exposure to most procedures you will do regularly, and last, but not least, you will have FUN!