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Our Med-Peds Clinic

Our goal is that all our residents are top notch clinicians at the end of residency and prepared for any career path (whether primary care, hospital medicine, or fellowship training). Our carefully constructed clinic experience ensures that our residents are exceptional primary care physicians regardless of their chosen field. Our residents’ success is our success!

Clinic Highlights:

  • Combined Med-Peds and combined faculty-resident practice in the Hoxworth Center at UCMC. Residents work alongside faculty members as partners in the practice managing their own patient panel from day #1 of residency!
  • Outstanding preceptor support!
    • All preceptors are Med-Peds trained and committed to medical education.
    • 18 preceptors including Hoxworth-based faculty and community-based faculty
    • Low preceptor to resident ratios ensuring the optimal learning experience.
  • Multidisciplinary clinic team provides coordinated, compassionate care for all our patients. Our team includes physicians, a nurse practitioner, clinical support staff, community health workers, medical assistants, registered nurses, social worker, a depression care manager, pharmacists, and a diabetes education nutritionist.
  • Even balance of pediatric to adult patients, which we intentionally sustain by always remaining open to newborns. Our residents easily meet and exceed the pediatric and internal medicine ACGME clinic requirements!
  • Diverse patient population and clinical experiences!
    • Payor mix of 65% Medicaid/Medicare, 30% private insurers, and 5% indigent care.
    • Growing Latino population thanks to a few Spanish speaking providers.
    • Transition care site for populations including adults with childhood and congenital diseases such as CHD, autism, trisomy 21, Williams Syndrome, childhood cancer, type 1 diabetes, IBD, cerebral palsy, and many others.
    • Embedded twice monthly subspecialty clinic in collaboration with pediatric genetics to provide care to adults with neurofibromatosis.
    • Medical home for adults with sickle cell disease.
    • Experiences in telemedicine including:
      • Telephone and video clinic visits with telemedicine curriculum
      • After-hours clinic call with faculty back-up beginning in the PGY-2 year. Since we know sleep is important, calls stop at 10pm and faculty take over.
    • Centering Group Visits to provide patient-centered care and allow patients to learn from one another and gain self-management skills. Residents can become certified facilitators for our diabetes, chronic pain, healthy lifestyles, and mother/infant recovery groups.
  • Innovative! Certified Patient Centered Medical Home (PCMH) since 2009, part of the National Comprehensive Primary Care Plus (CPC+) program since 2017, and certified by the Centering Health Institute (CHI) to provide group visits.

Resident Experience

Med-ped ResidentsFrom day #1 our residents are partners in our office, providing comprehensive preventive care and chronic disease management of complex adults and children alongside our experienced, top-notch faculty. This model of training is well recognized nationally to be the optimal model for primary care training. Residents are truly the primary care physician for their panel of patients and are responsible for all aspects of care including clinic visits, results follow-up, and patient phone calls.

We value a strong and caring learning environment where we can support one another in caring for our patients. Our preceptors are excellent clinicians and have expertise in transition medicine, care of the underserved, primary care innovation and redesign, clinical decision making, billing, and much more! They are always available to advise our residents and help them acquire all the skills they need to be excellent primary care physicians by the time they complete residency.

Starting in 2022-2023, our residents are scheduled on a modified X+Y schedule. To provide parity with our categorial internal medicine residents who participate in the Ambulatory Long Block and reduce the tension between inpatient and outpatient patient care duties, our residents do not attend weekly continuity clinic while on inpatient internal medicine rotations. Rather, they're scheduled for several 2 week clinic rotations where they have a focused and immersive continuity clinic experience and also participate in varied other experiences in sports medicine, headache clinic, allergy clinic, transition medicine clinic, and more! While on inpatient pediatric rotations, residents attend one half day of continuity clinic per week; the one exception is PICU where residents do not participate in continuity clinic. Residents also participate in 1-2 clinics per week during their ED and elective rotations. Our clinic staff prioritize scheduling patients with their primary care physician to facilitate continuity, but other residents and faculty are available to see your patients in emergencies when you are not available.

Throughout residency training, residents have the opportunity to participate in the diverse clinical experiences mentioned above. Residents who are particularly interested in primary care may elect to join the Primary Care Pathway for additional experiences.

Ambulatory Education

Doctor with childOur residents participate in weekly case-based discussions in our Ambulatory Medical Education series. These discussions take place at the beginning of each clinic sessions to ensure that all residents are exposed to the education each week. We also have multiple noon conferences throughout the year focused on topics such as practice management, billing, and career planning.

Residents also learn many ambulatory procedures during their time in clinic. Our clinic experience has a strong emphasis on office gynecology. Other procedures our residents can learn during clinic or as part of the Primary Care Track include arthrocentesis, joint injections, cryotherapy, punch biopsies, I/D of abscesses, fluorescein exam, woods lamp exam, tympanometry, and pure tone audiometry. In addition, suturing, splinting, and stress testing training are available on other electives and during required ED rotations.

Quality Improvement

Our clinic faculty and staff are very involved in quality improvement and innovation. During clinic and elective rotations, our residents attend weekly quality improvement meetings to learn the foundations of quality improvement initiatives and to participate in change initiatives. Current projects are focused on improving childhood lead screening, sexual history screening, diabetes control, hypertension control, and childhood vaccination rates. For more information about our quality improvement curriculum.

Our clinic is also participating in the CPC+ program, which aims to strengthen primary care through regionally based multi-payer payment reform and care delivery transformation to improve population health and relationship-based care management of chronically ill adults and children. We are working with national leaders to pilot a new structure to improve the health of our community.

Jennifer K. O'Toole, MD, MEd, SFHM
Program Director
Phone: 513-558-4704

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Department of
Internal Medicine

Medical Sciences Building Room 6065
231 Albert Sabin Way
PO Box 670557
Cincinnati, OH 45267-0557

Phone: 513-558-4231
Fax: 513-558-0852