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At the Community Hospital East Family Medicine Residency program, we consider the Family Medicine Center (FMC) to be the most important part of your educational experience with us. The day you begin your residency you become a partner in our practice, and assume the role of being a primary care physician to a panel of patients.
Our philosophy at the FMC is to take care of the patient first and foremost. In our curriculum, you will see your patients in the FMC every week throughout your three years of residency with us. You are available to your patients for acute medical issues, chronic disease management, and preventive health issues on a regular basis – almost every day on the majority of rotations. Your daily presence in the FMC allows you to integrate into the healthcare team, working side by side with your physician team members, pharmacists, psychologists, social workers, nurses, medical assistants and other office staff.
Team-based care: Each physician works on one of our four Continuity Care Teams, working with physicians at every level of training, dedicated nurses and medical assistants to care for a subset of our clinic patient population. These teams meet monthly to work together to develop strategies to improve their panel’s patient experience and quality of care, provide coverage when one physician is unavailable, and help to make our large office feel smaller and more personable to each patient. We meet together as an office multiple times per month to work together to make large-scale improvements, and each physician has dedicated time throughout the year to use their panel data to close their own patient panel’s care gaps.
Focus on education: Our dedicated core, clinical and specialty faculty eagerly engage in helping each resident physician meet their full potential. We strive to maintain a low resident to faculty ratio for each clinic session, including several experiences annually where a faculty member works one-on-one with a single resident. Our faculty strive to provide quality verbal and written feedback to each resident to help them succeed. As each resident progresses, they have more of a teaching/leadership role in the FMC by helping to lead their Continuity Care Team and teaching medical students on their outpatient family medicine rotations.
Graduated schedule templates: Each resident starts with 60-minute appointments for each patient, and gradually increases their available time slots over 2.5 years as they become more efficient at seeing patients. We provide one-on-one Epic Efficiency training annually with our IT site support analyst who provides education tailored to each resident physician’s needs. We also offer group "Home For Dinner" courses and an Epic Efficiency elective rotation dedicated to minimizing the administrative burden of seeing patients, promoting well-being for each resident physician we train.
Access to care and information: With Community CareConnect integrating our health network, patients have online access to their medical chart and test results via MyChart. We offer virtual appointments and online scheduling to provide flexibility to patients and physicians. Each physician has appointments blocked off every half day to provide acute care, allowing most patients to see a doctor within 1-2 days when they have an urgent need. With Epic as our EHR, our office has access to all of our patients’ medical records from visits within Community Health Network – and access to records across the region and country with just a few clicks through CareWeb and CareEverywhere.
Specialty care services: We are fortunate to have a variety of services available to our patients in the FMC. Our resident physicians offer specialized clinics in sports medicine, addiction recovery, podiatry, gynecology procedures, and primary care procedures – all with direct 1:1 supervision by faculty with expertise in those areas. Each resident, regardless of their home continuity clinic site, rotates through each of these specialty clinics multiple times throughout their training. Our dedicated pharmacist delivers high-quality recommendations and coaching to our patients with chronic illnesses, and is available to help with daily questions from the rest of the team. A nutritionist is available to provide our patients with virtual dietary counseling, and we have a psychologist and social workers on site daily for therapy, crisis management, and coordination of care. Our building houses a Quest lab collection site, X-ray/mammogram suite, and physical therapy department to allow patients to get these needed services on-site in a location with which they are familiar.
Practice management: Our office is different from most primary care offices because it is the home for a residency program, and we have learners as primary care physicians. Despite our differences, we strive to manage our office as well as any other primary care office in our network. We want you to understand the principles of managing a high-functioning practice so that your transition into your future job is as seamless as possible.
As the family physicians of the future, our program works every day to provide you with the skills and experiences necessary to enter and lead your own practice after residency, and we know that your time in our Family Medicine Center will be instrumental toward reaching that goal.
