This book informs and supports medical educators and clinic leaders regarding the key clinical and administrative components necessary to run an academic medical practice. From a group of expert faculty from the Society of General Internal Medicine (SGIM) with years of experience in managing academic medical practices, this manual offers comprehensive guidance to the clinic director regarding critical factors involved with running an academic medical practice including, but not limited to: compliance with Accreditation Council for Graduate Medical Education (ACGME) requirements, clinic orientation and curricula implementation, clinic workflow challenges, billing, coding, and the Primary Care Exception Rule, productivity metrics and quality indicators, evaluation and feedback for trainees, faculty, and clinic staff, implementation of a Patient Centered Medical Home (PCMH), development of controlled substance prescribing policies, medical student involvement in resident clinics, and Veteran Affairs practices and non-traditional care settings. The scope of this book is sufficiently broad to be comprehensive and practical while still anticipating the further evolution of the academic medical practice in the years to come. Each chapter focuses on a particular aspect of clinic leadership and will offer real-world examples and management “pearls” for the clinic director. Chapters highlight common challenges and solutions and should be useful across disparate practice settings. This is an ideal resource for clinic directors, core faculty, and clinic leadership in academic outpatient medical practices, particularly those within the field of Internal Medicine, Primary Care, and related specialties.
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This book is focused on the academic role models in medical education. The author has assembled an extraordinary group of educators and presented their thoughts extremely well. this is an outstanding seminal work for mentoring future physicians. (Vincent F. Carr, Doody's Book Reviews, June, 2018)
Section 1: Roles, Responsibilities, and Requirements.- Clinic Directors
Roles and Expectations.- ACGME Requirements/Accreditation Issues.- Clinic
Orientation and Expectations.- Supervising and Supporting Faculty.- Section
2: Academic Workflow.- Block Scheduling Challenges and Solutions.- Maximizing
Continuity in Continuity Clinic.- Panel Management for Residents and
Faculty.- Medical Students in Clinic.- Clinic Hand-Offs and Sign-Outs.-
Section 3: Clinical Workflow.- Results, Refills, and Critical Communication.-
The Electronic Medical Record System.- Outpatient Billing and Coding.-
Controlled Substance Policies.- Section 4: Quality Improvement.- Quality
Improvement Projects and Indicators.- Practice Improvement Modules.-
Scholarship in Clinic.- Evaluation and Feedback.- Section 5: Models of Care
Delivery.- Patient Centered Medical Home.- Veteran Affairs Continuity
Clinics.- Non-Traditional Methods of Care.- Other Clinic Settings (FQHCs,
etc.).- Comparative Data and Metrics.- Conclusion.
Dr Lee Bach Lu is leading the project and she is associate professor of medicine at Baylor College of Medicine where she is Director of Primary Care. She also acts as Medical Director of Smith Clinic. She has received over thirty awards and published and taught extensively. As a seasoned clinic director, she assembled her colleagues at other leading institutions, including Barnes Jewish Hospital and Yale, to create this volume
Lee Lu, MD, FACP
Associate Professor of Medicine
Department of Internal Medicine
Director of Primary Care
Medical Director, Smith Medicine Clinic
Baylor College of Medicine
Ernie-Paul Barrette, MD, FACP
Medical Director, Primary Care Medicine Clinic
Barnes Jewish Hospital
Associate Professor of Medicine
Associate Program Director
Department of Medicine
Washington University School of Medicine
Craig Noronha, MD, FACP
Assistant Professor of Medicine
Section of General Internal Medicine
Department of Medicine
Boston University School of Medicine
Associate Program Director
Residency Program in Internal Medicine
Boston Medical Center
Halle Sobel, MD
Associate Professor of Medicine
Resident Clinic Co-Director
General Internal Medicine
University of Vermont College of Medicine
Daniel G. Tobin, MD, FACP
Associate Professor of Medicine
Medical Director, Adult Primary Care Center, YNHH, Saint Raphaels Campus
Yale University School of Medicine
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