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.  

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

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.