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Idaho State University Family Medicine Residency Program. Report to the Idaho Health Professions Education Council July 23 rd , 2012. Background. Established in 1992 Fully-accredited Community-based University-affiliated Idaho State University University of Washington
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Idaho State UniversityFamily Medicine Residency Program Report to the Idaho Health Professions Education Council July 23rd, 2012
Background • Established in 1992 • Fully-accredited • Community-based • University-affiliated • Idaho State University • University of Washington • University of Utah
Background • Only residency program in Eastern Idaho • Sole Residency in a Busy Community Hospital • Supporting Institutions • Idaho State University • Idaho Legislature • Portneuf Medical Center • Portneuf Health Care Foundation • Health West / Community Health Center
Features • Flexible, broad-based training that adapts to the demands of most practice settings • Emphasis on culturally appropriate care of under-served populations • Extraordinarily supportive medical community • Excellent clinical training • Outstanding obstetrics training including operative deliveries
ISU FMR Graduates • 90 Graduates • Over two thirds practice in rural settings. • Over half stay in Idaho (ID 8th highest retention rate in US). • Wide range of practice settings • Limited to full spectrum Family Medicine • Solo / Partnerships / Groups • Faculty • Medically underserved practice sites • HPSAs • Community Health Centers • Indian Health Services
Opportunities • Expanding numbers: Primary Care Residency Expansion Grant • 18 21 residents • 2010 – 2015 • Outstanding match: 5/7 interns from SE Idaho • Maximizing GME funding: Residency Redistribution Program • IME 9.69 + 3.75 = 13.44 FTEs • DME 13.47 + 3.75 = 17.22FTEs • Rexburg rural training track: 2.0 FTES • NAP
New Access Point • 2007-2012: Planning process for NAP • Application submitted 12/2010 Scored 94/100 Congress cut funding • March 2012, additional funds approved by Congress. • June 20, 2012, Announcement of funding award for the New Access Point
New Access Point • Federally-subsidized access for all patients to outpatient primary care services on an income-based sliding scale. • By January 2013 Pocatello Family Medicine will be a Health West Clinic • Affordable medications. (403 B pharmacy)
Challenges: Faculty, faculty, faculty… • Salary compression / attrition: State Universities and VA • WWAMI Annual Faculty Salary Survey • Average family physician salaries • 2011: $178,000 2012: $189,000 (up 6%) • Merritt Hawkins; AAFP News 7/17/2012 • Regional Salary Norm for Residency Faculty
Challenges • Accreditation • Recruitment • Director transition • Rexburg RTT in limbo • Replacement of PCRE funding: $240 K / year