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Mile Square Health Center and the UIC Family Medicine Residency

Mile Square Health Center and the UIC Family Medicine Residency. Relationship dates to 1994 6-6-6 program, continuity clinics at main MSHC and main campus clinic, each resident spends time at both over 3 years MSHC has 5 MD sites, 2 more planned; only FM residents and only at main site

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Mile Square Health Center and the UIC Family Medicine Residency

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  1. Mile Square Health Center and the UIC Family Medicine Residency • Relationship dates to 1994 • 6-6-6 program, continuity clinics at main MSHC and main campus clinic, each resident spends time at both over 3 years • MSHC has 5 MD sites, 2 more planned; only FM residents and only at main site • Workforce: FM, OB-Gyn, Psych, Dentistry, FNPs & CNMs, ID (HIV) at main; FM/CNM or others with FM/CNM/GIM; few FNP/collaborative sites

  2. MSHC and UIC FMR: Mission • Service to the underserved, address health disparities, common mission of MSHC, DFM, UIC, UICON • UICOM, UIMC supportive, though not primary advocates; FQHC serves as site for training students, some research • 3 MDs are former residents, another 5 UIC MedSs • Diversity (FAAC): % women and minority: MSHC: 12 total, 67% W, 75% minority DFM: 18 total, 50% W, 44% minority Total department: 30, 57% W, 57% minority

  3. MSHC and UIC FMR: Money • Residents funded through GME positions • MSHC faculty funded through FQHC which is “sponsored” by UIMC: salaries, billing, HR, ambulatory administration • MSHC Faculty covered under FTCA, reciprocity call arrangement with DFM • Residency costs all covered by DFM • OB/Inpatient/Incentives

  4. MSHC and UIC FMR: Administration and Governance • Complicated administrative structure - Director reports to hospital administration and FQHC Board - Medical Director reports to Director (no MD) - MSHC faculty reports to Medical Director for ambulatory, to Chief of Service (DFM Head for hospital care), to DFM Head for academics - Residents report to PD who reports to DFM Head • Complicated communications, often dysfunctional • Sensitive relationships: Head is advisory, if/when asked

  5. MSHC and UIC FMR: Quality • Residents see differences between two practice sites in terms of management/resources/EHR • Medical Records • Faculty similar, on same page, speak with one voice in most situations • Continuity and urgent care • PCMH

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