Patient Centered Medical Home
We are excited about transitioning to this new and better model of primary care.We are establishing two interdisciplinary clinical teams with our residents, attendings, nurses, nurse practitioner, family therapist and patient educator. We will be implementing an ambulatory case management process so we can improve our care of chronic conditions. We are starting group visits for high risk patients recently discharged from the hospital. We are using our EHR patient portal for faster communication with our patients. We also have patient registries, quality metrics and best practice reminders embedded in our EHR to help us in our care of patients.
Health Promotion and Disease Prevention
Our program emphasizes these components of primary care. We have a unique 4-week Health Promotion block rotation for our second year residents. We cover all areas of health promotion, including lifestyle behavior change, evidence-based screening, and motivational interviewing. We also introduce these components to the interns during their Essentials of Family Medicine rotation in September of the intern year.
Our program promotes evidence-based medicine and provides training in the area of medical informatics. We also encourage scholarly inquiry and provide research support for interested residents. Our program has an experienced fellowship trained research director, Carl C. Tyler, MD, who leads a monthly evidence-based practice seminar.
In the course of this seminar, the residents design, conduct, and report a short-cycle quality improvement research project involving the residency practice. Examples of past topics are: adolescent pregnancy, osteoporosis, acupuncture, asthma, pain management, Raynaud's phenomenon, tension headaches and strep testing. Residents considering an academic career are encouraged to engage in additional scholarly work, including academic presentations, publications of case report, or research projects. Faculty mentoring is provided by the Research Coordinator and other faculty, as dictated by clinical topic. Two of the faculty, Robert Kelly, MD and Carl Tyler, MD have completed academic fellowships involving graduate level training and experience in conducting and publishing research.
Modest funds are available to residents to foster resident research and scholarly activity without additional burden and time required to obtain external funding. Residents may choose research electives, with clearly defined academic products as rotation goals.
Integrative Medicine in Residency Track
Our program is the only residency in Ohio that currently offers the Integrative Medicine in Residency Track sponsored by the University of Arizona Center for Integrative Medicine. The IMR track is a 200-hour online curriculum that is optional for third year residents. Participants devote one or more elective blocks to help free up the time they need to progress through the IMR content, and use some of their academic funds to defray a portion of the tuition expense. Residents who participate are mentored by Dr. Kelly, who is himself completing a two-year fellowship in Integrative Medicine through the Arizona Center. Participants also host a monthly lunch conference to highlight useful aspects of their learning for everyone in the Center. The IMR Track is a wonderful fit with our health promotion emphasis, our curriculum in motivational interviewing and therapeutic communication, as well as training in osteopathic principles and therapies.
In 2007 Fairview Program was accredited through the AOA. Beginning in July of 2012, the program will have 7 osteopathic residents in the program. We have an innovative curriculum that is taught longitudinally to both osteopathic and allopathic residents. The osteopathic residents attend lectures 3-4 times per year through CORE.
The program uses a resident tracking system called MedHub. MedHub is utilized system-wide by Cleveland Clinic. Once a faculty/supervisor completes an evaluation, the resident has immediate access to the feedback. Residents can also submit evaluations on their rotations. The system is also used to have residents complete anonymous evaluations on faculty, nurses, etc. MedHub also keeps track of resident duty hours, milestones, conference attendance and procedures.