Workforce development council: The Family Medicine Residency of Idaho and Decentralized Medical Education

1. Workforce development council: The Family Medicine Residency of Idaho and Decentralized Medical Education Ted Epperly, MD, FAAFP Program Director and Chief Executive Officer, Family Medicine Residency of Idaho, Boise, Idaho Clinical Professor of Family and Community Medicine University of Washington School of Medicine

2. Family Medicine residency of idaho

3. Established in 1975 to train outstanding family physicians and serve the underserved. 45 Residents 38 Faculty 2 Fellows 2 Rural Training Tracks 28 Rural Training Sites FQHC Look-Alike Five Patient Centered Medical Home Locations Largest Service Provider for Uninsured and Underinsured in Ada County Largest Medicaid Provider in Idaho One of 11, Teaching Health Centers, in the Nation 197 Employees $18 Million Budget FAMILY MEDICINE RESIDENCY OF IDAHO FMRI

4. Graduated 13 Outstanding Family Physicians Matched 16 Superb Medical Students into Program Implemented one of 11 Teaching Health Centers in the United States. Successfully Expanded Emerald and Meridian Clinic Operations 52,954 Clinic Visits Attended 2,372 Patients in the Hospitals Delivered 449 Babies FAMILY MEDICINE RESIDENCY OF IDAHO Accomplishments 2011-2012

5. Train • Outstanding family medicine physicians in a federally designated Teaching Health Center. • Prepare • Broadly trained family medicine physicians and encourage them to work in Idaho’s underserved and rural areas. • Serve • The low income, uninsured, disabled, and other vulnerable populations in a Patient Centered Medical Home. FAMILY MEDICINE RESIDENCY OF IDAHO Mission

6. FAMILY MEDICINE RESIDENCY OF IDAHO 266 Graduates144 (54%) of graduates remain in Idaho; of those who remain, 57 (40%) practice in rural or underserved Idaho.

7. FAMILY MEDICINE RESIDENCY OF IDAHO Bonners Ferry Rural Training Sites Sandpoint Coeur d’Alene Kellogg St. Maries Plummer Moscow Orofino Cottonwood Lewiston Grangeville Salmon McCall Cascade Weiser Garden Valley Emmett Driggs Horseshoe Bend Caldwell Hailey Marsing Nampa Kuna Pocatello Jerome Burley Twin Falls Preston

8. Sports Medicine HIV Primary Care Geriatrics (2013) Rural Obstetrics FAMILY MEDICINE RESIDENCY OF IDAHO Fellowships

9. FAMILY MEDICINE RESIDENCY OF IDAHO Patient Centered Medical Home Clinics within Ada County Garden City 0-0-0 Fort Street 0-2-2 Emerald 0-2-2 Raymond 16-5-5 Meridian 0-2-2

10. FAMILY MEDICINE RESIDENCY OF IDAHO Distributive Family Medical Education Model Boise/Pocatello/Caldwell Magic Valley Rexburg Coeur d’Alene McCall Coeur d’Alene Moscow/Cottonwood Wood River Moscow Psychiatry Cottonwood Internal Medicine Surgery Pediatrics McCall Wood River Rexburg Caldwell Boise Pocatello Magic Valley

11. Decentralized Medical School Education for Idaho

12. Decentralized Medical School Education YEAR 1 20 20 20

13. Decentralized Medical School Education YEAR 2 20 20 60 20

14. Decentralized Medical School Education YEAR 3 & 4

15. Decentralized Medical School Education

16. Patient centered medical homes Provider Team Work Model

17. Patient Centered Medical Home • Place • Process • Primary Care • Family Physicians • Internal Medicine • General Pediatricians • Nurse Practitioners • Physician Assistants • Psychologists • Social Workers • Nutritionists

18. Questions