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Leading an Academic Medical Practice / Lee B. Lu [and four others], editors.
- Format:
- Book
- Series:
- Medicine Series
- Language:
- English
- Subjects (All):
- Academic medical centers.
- Medicine--Practice--Management.
- Medicine.
- Medicine--Study and teaching.
- Physical Description:
- 1 online resource (582 pages)
- Edition:
- Second edition.
- Place of Publication:
- Cham, Switzerland : Springer, [2023]
- Summary:
- Authored and edited by a prestigious team of academic clinician-educators affiliated with the Society of General Internal Medicine (SGIM), this now fully updated and expanded second edition of Leading an Academic Medical Practice provides a roadmap for clinic directors, core faculty, and educational leaders seeking to develop and administer a.
- Contents:
- Intro
- Foreword
- Preface
- Contents
- Part I: Clinic Director and Faculty
- Chapter 1: Clinic Director Roles and Expectations
- Introduction
- Background
- Overview of the Clinic Director Role
- General Expectations
- Qualifications
- Principal Responsibilities
- Clinical Mission
- Academic Mission
- Quality Mission
- Administrative Mission
- Working with Health Care Administration
- Conclusion
- References
- Chapter 2: Supervising and Supporting Faculty
- Overview
- Management of Academic Clinic Faculty
- Outlining Expectations
- Clinical Time: Part-Time vs. Full-Time
- Compensation and Productivity Goals
- Scheduling
- Clinic Call Coverage
- Oversight of Teaching Activities
- Responsibilities
- Clinical Supervision
- Clinic Operations
- Clinical Coverage
- Qualifications and Teaching Skill Development
- Supervision and Support of Scholarly Activities
- Chapter 3: Faculty Recruitment and Retention
- Identifying the Challenges to Recruitment and Retention
- Successful Recruitment
- Contract Negotiation
- Onboarding
- Making Retention Possible
- Creating a Culture of Connection and Flexibility
- Optimize Clinical Work Environments
- Ensuring a Mission-Based Care Focus
- Factors to Overcome Barriers to Faculty Recruitment and Retention
- Value Teaching
- Career Development: Promotion and Tenure
- Faculty Development
- Faculty Mentoring
- Innovative Clinical Learning Models
- Develop Faculty Interests
- Nonfinancial Incentives
- Part II: Operational Management
- Chapter 4: Academic Scheduling Models: Challenges and Solutions
- Common Program Requirements
- Current Scheduling Models
- Traditional Scheduling
- Hybrid Models
- X + Y Model
- Ambulatory Long Block.
- Evidence of Impact
- Satisfaction
- Educational Outcomes
- Duty Hours and Resident Wellness
- Systems-Based Practice and Practice-Based Learning and Improvement
- Primary Care Interest or Ambulatory Specialty Interest of Graduate
- Clinical Outcomes
- Access
- Continuity
- Quality of Care
- Comparison of Scheduling Models in Care of Patients with Diabetes
- Ambulatory Long Block
- 50:50 Outpatient-Inpatient Model
- Opportunities Provided by Scheduling Models
- Nontraditional Clinic Experiences
- Specialty Clinics
- Chapter 5: Management of Refills and Electronic Medical Record in-Basket Messages
- Medication Refills
- In-Basket Messages
- Result Notification
- Triaging Patient Phone Calls
- Patient Portal Messages
- Chapter 6: Maximizing Continuity in Resident Clinic
- The Case for Continuity
- Types of Continuity
- Measuring Continuity
- Maximizing Continuity
- Part III: Resident Clinic Requirements and Expectations
- Chapter 7: Outpatient Billing and Coding and Center for Medicare &
- Medicaid Services Billing Rules
- History of Physician Reimbursement for Medical Services
- The COVID Pandemic and Public Health Emergency
- The Basics of Billing and Coding: Big Changes in 2021
- New/Established Patient Billing and Coding
- Comparison of 1995/1997 with 2021 E/M Guideline Documentation
- Medical Decision-Making
- Time
- Split-Shared Visits in the Clinic
- E/M Visits with Residents or Students
- Clinical Examples
- Telemedicine Billing and Coding
- Telephone (Audio) Only [16]
- Audio and Video Telemedicine Visits [5, 17]
- Virtual Check In (for Established Patients Only)
- E-visits (Initiated by Established Patients Through Online Patient Portal)
- Preventive Visits [18].
- Screening Visits [20]
- Prostate Cancer Screening
- Screening Pelvic Examinations
- Depression Screening
- Medicare Services
- The Annual Wellness Visit
- Care Management Codes
- Chronic Care Management Services
- Home Health Care (HHC) Oversight
- Coding and Billing for Counseling Services
- Advanced Directive Counseling [27, 28]
- Counseling to Prevent Tobacco Use [29]
- Alcohol Misuse Screening and Counseling [30]
- Intensive Behavioral Therapy for Cardiovascular Disease [31]
- Intensive Behavioral Therapy (Obesity) [32]
- Modifiers
- Coding Nuances to be Aware of in a General Internal Medicine Practice
- Modifier 25 [18, 33]
- Modifiers to Use When Supervising Resident Physicians [34, 35]
- Modifier GC
- Modifier GE for Primary Care Exception
- Relative Value Units for E/M Visits, Preventive Visits, and Services
- Maximizing Revenue
- A Cautionary Statement
- Chapter 8: ACGME Requirements and Accreditation Issues
- Residency Program Requirements
- Primary Care Clinic Site Requirements
- Faculty Requirements
- Resident Requirements
- Scheduling Requirements
- Assessment and Feedback
- Working and Learning Environment
- Common Opportunities and Challenges
- Population Health
- Chapter 9: Resident Clinic Orientation and Expectations
- Overview of Key Elements of Clinic Orientation
- Clinic Topics to Cover During Orientation
- Orientation Methods
- Clinic Processes and Practices
- Attending Orientation
- Chapter 10: Resident Milestones, Assessments, and Feedback
- Feedback, Assessment, and Milestones in the Continuity Clinic
- Feedback
- Barriers to Effective Feedback
- Ways to Overcome Barriers to Feedback
- What Makes Feedback Effective.
- Continuity Clinic Feedback Pearls (Styles and Methods)
- Feedback Focused Faculty Development
- Feedback Tools and Models
- Assessment
- Milestones Assessment
- Clinic Faculty Members' Roles in Assessment
- Assessment Tools
- Clinic-Specific Situations
- Asynchronous Care
- Outpatient Procedures
- The Struggling Learner
- Chapter 11: Academic Year-End Resident Panel Transfer: Models, Methods, and Best Practices
- Existing Models for Panel Transfer
- Model 1: Panel Transfer to New Interns
- Model 2: Panel Transfer to Rising Second-Year Residents
- Model 3: Transfer of Individual Patients Based on Clinical Complexity
- Best Practices for End-of-Year Panel Transfer
- Part IV: Telehealth &
- Telemedicine
- Chapter 12: History and Overview of Telehealth
- History
- Types of Telemedicine and Telehealth
- Telehealth Requirements
- Benefits and Limitations of Telehealth
- Benefits of Telehealth
- Potential Limitations of Telehealth
- Legislation and Regulation Resources
- Disparities in Telehealth
- Chapter 13: Telemedicine Clinical Workflow
- The Virtual Medical Home: Workflow and Roles
- The Patient-Clinician Telemedicine Encounter
- Preparing for the Visit
- Documentation
- Optimizing the Telemedicine Workflow for Accessibility and Equity
- Webside Manner and Communication Best Practices
- Chapter 14: Telemedicine in Medical Education
- Competency-Based Medical Education
- AAMC Telehealth Competencies
- ACGME Telehealth Competencies
- ACGME Supervision Requirements
- Direct Supervision
- Indirect Supervision
- Teaching of Telemedicine
- Ensuring Faculty Buy-in
- Teaching the Delivery of Telemedicine.
- Tailoring the Undergraduate Medical Education Experience
- Tailoring the Graduate Medical Education Experience
- Scheduling Spectrum of Telemedicine Clinics
- Hybrid Schedule: Face-to-Face and Virtual Visits
- 100% Virtual Schedule
- Equitable and Inclusive Telemedicine
- Special Consideration: Trauma-Informed Care Telehealth Strategies
- Part V: Pain and Substance Use Disorders
- Chapter 15: Establishing an Integrative Chronic Pain Management Clinic Within an Academic Medical Practice
- Terminology
- Role of a Faculty Champion
- How Patients with Chronic Pain Impact an Academic Medical Practice
- Standardizing Education for Trainees
- Patient Engagement
- Nonpharmacologic Approaches to Chronic Non-cancer Pain
- Lifestyle Modifications
- Behavioral Health Interventions/Mind-Body Therapies
- Movement Therapies
- Manual Therapies
- Topical Pharmacologic Therapy
- Systemic Non-opioid Pharmacologic Therapy for Chronic Pain
- Financing and Affordability for Integrative Chronic Pain Therapies
- Practice-Level Solutions
- Case Reviews
- Role-Playing
- Templates
- Macros
- Treatment Options
- Patient Resources
- Patient Education Resources
- Apps
- Chapter 16: Safe Opioid Prescribing and Controlled Substance Policies
- Prevalence and Impact of Chronic Pain
- The Competing Epidemics of Pain and Addiction
- This Historical Impact of Overprescribing
- The Impact of Pain and Addiction on an Academic Medical Practice
- The Role of Opioids in the Management of Chronic Pain
- Mechanism, Efficacy, and Indications
- Treatment Goal Setting
- Informed Consent and Controlled Substance Agreements
- Before the First Prescription
- Principles of Safe Opioid Prescribing
- The First Prescription: Quantity.
- The First Prescription: Short Acting Only.
- Notes:
- Includes bibliographical references and index.
- Description based on publisher supplied metadata and other sources.
- Description based on print version record.
- ISBN:
- 3-031-40273-1
- OCLC:
- 1425792523
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