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Academic/Program Institutition NameGME Training ProgramAffiliated FQHCCity/State of FQHCZip Code of FQHCStart date of AffiliationStructure of ClinicFinancial Relationship between program and FQHCAnnual # of residents servedResources/CitationsBenefits RealizedRisks/Barriers EncounteredProgram contact nameProgram contact email address
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Medical College of Wisconsin Internal Medicine, Medicine-Psychiatry, and PediatricsSixteenth Street Community Health CentersMilwaukee, WI53204July 2018Internal medicine residents from MCW complete weekly continuity clinic at SSCHC; residents have a panel of patients (130) and own templates: medicine-psychatry residents complete continuity clinic along with psychiatric consults1 IM faculty member is contracted for 55% of effort to FQHC. Faculty member serves as medical director of research, quality, and education and provides oversight to medicine and medicine-psychiatry residents. Pediatric residents are supervised by FQHC staff pediatricians, one staff pediatrician serves as program core faculty6-7 Internal Medcine; 2 medicine-psychiatry; 3 Pediatrichttps://pubmed.ncbi.nlm.nih.gov/39984802/; https://docs.google.com/presentation/d/1uWGTsPHYpMoPTu_OayBVl5ShYKEU54Lg/edit?usp=sharing&ouid=109975010528496964393&rtpof=true&sd=trueIncresed access for FQHC patients; No loss of productivity for FQHC; high resident satisfaction with clinic; high resident personal reward from work; higher reported program ranking by incoming intern classComplex contractual relationship between AMC and FQHC, difference in attribution of clinical effort between AMC and FQHC (12.5%/clinic vs. 11%/clinic respectively). Concerns about provider productivity continue for FQHC. Clinical space availability to support growing resident presence. Brian Hilgemanbhilgeman@mcw.edu
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Yale School of Medicine / Yale New Haven HospitalInternal Medicine ("Traditional" and Primary Care); also OB-GYN and pediatricsCornell Scott Hill Health CenterNew Haven, CT#06519October 2020IM residents from two different programs have continuity clinic in 6 + 2 scheduleResidents are employed by hospital, faculty by school of medicine. Hospital pays both FQHC and school of medicine~110 (60 traditional, 50 primary care)Ben Gallagherbenjamin.gallagher@yale.edu
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Johns Hopkins SOM / John Hopkins Health SystemInternal Medicine ("Traditional" and Primary Care); Medicind-Pediatrics; PediatricsEast Baltimore Medical Center and Yard 56 / Baltimore Medical SystemBaltimore, MD21202 and 21224June 2020Health system and SOM providers are leased to the FQHC
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Cedars-Sinai Medical CenterInternal Medicine and PediatricsSaban Community ClinicLos Angeles, CA900481960sGina Mogina.mo@csmc.edu
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University of Minnesota Med/peds and Internal medicineCommunity University Health Care CenterMinneapolis, MN55404Continuity Clinic site for 14-16 med peds and 6-7 IM residents
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Emory University School of MedicineMed/PedsMercy Care ChambleeChamblee, GA303417/1/2025Continuity site for 5 med/peds residents with plan to expand to 16 once program is fully cohorted; residents have a panel of adult and pediatric patients and also provide urgent care peds coverage; Emory faculty leased to MC for preceptingFQHC pays for FTE of precepting faculty; FQHC retains all billing and pays for overhead (staffing, space); residency program pays for resident salary and benefits5 --> 16Large recruitment toolKatie Gielissenkgielis@emory.edu
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Intermountain Health / Saint Joseph HospitalInternal Medicine, Family Medicine, Ob/Gyn Uptown Community Health Center (FQ Look-alike) Denver, CO80218November 2022Continuity site for 30 IM, 27 FM and 20 Ob/Gyn residents. There are four separate clinics within the FQ - IM, FM, Ob/Gyn and a Certified Nurse Midwife practice. Services such as Behavioral Health, Pharmacy, Nutrition and Diabetic Education are shared across the clinics.Faculty are employed by Saint Joseph Hospital and leased by the FQ for their clinical time seeing patients or precepting residents. The FQ does not pay for the residents so that the hospital may claim them on their Medicare cost report. Some physicians and all APPs are directly employed by the FQ as well as all administrative and support staff. These clinics started out as hospital ambulatory clinics and we "converted" them to an FQ Look-alike in 2022 to help minimize operational losses while continuing to care for an underserved population. Intermountain Health helps cover operational losses with an evantual plan for the FQ to be financially independent.77Improved reimbursement for Medicare and Medicaid patients resulting in reduced operational losses, as well as improved span of services provided to patients.Al SteinmannAlwin.Steinmann@imail.org
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Virginia Mason Franciscan HealthInternal Medicine categorical and primary careKing County Public HealthBellevue, WA980072008Continuity clinic site for internal medicine residencyPrivate-Public partnership with precepting shared 50/50 between Public Health physician and Virginia Mason Primary Care faculty. Public health (FQHC) retains all billing revenue. Virginia Mason helps offset the cost of running the clinic with an annual stipend + the salaries of the teaching attendings equal to 0.6 FTE. 16-17Very strong primary care training helping with recruitment of Primary Care track residents and those interested in underserved care. Residents are the primary care physicians with significant responsibililty and thus significant learning and satisfaction. Significant QI opportunities as we are the only adult medicine physicians so have significant control over workflows.As of 6/2026 we renewed the contract for 3 years but here is always a risk that Public Health will close and we lose our training site or that Virginia Mason declines to continue due to costs.Joy Bucherjoy.bucher@commonspirit.org
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Northwell Health Danbury Hospital Internal MedicineConnecticut Institute for CommunitiesDanbury, CT68102016Continuity clinic for IM residentsHospital employs 4 attendings (and residents). Operationalized by the FQHC. There is an annual cost to the hospital paid to the FQHC for "loss" but details are not clear.
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51Diverse clinical exposure for residents. Aligns with mission to serve underserved. FQHC better able to care for uninsured than hospitalComplicated relationship. Conflicting interests and incentives. FQHC also has its own residency programs so resident resouces feel unequal at times. Aiswarya Thomasaiswarya.thomas@nuvancehealth.org
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University of Virginia School of MedicineIM Primary Care Track Residency ProgramBuckingham Health Center, Central Virginia Health ServicesNew Canton, VA231231990? At lesat 35 years, query out to past PD for exact year3rd year resident three week visiting rotationFQHC handles operations and employs attendings3Residents get to see an FQHC structure, work with a rural population, perform more procedures then at any of our other sitesMD preceptor turnover has been a barrier, now mostly APPs. Have one main preceptor now when used to rotate with sixRachel Kon, PC track PDrhk5c@virginia.edu
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Albert Einstein College of Medicine/Montefiore Medical CenterPrimary Care/Social Internal Medicine ProgramComprehensive Health Care Center/Bronx Community Health NetworkBronx, NY 106061990'sContinuity Clinic for primary care residentsMontefiore Medical Group (outpt group associated with Hospital) handles operations and employs attendings30Increased access for neighborhood citizens, underserved population; poorest congressional district in the US - exceptional skills gained in navigating structural barriers MMG sets financial goalsShwetha Iyer, PD for tracksiyer@Montefiore.org
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The Wright Center for Graduate Medical EducationInternal medicine; Internal medicine/geriatrics tract,Family Medicine, Cardiovascular fellowship,Gastroenterology fellowship,Geriatrics Fellowship,Physical medicine and rehab residencyThe Wright Center for Community HealthScranton,PA18507more than 15 years with the clinic; received FQHC designation in 201913 primary care clinics with medical, behavioral health and dental services.Residency and fellowship clinical rotation sites. Enriched primary care opportunities with specialists-cardiology, podiatrists. Planning to start GI and hematology.CHC pays for FTE of precepting faculty and retains all billing and pays for overhead (staffing, space); residency program pays for resident salary and benefits140Dual mission of workforce development and serving the community, inclusive of underserved population.Diverse services provided Interprofessional teamwork.Residents develop an interest in primary care and herlp with recruitment efforts in underserved/rural communitinies both locally and nationwide.Jumee Barooah,MD,FACPbarooahj@thewrightcenter.org
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