The Clinic First Model
In this model ambulatory medicine is given priority by creating high functioning teaching clinics. Increased emphasis is given to continuity of care, developing relationships with patients, striving for excellence through multidisciplinary teams, and resident involvement in practice transformation. Residents work with core clinical faculty and staff to achieve these goals.
Impacting lives one person at a time at TMC
Bess Truman Family Medicine Center at TMC Lakewood
Our Family Medicine Residency program was established in 1980 with six resident physicians. In 1982 the Bess Truman Family Medicine Center opened to provide ambulatory medicine education in a continuity clinic setting. The clinic is staffed by clinical faculty, residents, and associated staff. The clinic has an on site phlebotomist, an integrated behaviorist, and a social worker offering comprehensive medical care. Additional team members are Advanced Nurse Practitioners, a PharmD, and students (pharmacy, medical and physician assistants). Their dedication and commitment makes it possible for us to maintain our NCQA (National Committee for Quality Assurance) Level 3 recognized Patient Centered Medical Home status.
Our residents also see patients in additional clinics staffed by Family Medicine Faculty including Osteopathic Manipulative Treatment (OMT), Maternal Care, Sports Medicine, Dermatology, Procedures, Anticoagulation, Women’s Health and Colposcopy clinics, as well as Pediatrics.
The clinic at TMC Lakewood serves the people of eastern Jackson County, Missouri. There are over 30,000 patient visits per year. Patients may pay with private insurance, use the Truman Discount Plan, or self-pay, but everyone gets the same care.
Residents are members of one of three teams each consisting of 12 residents, 2 Core Faculty, 3 MAs/LPNs, and an RN care manager, with front desk staff and scheduler support.
This rotation prepares the residents to assume leadership roles in their practices, communities, and the profession of medicine. The Bess Truman Family Medicine Center is the primary site for teaching management and leadership skills, serving as an example on which residents may model their future practices. A Quality Improvement project and presentation is required to improve the quality of care and service delivered to the patient population. The leadership curriculum includes training to provide leadership for clinical practice, hospital medical staff, professional organizations, and community leadership skills to advocate for the public health.