WORKFORCE DEVELOPMENT COUNCIL: The Family Medicine Residency of Idaho and Decentralized Medical Education
Ted Epperly, MD, FAAFPProgram 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
FMRI
• 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
Accomplishments 2011-2012• 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
Mission
• 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
266 Graduates144 (54%) of graduates remain in Idaho; of those who remain, 57 (40%) practice in rural or underserved Idaho.
FAMILY MEDICINE RESIDENCY OF IDAHO
Rural Training Sites
Coeur d’Alene
Sandpoint
Cottonwood
McCall
Twin Falls
Bonners Ferry
Emmett
Nampa
Jerome
Hailey
Plummer
Moscow
Weiser
Orofino
Salmon
St. Maries
Caldwell
KunaPocatello
Horseshoe Bend
Garden Valley
Kellogg
Lewiston
Grangeville
Cascade
Marsing
Burley
Preston
Driggs
FAMILY MEDICINE RESIDENCY OF IDAHO
Fellowships
• Sports Medicine• HIV Primary Care• Geriatrics (2013)• Rural• Obstetrics
FAMILY MEDICINE RESIDENCY OF IDAHO
Patient Centered Medical Home Clinics within Ada County
Meridian0-2-2
Fort Street0-2-2
Emerald0-2-2
Raymond16-5-5
Garden City0-0-0
FAMILY MEDICINE RESIDENCY OF IDAHO
Boise/Pocatello/Caldwell
Coeur d’Alene
Moscow/Cottonwood
McCall
Magic Valley
Rexburg
Boise
Pocatello
Caldwell
Coeur d’Alene
Cottonwood
Moscow
McCall
Magic Valley
Rexburg
Distributive Family Medical Education Model
FAMILY MEDICINE RESIDENCY OF IDAHO
Psychiatry
Internal Medicine
Surgery
Pediatrics
Wood River
Wood River
Patient Centered Medical Home
• Place• Process• Primary Care
• Family Physicians• Internal Medicine• General Pediatricians• Nurse Practitioners• Physician Assistants• Psychologists• Social Workers• Nutritionists