Is the Wake Forest School of Medicine Family Medicine Residency program strictly a university-based training experience?
The short answer is no. We’re more accurately described as a hybrid program, bridging both university and community
settings. With the decision in 1992 to move to a nearby, but off-campus location, we positioned ourselves to achieve
the “best of both worlds.” The first-year training experience is heavily weighted to intensive hospital and
more university-based training, while the second and third years are primarily community- and office-based with
a liberal dose of elective time. The move off-campus has made the Family Practice Center a much more approachable, community-oriented
primary care resource that serves a wide variety of patients.
What is the department's commitment to information technology advancement and the electronic medical record?
The university has been a long-term proponent of electronic medical record (EMR) systems and information technology.
Originally, our department was an early adopter of the Logician/Centricity EMR starting in 2004. In the fall of 2012,
our system adopted a fully integrated outpatient and inpatient EMR system called EPIC, or WakeOne.
Hospital and outpatient records can be accessed remotely on multiple home and mobile platforms, supplementing the health
care information retrieval process. Multiple computer terminals are available throughout the clinical, administrative
and residency areas for house officer use. PowerPoint presentations along with Smart Board touch screen technology
and plasma screens are available to support educational programs and faculty and resident presentations. The entire department
is served by secure Wi-Fi access points for seamless connectivity.
How are residents evaluated?
Standardized evaluation tools are used for departmental and off-campus rotations and are performed by faculty supervising
those experiences. Each fall residents complete the American Academy of Family Physicians (AAFP) family practice in-service
examination for which we consistently perform in the upper quartiles. The assigned faculty advisors review with each
resident their individual progress, and oversee self-directed components of the practice-management curriculum, at least
on a quarterly basis. Faculty clinic precepting feedback is included in the resident’s file on a regular basis,
and copies are forwarded to the residents for review and discussion. The full faculty meets quarterly to review resident
progress and provide feedback on areas of strength and weakness. A summary of this review and milestone status is provided
to each resident.
What does the residency curriculum offer in the ever-changing arena of practice management (PM)?
Our PM curriculum continues to evolve and incorporate current trends and thinking related to improvements in delivering patient
care. Our faculty work with the I³ Collaborative to advance the understanding and application of patient-centered
medical home practices. As a capstone experience to the longitudinal curriculum, third-year residents develop quality
improvement projects that use newly acquired principles. Relative value unit (RVU) and visit data is provided to each
resident monthly so they are well-informed when moving out into practice upon graduation.
What is the status of relations with other university departments?
The Family and Community Medicine Department has been in existence for 35 years at Wake Forest School of Medicine and had
evolved side-by-side with those specialty areas in a thriving medical center that continues a pattern of growth and expansion.
In view of this combined history, there has been a collegial atmosphere of mutual respect developed between the primary
care fields and the other specialty areas that extends from clinical research to medical student and residency training.