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UB Family Medicine of Amherst

UB FAMILY MEDICINE OF AMHERST
850 Hopkins Road; Williamsville, NY 14221
Phone: 716-688-9641

The UB Family Medicine of Amherst track includes three years of continuity outpatient training at our new UB Family Medicine of Amherst office, and 11 modules of Family Medicine Inpatient Service at Millard Fillmore Suburban Hospital.

Our established practice moved into this new state-of-the-art office in July 2008. This vibrant facility includes 16 exam rooms, a surgical procedure room, a smart classroom, and a kitchen/lounge in the faculty/resident suite. We have electronic medical records with transparent links to local labs & pharmacies. We are delighted to have friendly faculty, residents, nursing and office staff who are enthusiastically devoted to patient care and residency training.

Our Family Medicine residents each see approximately 2,000 patient visits at UB Family Medicine of Amherst during their three years here. Families are assigned to new residents and followed in a continuity practice, allowing residents to see a wide variety of patients.

Approximately fifteen percent of our visits are with children and adolescents; another twenty percent are age 65 or over. While children are evenly male and female, the overall practice is about sixty percent female. Our patient's health care is insured by a variety of plans, with just over half covered by an HMO, 15% Medicaid, and 15% Medicare. While 74% of our patients come from suburban neighborhoods, 12% come from urban Buffalo, and 14% are from rural communities of Western New York.

The diagnoses we make include the breadth of acute and chronic illness, including pregnancy and mental health. For both inpatient and outpatient care, the top 25 diagnoses account for approximately 50 percent

UBFM of Amherst Team at nursing station

of the diagnoses made (see below). Each year, about 50 of the patients we follow for prenatal care deliver at Millard Fillmore Suburban Hospital. Common minor procedures in the office include colposcopy, endometrial biopsy, and vasectomy.

In addition to our seven attending family physicians and twelve residents, our practice includes a psychologist (FT) and podiatrist (PT).

FAMILY MEDICINE INPATIENT SERVICE (FMIS)
AT MILLARD FILLMORE SUBURBAN HOSPITAL

Location
The Family Medicine Inpatient Service (FMIS) for the Suburban Track is geographically located at the growing Millard Fillmore Suburban Hospital (MFSH) in Williamsville, NY, a northern suburb of Buffalo. MFSH is a 261-bed community hospital that includes a twenty bed ICU, a telemetry unit, general medical/surgical floors, a labor/delivery floor, and a level-1 nursery. This hospital has just completed a 64 million dollar expansion, including over 100,000 additional square feet, a new 38 bed emergency department, 60 additional patient beds, 10 state-of-the-art operating suites, a new lobby, a new laboratory, renovations to the radiology department, dedicated orthopaedic unit, a new 64-slice CT scanner, a new admissions department, and general updating. The Emergency Department sees about 40,000 visits per year.

FMIS Team composition
The FMIS team is comprised of a PGY-3 Chief, a PGY-2 resident and a PGY-1 Family Medicine resident. For several months per year we also have rotating PGY-

1 residents from the Psychiatry and Emergency Medicine programs. Additionally, one or two third year medical students are assigned to the FMIS team for two-week blocks during their third year Family Medicine clerkship. The FMIS attending physician is a faculty member of the UB Department of Family Medicine from our UB Family Medicine of Amherst office or our UB Family Medicine at Sheridan office. A hospital pharmacist also rotates with the FMIS team.

FMIS Patient Profile
The FMIS team follows all patients from the Amherst and Sheridan practice that are admitted to the hospital. In addition, our service accepts every other unreferred patient admitted through the emergency department. The FMIS service admitted 750 patients during the last academic year. The breakdown of common admission diagnoses can be found on Table 1. A number of the unreferred patients have no primary care physicians; many of these patients become patients of the FMIS-team residents after hospitalization, thereby enhancing the continuity experience for the patient and physician.

FMIS Team Responsibilities
We follow and provide primary responsibility for our patients throughout the entire hospital, including the ICU, medical floors, and telemetry unit. Appropriate subspecialty consultants are available and utilized to maximize quality patient care and enhance resident teaching. The FMIS team also manages/delivers prenatal patients from the two office practices and follows the newborns during their hospital stay. Residents are responsible for managing/directing patient care with appropriate faculty supervision. Every effort is made to make the FMIS a resident managed service.

FMIS Call Responsibilities
Residents are on call an average of every fourth night. Call is taken from home. Residents return to the hospital to admit all patients through the early evening hours. Patients admitted during the night are generally seen in the morning unless they are unstable or admitted to the ICU in which case they are seen by the resident and attending on call at the time of admission.

Residents evaluate and follow prenatal patients in active labor from in-house. A resident and Family Medicine attending physician attend all deliveries. Every effort is made to allow the continuity resident for prenatal patients to be at the delivery. In the event that resident is unavailable the FMIS resident on call attends the delivery.

FACULTY

Roseanne Berger Faculty Family Physician	Peter Kowalski Faculty Family Physician	Dan Morelli Faculty Family Physician	Dave Newberger Faculty Family Physician
Greg Schenk Faculty Family Physician	Bob Seller Faculty Family Physician	Dave Thomas Faculty Family Physician	Marlon Koenigsberg Faculty Psychologist