All patients in the continuity clinic practice are seen at CMC-Myers Park, located less than two blocks from the hospital. Physician parking is available on-site in a covered deck with key-card entry. In addition, a CMC shuttle runs between the clinic and the hospital every 20 minutes. Alternatively, the hospital and clinic are connected via a less than ten-minute walk along the Little Sugar Creek Greenway.
Various subspecialty medicine and general medicine clinics are located on the third floor along with an overflow clinic for urgent work-in patients. CMC-Myers Park also houses clinics in surgery, pediatrics, obstetrics and gynecology and orthopedic surgery. A pharmacy, phlebotomy lab, pharmacy-run anticoagulation clinic, and a radiology suite for X-ray services are available in the clinic as well.
Our clinic is certified as a Patient Centered Medical Home (PCMH) with very high patient and employee satisfaction rates. The PCMH is a team-based model of care led by a patient's primary care physician who provides continuous and coordinated care to maximize health outcomes.
Our residents spend time in ambulatory practice at Myers Park Clinic throughout their training. Our categorical residents are assigned a panel of continuity patients and have the opportunity to serve as their primary care physician over the course of their residency training. Our preliminary residents also spend time at Myers Park Clinic but their ambulatory experience is tailored more to seeing hospital follow-up and urgert care type visits. Each resident has an assigned nurse that will work closely with that resident to facilitate communications between the patients and that house officer.
The general resident internal medicine clinic is staffed by residents with supervision from internal medicine faculty. The ratio of attending staff to resident is never more than 1:3 and often is 1:2. This low resident/faculty ratio allows more time for teaching in clinic. The number of residents scheduled per half day in the outpatient continuity clinic ranges from 1-5. Each patient is discussed with an attending prior to the patient's discharge from the clinic. When time allows, we encourage the resident to present the case in the patient rooms. An attending physician will see and examine each intern's patients for a minimum of the first six months of residency training.
Full time ancillary staff at the clinic includes:
We also have multiple disease management and health coaching programs including Diabetes management, HTN clinic, CHF management, and Asthma Shared Decision Making clinic. In addition, our clinical pharmacists run a Medication Management Clinic.
Furthermore, our residents have the opportunity to rotate through our faculty-run Myers Park Urgent Care Clinic, Hospital Follow-up Clinic, Pre-Operative Clinic, and Women's Health Clinic at various times throughout their residency.
In addition, there is a faculty-run Myers Park management clinic specifically designed for the highest need, dual diagnosis (severe mental health and addiction issues) homeless population. This non-profit clinic is a partnership between the Charlotte-Mecklenburg County government and Carolinas Healthcare System. Residents may choose to rotate through this clinic during one of their ambulatory electives.
Myers Park after-hours ambulatory phone call is shared between faculty and residents. Upper level residents take phone call for the Myers Park Clinic while on their night float rotation. An attending physician is always available for back up on these phone calls.
Subspecialty Clinics: While on subspecialty blocks, residents participate in subspecialty outpatient clinics that serve the Myers Park Clinic population. The attending to resident ratio is 1:1 for the majority of these clinics. House officers on subspecialty rotations attend one to two subspecialty clinics per week. There are no subspecialty clinic duties during the rotations on staff medicine, MICU, or ED.
Current subspecialty clinic offerings include:
The Myers Park Internal Medicine Clinic group has been recognized by Carolinas Healthcare System in many ways. In addition to being a certified as a Patient-Centered Medical Home, some of the highlights include:
FPN Shooting Star Award: Awarded to our Myers Park nursing team for going beyond the call of duty
Touchstone Awards: For team-based quality initiatives to improve screening for diabetic neuropathy and for reducing hospital readmissions through team-based care coordination
AHRQ funded Grants: For asthma shared decision making, health coaching, and reducing hospital readmissions
Beginning in 2016, we established a new partnership with the Charlotte VA Health Care Center, and we are excited about the clinical and educational opportunities that this partnership will provide to our residents for various ambulatory-based elective rotations. Located less than 15 minutes from the CMC campus, the Charlotte VA Health Care Center is a brand new, state-of-the-art ambulatory facility. Residents may rotate at the Charlotte VA Health Care Center through a number of specialty clinics to improve their general medicine skills including: office-based orthopedics, ophthalmology, psychiatry, physical medicine and rehab, podiatry, ENT, urology, gynecology, and dermatology.
For other ambulatory elective blocks, residents may choose to rotate through nearby private internal medicine and specialty clinics for experiences in sports medicine, geriatric medicine, palliative care, alternative medicine, and many others.