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FMRI Family Medicine Residency of Idaho
“TRAIN TO REMAIN”
Letter from C.E.O. and Program Director Dear Friend,
What an exciting time for the Family Medicine Residency of Idaho! We have had another great Match of Interns, our Electronic Medical Record is progressing forward and we are ready to graduate another group of outstanding Family Physicians!
Two other great bits of news is that we received federal approval to become a Federally Qualified Health Center Look‐Alike (FQHC Look‐Alike) and Governor Otter and the Legislature gave our program money to enhance and expand our rural family medicine training efforts. We will use much of this money to create a second Rural Training Track in the Twin Falls/Jerome area.
In this rapid time of health system change, FMRI continues to prepare itself to serve our patients with distinction, meet the needs of our community and state, and train superb Family Physicians.
Onward and upward! Ted Epperly, M.D.
Board of Directors
Sam Summers, M.D., Chairman— Family Physician
James Glass, Vice President— Marketing/Public Relations Kevin Scanlan, Secretary— Attorney
Alec Andrus, Treasurer— Corporate Manager, Hewlett Packard
Jim Blackman, M.D.— Retired Family Physician Linda Christensen—Educator, Immigrants and Underserved
Gary Fletcher— Chief Executive Officer, St. Luke’s Regional Medical Center Kathy Garrett— former State Legislator
James Girvan, Ph.D.— Dean, College of Health Sciences, Boise State University Kathy Holley—Retired Director, Central District Health Department
Janelle Reilly— Chief Operating Officer, Saint Alphonsus Regional Medical Center Irene Ross—Hispanic Community Representative Pearl Simon—Medicare Patient Representative
www.fmridaho.org
221 Graduates 54% practicing in Idaho 51% serving underserved/rural Idaho
Boise - 57
Pocatello - 1
Caldwell - 7
Coeur d’Alene - 3
Sandpoint - 2
Cottonwood - 5
Mountain Home - 2
McCall - 5
Twin Falls - 4
Rexburg - 1
Blackfoot - 1
Idaho Falls - 1
Bonners Ferry - 1
Eagle - 2
Kuna - 2 Nampa - 9
Meridian - 7
Osburn - 1
Montpelier - 1
Rupert - 1
Burley - 1
Jerome - 1
Hailey - 2
Post Falls - 1
Plummer - 1
Moscow - 1
Weiser - 1
Individual Donors (2005—2007) ‐ $8,700 Mark Adams Tim Anstine Andy Ashcroft, M.D. Ken and Patrice Burgess, M.D. Jennifer and Tim DeBlieck, M.D. Gary Dyer Lindy and Ted Epperly, M.D. Vernon and Katherine Garrett Susan and Stanley Gibson Georgia and Jim Girvan, Ph.D. James Glass Iris Johnson and Jess B. Hawley, III T. David and Kathy Holley Randall Hutchings, M.D.
Government and Private Foundation Grants—$1,714,632 U.S. Dept. of Health and Human Services, HRSA Idaho Office of Rural Health & Primary Care Reproductive Health Education in Family Medicine (RHEDI) RGK Foundation
Lorna and James Irwin, M.D. Karen Kellie Julia Robinson and Pete Kozisek, M.D. Jo Anne and Charles Krause Greg Maurer Laurie M. Pillers Priscilla and J. Robert Polk, M.D. Gay and Leslie Pool, M.D. Janelle Reilly Thomas and Jani Rollins, M.D. Janine Sarti and Bruce Kubler Pearl Simon Leora and Sam M. Summers, M.D. Charles and Marietta Thompson, M.D.
University of Washington Veterans’ Administration Medical Center West Valley Medical Center
Community Supporters—$3,847,844 Idaho Legislature Saint Alphonsus RMC St. Luke’s RMC
Items from the FMRI “Wish List” Equipment Ultrasound Machine ($24,750) Med Records/Cubicles ($10,000) Conference Room Furniture ($5,000) Signage with New Name ($5,000) A/V in Conference Rooms ($4,000) Laptop ($2,000)
Maintenance/Remodel Remodel Lab (29,000) Remodel Waiting Room ($15,000) Paint Exterior Raymond Building ($10,000) Remove Shrubbery ($5,000) Repaint Parking Lot Lines ($1,000)
FMRI is largely unknown as a provider of health care. Those who do know about our clinic services assume that we are supported by Saint Alphonsus and St. Luke’s. The total support from the hospitals is only 25% of the total revenue needed to support the Residency and our two medical clinics. Our “break-even” budget includes patient revenues; state, federal, and private foundation grants; and contributions from individual donors.
Our Vision
Develop outstanding family physicians to serve the citizens, families, communities, and the State of Idaho.
Family Medicine When Family Medicine became a specialty in 1969, three‐year Family
Medicine residencies were established. Today, over 460 Family Medicine residency programs are found in virtually every part of the country. These programs have produced over 77,000 graduates at a rate of 3,000 annually. Since its inception in 1974, Family Medicine Residency of Idaho has graduated 212 Family Medicine physicians, many of whom practice in Idaho and the Northwest. Unlike other specialties, Family Medicine is a specialty in breadth. FMRI places special emphasis on training physicians for the complex challenges of rural practice. The variety of medical problems seen during a normal week in rural settings without other specialists, combined with the intense, ongoing involvement in the changing lives of his or her patients, gives the family physician a unique level of satisfaction not available in other specialties. WWAMI (pronounced ‘whammy’)
WWAMI is an acronym of the five participating states: Wyoming, Washington, Alaska, Montana, and Idaho. WWAMI is an ongoing partnership between these states and the UW School of Medicine. WWAMI’s purpose is to help decentralize medical education into the local community level. The UW School of Medicine maintains a Deanʹs Office in each of the five states to oversee clinical medical education. WWAMI programs include medical students, students in K‐12, college medical school graduates in residency. Family Medicine Residency Network
The Family Medicine Residency Network is one important component of WWAMI. The Network includes 17 Residency programs in the WWAMI region. All 17 are affiliated with the UW School of Medicine ranked a top primary care school by U.S. News & World Report. The Network exists to promote excellence in Family Medicine education, to provide academic leadership, and to respond to societal needs for Family physicians. As a result, the quality of the individual Residencies is high, reflected in outstanding applicants and residents, the excellent faculty, and the strong support of the sponsoring hospitals in providing up‐to‐date facilities and skilled staff. FMRI residents generally score 100 points above the rest of the nation in the 99th percentile in the annual national exams. Additionally, 100% of all graduates are Board certified in family medicine which is distinctly unusual to have 100% pass these rigorous tests.
INTEGRITY | COMPASSION | ACCESS
RESPONSIBILITY | EXCELLENCE | COMMITMENT
Rural Family Medicine Overall, Idaho ranks 49th in the ratio of physicians per capita. The need to
train family physicians for rural practice is especially acute. Idaho has the oldest population of physicians in the country. As a result, rural physicians are retiring at a faster rate than new physicians are entering rural practice in rural communities. As of 2004, 36 of Idaho’s 44 Counties were in need of primary care physicians. FMRI’s Rural Training Track (RTT) and Rural Rotations
Research on rural medicine suggests that a graduate’s choice of a rural practice is greatly enhanced by spending time during his/her Residency in rural settings. As part of our commitment to rural training, we are developing a second rural training track in Twin Falls. The first RTT, established in 1995, continues in Caldwell. Year 1 of the RTT is in Boise; in Years 2 and 3 the training takes place at the RTT site. We are considering adding a third RTT in northern Idaho.
In addition to the RTT, all FMRI Residents spend 2‐1/2 to 3‐1/2 months in
rural practice settings around the state. FMRI has agreements with over 20 rural sites. Many of the sites are in medically under‐served counties and with medically needy populations. Examples include community/migrant health centers, public health clinics, private practices, and rural hospitals. This year FRMI residents will rotate through these communities:
Cascade Cottonwood Driggs
Emmett Grangeville Hailey Jerome McCall Moscow
Nampa Orofino Payette Plummer Sandpoint FMRIʹs Rural Director, Dr. David Schmitz, is surveying each new class of
interns about the factors that are most likely to affect their decisions about practice sites. This information, along with the results of our collaboration with Boise State University, will help us better prepare our residents for the challenges of rural health. Our motto ʺTrain to Remainʺ guides our expanding commitment to rural health.
Our Mission Train superb medical school graduates to become outstanding family physicians.
Prepare broadly trained family physicians to practice in rural Idaho. Serve the underserved.
Our Motto Train to Remain
Cash $403,221
Accounts Receivable $531,501
Other Current $56,801
Assets $573,939
TOTAL $1,565,462
Assets
Liabilities Liabilities $568,351
Net Fund Balance $997,111
TOTAL $1,565,462
Patient Service ‐ $4,935, 500
Program Support ‐ $3,847,844
Grants ‐ $1,714,632
Interest Income ‐ $16,638
Other ‐ $100,121
Clinic Operations ‐ $7,370,559
Residency Program ‐ $1,848,155
Ryan White Clinic ‐ $903,323
General ‐ $440,819
Fundraising ‐ $22,653
2006 Income ‐ $10,614,735 2006 Expense ‐ $10,585,509
Users Principal Source of Insurance Users by Federal Poverty Level (FPL)
Medicaid
Uninsured
Private
Medicare
Between 101% and 200% FPL
Unknown
Below 100% FPL
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