Practice Management Resources

Rotation Goals (PM I and II): 

1. Define your future career goals in Family Medicine. (aka what kind of job do you want to do after graduation?)

2. Become familiar with the ABFM website and the 4 components of Family Medicine Certification. (finding your log in and password is half the battle!)

3. Meet the ABFM certification requirements to sit for Family Medicine Board Examination.

4. Refine and update your CV.

5. Explore diverse Family Medicine practice sites.

6. Implement clinical risk management strategies to improve patient safety and reduce risk of malpractice. (aka don't get sued)

7. Get adequate reimbursement for patient care services (aka how to bill and code so you can get paid for your work).

1. Become familiar with a practice model/site that is DIFFERENT than the one you plan to work in after graduation. 

   • Meet with Dr. Lela Mayers Email her at least 1-2 weeks prior to schedule meeting time.

• Email: lela.mayers@gmail.com or 646-387-2275

• Address: 101 Park Ave (and 41st Street), 15th floor - Aetna

1. • Meeting with Lela Mayers counts but if you have something else you want to do, lmk!

   • You can do site visits: visit clinics/hospitals in person or virtual meeting with a site director (see list of available sites below)

2. Meet with Dr. Krishna Desai prior at the start of your rotation

   • discuss plans for #1 above, personal goals and objectives, and create plan for your rotation

3. Submit CV to Dr. Krishna Desai for review and feedback 

   • you can also review your CV with Drs. Mayers and Liggett during this rotation to get different perspectives as well as using CV to guide discussions surrounding career goals. 

4. Billing and coding session with Dr. Krishna Desai 

5. Risk management reading assignments: send a email on your reflections and how you might change your practice to mitigate risk at the personal and practice level after reading the articles below: 

   • NEJM article: What is Risk Management in Health Care? Be able to answer the following questions after reading the article (can include in your reflection email)

     1. list strategies you can employ at a personal level to mitigate risk.

     2. list some processes that currently exist at your local institution (Farrell and Allen hospitals being main locations of practice)

     3. Review the sample risk management plan linked in the article 

     4. How many individuals are dying each year as a result of medical error (based on a very old report from 1997)?

   • Very old but useful article to review:  CRICO Office-based Malpractice Cases: 1989-98

   • Pay special attention to 5 types of diagnostic errors: How to Reduce Your Malpractice Risk

   • Common reasons why FM docs get sued: Seven Reasons Family Doctors Get Sued and How to Reduce Your Risk

• Meet with Dr. Alisha Liggett for career coaching session: dralisha@empowerherhealth.com 

• Site visits: additional site visits of your choice (see list below for options)

• Review requirements for becoming board certified physician: https://www.theabfm.org/become-certified/i-am-acgme-residency-program 

• Skill development at FHC: more procedures, early options, podiatry, pharmacology, shadow attending to improve efficiency, etc

• Job Search and applications

• Write letters of interest to potential employers

• Become familiar with maintenance of certification requirements 

• Personal financial counseling session (Money In Motion Personal Finance Program, Call 1-800-473-6383)

• Behavioral health session with employee health for self care

• Set up meeting with financial representative (financial wellness consultation, review employment contracts):

  • Caleb Reed ( Email: caleb.reed@yoursws.com or use this link to schedule an appointment:
    https://outlook.office365.com/owa/calendar/CalebReedSWS@glic.microsoftonline.com/bookings/ ).

  • Graduation financial plan handout:  https://docs.google.com/document/d/1LBGx1CDqoRZwTPj02T9bX4KXdLJPhM72/edit?usp=sharing&ouid=114637243815159988282&rtpof=true&sd=true   

• Set up meeting with MetLaw to discuss options for reviewing contracts or any legal documents (small monthly fee)

• Set up meeting with Dr. Krishna Desai to develop self care plans 

• Approve your own PM related activity with Dr. Krishna Desai

Billing/Coding Resources: 

1.  AFP article: 2021 Billing and Coding Updates 

2. Billing and Coding: Chart for medical decision making

3. Billing and Coding: Self Study Module

CV Examples:

1. https://drive.google.com/file/d/1XUtvv901WXEMiZzfvZQpIaO4VfggFhpv/view?usp=sharing 

2. https://drive.google.com/file/d/1O4rizm0t_9MIJ5XWctDf1SYlhiU2g7Tm/view?usp=sharing

3. https://drive.google.com/file/d/1Ld6CkcPcD7g3tnmQFniFrRC7CM4TcVeE/view?usp=sharing

4. https://drive.google.com/file/d/12BNKBI3tDJmrITEesvwSVCgDha9ZacQC/view?usp=sharing

5. https://drive.google.com/file/d/1PZt9rzvdBqIhoAruA5nu_Veh8ZKYvr_g/view?usp=sharing

Cover letter examples: 

1. https://drive.google.com/file/d/1QTWLKmkWV8Y3X2ebK67lCNI02yE0P-qK/view?usp=sharing 

2. https://drive.google.com/file/d/1U6R_dvWIbbaTzQYvMjn2_ZN8XiQ5uoEw/view?usp=sharing 

Other PM Resources:

• Evaluating Physician Employment Contracts: How Do Your Benefits Measure Up? 

• Successfully Navigating Job Interview 

Expectations: 

• Review tally and pre-read about patients: reason for referral, any relevant labs/studies, and relevant information

• Present summary of cases at pre-clinic review meeting with Drs. Desai and Pilipenko (15 mins prior to first patient on zoom): 

Join Zoom Meeting: https://columbiacuimc.zoom.us/j/92314429495?pwd=RS9ydVlWK3RpUXIxL2JUanAvNC9wUT09

Meeting ID: 923 1442 9495

Passcode: 007918

• you are encouraged to refer patients to IMCC during time you will be rotating so we can provide consultation for your continuity patient (IMCC Is booked far out but we can try to accommodate your patient if we have some notice; call them if we have no shows etc)

• Scribe notes during visit unless you are leading a visit (can discuss with Drs. Desai and Pilipenko if interested in leading session) so visit counts towards visit number. 

  • 1. 1. • You may use .kdimcc for note template

          • include references at end of your note to support the interventions we use for each patient (to become familiar with evidence based available for integrative therapies and to support our team's medical decision making)

Outside Sites:

• Bertie Bregman (bertiemd@gmail.com) - private practice in Upper West Side of Manhattan

• Frank Maselli (fmaselli@optonline.net) - Riverdale Family Medicine, large family medicine private practice in the Bronx, newborn to geriatrics, all insurances

• Iora Health (contact info on their website:https://www.grameenvidasana.org/team/) - direct primary care-model practice with a focus on health coaching, population health, and technology)

• Diana Badillo (diana.badillony@gmail.com) - 2012 residency grad working at a CHC in Queens

• Robin Berzin, medical director of Parsley Health - a practice that focuses on functional medicine and includes direct primary care (https://www.parsleyhealth.com/, www.ifm.org) - contact her assistant Abigail (abigail@parsleyhealth.com)

• Hospice and Palliative Care Dr. Joel Policzer joel.policzer@vitas.com 

• Can also do a junior precepting session with any of our attendings (can choose attending based on your personal interests, examples: medical director, residency director, etc.)

• Peds 2000- private practice also service our community.  http://www.pediatrics2000.com/ 3332 Broadway (corner of 135th street). Contact administrator: Carolina Delgado (Carolina@pediatrics2000.com, phone at 212-694-2000.  The medical director is Dr. Robert Perello and the founder is Dr. Juan Tapia. Be aware the 135th Street site looks like an art gallery with lots of glass and art visible from the street, so don't be confused when you arrive! 

• Dr. Anita Softness (asoftness@gmail.com) or Danielle Isenburg (Isenburg.danielle@gmail.com) - faculty at Nuvance Family Medicine Residency in Poughkeepsie

• Dr. Christine Suh, Associate Medical Director of Stevenson Family Health Center in the Bronx (FQHC and IFH site: dr.christine.suh@gmail.com

• Dr. Allie Brown. Columbia Doctors practice in Manhattan: aeb2156@cumc.Columbia.edu

• Dr. Silvina Om. Columbia Doctors practice in Manhattan: silvinaom@gmail.com 

• Dr. Stephanie Arnold. Seven Hills Family Medicine in Virginia. Unique Direct Primary Care (DPC) model that focuses on health equity, affordable, cost-transparency care, provides medical and procedure abortion care and gender affirming care in Virginia. 

Columbia Faculty Practices: 

• Dr. Krishna Desai. Integrative Medicine Consultation Clinic. Center for Health and Recovery for Lyme and Tick Borne Diseases 

• Dr. Kristen Kendrick. Center for Health and Recovery for Lyme and Tick Borne Diseases. Complex tick borne disease management. 

• Dr. Michelle Love. Student Health

• Dr. Sharon Chacko. Director of Informactics for ACN

• Dr. Daniela Diaz. Director of CCTC