We were called Community Health and Medical Practice in the ‘60s, and during that time we were the temporary home to a number of loosely associated programs that were without homes elsewhere in the University of Missouri School of Medicine. Our department included a handful of physicians who provided health care to patients from a small clinic in the hospital. Faculty, space, and funding were in limited supply. It was clear then that gaining institutional commitment and earning a place alongside the other boarded specialties was going to be a challenge … but our leaders gladly faced the challenge and succeeded in their efforts.
By the mid-‘70s, after we had developed the Family Practice Residency, we earned full department status and changed our name to Family and Community Medicine. In the more than 40 years since that time, we have prospered and grown. Today, our department includes nearly 70 faculty members, 50 staff members including APRNs and librarians, fellows, 36 residents, and two integrated residents. We manage seven practices in five locations, plus MU’s Urgent Care facility and three Mizzou Quick Care clinics. Patient visits total nearly 160,000 annually. Thanks to the vision and hard work of many dedicated people, we have established ourselves as one of the premier family medicine departments in the nation.
Family and Community Medicine at MU has been selected as one of the top 10 departments in the nation by U.S. News and World Report for the past 23 years. This recognition is based on expert opinion and other indicators of program strength including effectiveness of teaching, scholarly, and research efforts, as well as performance of students who trained in the program. Our success has been realized through collaboration with others, innovation, hard work, and an open culture of self-improvement.
Department faculty members are distinguished national and local leaders. Three have been elected to membership in the prestigious Institute of Medicine of the National Academy of Sciences. Two faculty members are past presidents of the Society of Teachers of Family Medicine, and one has served on the US Preventive Services Task Force (USPSTF) – including one year as Task Force Chair – since 2005.
At the institutional level, Family Medicine faculty members serve (or have served) as:
- Executive Vice Chancellor for the MU Missouri Health Care System
- Chief Medical Information Officer for MU Health Care
- Director of MU Interdisciplinary Center on Aging
- Associate Dean for Curriculum (SOM)
- Associate Dean for Curriculum and Assessment (SOM)
- Associate Dean for Rural Health (SOM)
- Faculty Director of Clinical Curriculum (SOM)
- Medical Education Director of MU-Area Health Education Centers
- Medical Director for the Columbia/Boone County Department of Public Health
Caring for Patients
MU Family Medicine is committed to providing high quality, patient-centered care to a diverse patient population that includes pregnant women, children, adults, and the elderly. We care for 50,900 patients from Boone, Howard, and Callaway Counties. Outpatient visits in MU Family Medicine, Urgent Care, and Quick Care clinics totaled 137,398 last year. In addition, Family Medicine faculty and residents help staff the Family Health Center (FHC), a federally qualified community health center that serves a medically underserved population in mid-Missouri.
In January 2015, we celebrated the grand opening of our new facility at South Providence Medical Park (SPMP). Health care teams from two of our Family Medicine clinics, Green Meadows and Woodrail, moved their practices to the new SPMP building. Located six miles south of campus, this two-story, 85,000 square foot facility has outpatient clinics that provide family medicine, general pediatrics, and adult psychiatric care. Other services offered at the building include drive-through pharmacy, urgent care, lab, and radiology.
Our department has been a key player in MU’s collaborations with the Cerner Corporation to enhance the use of information technology in managing chronic illness within the Patient Centered Medical Home. This work helped lead to the formation of the Tiger Institute for Health Innovation.
Fifteen MU family physicians have been named as the “Best Doctors in America.” The “Best Doctors” list is one of the most prestigious and credible tools available to consumers for selecting a doctor. Only four percent of all U.S. doctors are selected by their peers for this honor.
In 2014, all of our Family Medicine clinics received National Committee for Quality Assurance (NCQA) PCMH Recognition – Level 3. NCQA Patient-Centered Medical Home (PCMH) Recognition is the most widely-used way to transform primary care practices into medical homes.
Teaching Students, Residents and Fellows
Our educational programs are comprehensive and well regarded locally and nationally. Innovative techniques have allowed us to train superior physicians with outstanding knowledge bases, commitment to the underserved, and culturally competent care skills.
Family Medicine maintains a strong interest and highly visible presence in the School of Medicine. Our faculty members were leaders in developing the problem-based learning curriculum implemented more than 20 years ago. Today, we teach in all four years of medical school. The interest in family medicine is strong among medical students; they enter family medicine residency programs at twice the national average for US medical students.
Since 1975, our Family Medicine Residency program has trained 415 physicians, and today, these graduates are improving health for patients and communities in 39 states, plus Canada, Africa, and the Philippines. Of our residency alums, 16 percent work in rural communities, 17 percent provide care for the underserved, and 13 percent have pursued careers in academic medicine.
Our Family Medicine Academic Fellowship program, developed in 1979, has trained nearly 75 primary care physicians. Most serve on faculties in medical school departments and residency programs across the country. Many have assumed key roles in dean’s offices and provide national leadership in primary care and public health, and others have become successful researchers and innovators in curriculum development.
A redesigned academic fellowship, one that is consistent with the changing needs of future Master of Science (MS) degree-seeking students, is currently being developed by our department. The executive style curriculum for the MS degree will include online learning, combined with periodic face-to-face weekend sessions, enabling more flexibility in learning.
Research and Scholarly Activities
Our department has developed a broad range of research activities consistent with the multi-disciplinary composition of the faculty. Since 1996, MU Family Medicine faculty and fellows have published nearly 1,200 peer-reviewed papers. Research topics conducted by department faculty include alcohol issues, quality of nursing home care, smoking cessation, health communications with women who have breast cancer, geriatric medicine education, health information technology, hospice and palliative care, and health issues for sexual and gender minority populations.
The MU Center for Patient-Centered Outcomes Research was established in 2013. This $4.5 million project, funded by the Agency for Healthcare Research and Quality of the Department of Health and Human Services, is a multidisciplinary, five-year effort. Family Medicine researchers wrote the grant and are providing leadership to this ongoing project. It is designed to help physicians –together with their patients – make more informed decisions, which has become very challenging in this complex health care environment.