1. Mile Square Health Center and the UIC Family Medicine Residency Relationship dates to 1994 6-6-6 program, continuity clinics at main MSHC and main campus clinic, each resident spends time at both over 3 years MSHC has 5 MD sites, 2 more planned; only FM residents and only at main site Workforce: FM, OB-Gyn, Psych, Dentistry, FNPs & CNMs, ID (HIV) at main; FM/CNM or others with FM/CNM/GIM; few FNP/collaborative sites

2. MSHC and UIC FMR: Mission Service to the underserved, address health disparities, common mission of MSHC, DFM, UIC, UICON UICOM, UIMC supportive, though not primary advocates; FQHC serves as site for training students, some research 3 MDs are former residents, another 5 UIC MedSs Diversity (FAAC): % women and minority: MSHC: 12 total, 67% W, 75% minority DFM: 18 total, 50% W, 44% minority Total department: 30, 57% W, 57% minority

3. MSHC and UIC FMR: Money Residents funded through GME positions MSHC faculty funded through FQHC which is “sponsored” by UIMC: salaries, billing, HR, ambulatory administration MSHC Faculty covered under FTCA, reciprocity call arrangement with DFM Residency costs all covered by DFM OB/Inpatient/Incentives

4. MSHC and UIC FMR: Administration and Governance Complicated administrative structure - Director reports to hospital administration and FQHC Board - Medical Director reports to Director (no MD) - MSHC faculty reports to Medical Director for ambulatory, to Chief of Service (DFM Head for hospital care), to DFM Head for academics - Residents report to PD who reports to DFM Head Complicated communications, often dysfunctional Sensitive relationships: Head is advisory, if/when asked

5. MSHC and UIC FMR: Quality Residents see differences between two practice sites in terms of management/resources/EHR Medical Records Faculty similar, on same page, speak with one voice in most situations Continuity and urgent care PCMH