FMIS Team Responsibilities.
The team follows and provides primary responsibility for their patients throughout the entire hospital, including the ICU and CCU. Appropriate subspecialty consultants are available and utilized to maximize quality patient care and enhance resident teaching. The FMIS team also manages/delivers prenatal patients from the two office practices and follows the newborns during their hospital stay. Residents are responsible for managing/directing patient care with appropriate faculty supervision. Every effort is made to make the FMIS a resident managed service.

FMIS Call Responsibilities
Residents are on call an average of every 4th night. Call is taken from home. Residents will return to the hospital to admit all patients during early evening hours. Patients admitted during the night are generally seen in the morning unless they are unstable or admitted to the ICU/CCU in which case they will be seen by the resident and attending on call at the time of admission.

Residents evaluate and follow prenatal patients in active labor from in –house. A resident and Family Medicine attending physician attend all deliveries. Every effort is made to allow the continuity resident for prenatal patients to be at the delivery. In the event that resident is unavailable the FMIS resident on call attends the delivery.

Lazar Family Medicine Center
Outpatient training for Family Medicine residents at the Kaleida Suburban track is done at the Lazar Family Medicine Center. Residents each see approximately 2,000 patient visits at the Lazar Center during their three years. Families are assigned to new residents and followed in a continuity practice, allowing residents to see a wide variety of patients. While 74% of our patients come from suburban neighborhoods, 12% come from urban Buffalo, and 14% are from rural communities of Western New York.

Approximately twenty percent of our visits are with children and adolescents; another twenty percent are age 60 or over. While children are evenly male and female, the overall practice is about sixty percent female (see middle right). Patient's health care is insured by a variety of plans, with just over half covered by an HMO (see lower right).

The diagnoses we make include the breadth of acute and chronic illness, including pregnancy and mental health. For both inpatient and outpatient care, the top 25 diagnoses account for approximately 50 percent of the diagnoses made (see below). Each year, about 50 of the patients we follow for prenatal care deliver at Millard Fillmore Suburban Hospital.

In addition to seven board-certified attending family physicians and twelve residents, the Lazar practice includes a psychologist, social worker, dietician and podiatrist.