Patient Care at UT Health San Antonio
Inpatient Services at University Hospital:
We provide in-house 24/7 coverage of the following services:
Housestaff General Medicine Teams
These medicine teams are staffed by an attending, a resident, and two interns. Teams admit patients based on a “drip” system, with one team member staying to perform late afternoon admissions each day. Attendings rotate to assist with staffing patients admitted in the late afternoon. We have developed an interprofessional, patient-partnered model of care that includes multidisciplinary bedside rounding for two of our housestaff teams.
Medicine Consult Service
Staffed by an attending physician and 2 third-year residents, this service provides consultative care for medical issues that arise for patients on other services. Peri-operative medicine is a significant component of the service provided, and throughout each block, we review a curriculum consisting mainly of primary articles.
We provide direct patient care on these teams, staffed by a physician and an Advanced Practice Provider (APP).
Medicine Transplant Service
We have two hospitalists covering at a time, working alongside transplant physicians who specialize in the care of liver, kidney, and lung transplant patients. Each physician has an assigned transplant nurse navigator who will assist with workflow to ensure smooth execution of daily tasks.
Physicians APPs rotate to assist with carrying the admissions pager or cross-cover pager in shifts. Duties involve the triage of calls from the Emergency Department and clinics to assign patients to teams for admission, consultation in the Emergency Department to assist with alternative disposition, and after-hours admissions and cross cover.
Collaborative Care Initiative
At University Health System and UT Health San Antonio, we have embedded two inter-professional collaborative practice teams. To learn more about collaborative care, please visit the University Health System site.
We provide outpatient services at the following locations:
General Medicine Clinic at Robert B. Green
The General Medicine Clinic (GMC) is a collaboration of providers from UT Health San Antonio and staff from University Health System. At the GMC, faculty see patients in their own faculty clinics, in medical student clinic along with third-year medical students, and as preceptors of internal medicine residents. We offer consultation services in geriatrics and skin disorders and will be starting a joint injection clinic in 2018. Our team includes a nurse practitioner, behavioral health interns, and a diabetes education service. In partnership with the Family Health Clinic, we hold a monthly Patient Family Advisory Council (PFAC) to engage our patients in continuously improving the clinic.
Primary Care Center (PCC)
The UT Health Physicians Primary Care Center (PCC) has multiple locations in and around San Antonio, TX. Faculty work in multi-disciplinary teams to deliver high-quality patient-centered primary care services to a wide range of patients. Faculty in the PCC have opportunities to learn quality improvement tools, conduct multi-disciplinary quality improvement projects, teach medical students, and mentor residents.
Patient Care at Audie L. Murphy VA Hospital
Internal Medicine Inpatient Services:
The VA section provides 24/7 clinical service to support inpatient care at Audie L. Murphy VA Hospital (ALMVAH), which is the acute inpatient facility in the South Texas Veterans Health Care System. The VA Section operates teaching inpatient service, the faculty inpatient service, the medicine consultation service, and triage services. All staff physicians are additionally appointed as UT Health San Antonio Long School of Medicine.
Internal Medicine Clinic at Audie L. Murphy VAMC: The VA Internal Medicine Clinic (IMC) is an interdisciplinary clinic grounded in the principles of the patient-centered medical home. There are resident Patient-Aligned Care Teams (PACT) and mini-teams. Each PACT is led by a faculty member who has an appointment in the Division of General and Hospital Medicine. The interdisciplinary teams are staffed with an RN, LVN, and medical administration support and share a social worker, pharmacist, nutritionist, diabetes mellitus nurse educator, and psychologists. At the IMC, faculty precept residents and also see patients in their own longitudinal primary care clinics. IMC offers consultation services and post-graduate medical education opportunities in its Preoperative Clinic and in musculoskeletal medicine through the Sports Medicine Clinic. IMC is able to offer same day access to primary care and behavioral health. Bimonthly meetings are held with other VA primary care clinics in the San Antonio area in order to continuously improve processes and outcomes.