Clinical Component

Navigating the Clinical Component

Where Teaching Excellence Meets Comprehensive Community Medicine

Your clinical practice at Comanche County Memorial Hospital represents the perfect synthesis of educational mentorship and hands-on patient care, where every patient encounter becomes a teachable moment and every procedure offers residents the chance to build confidence under your expert guidance. Unlike the frantic pace of many academic centers where teaching feels squeezed between overwhelming patient volumes, here you'll find a thoughtfully balanced environment where the 60/40 education-to-clinical split allows you to be fully present for both your residents and your patients. The clinic serves as a living classroom where you'll supervise residents through the full spectrum of Family Medicine, from newborn care to end-of-life discussions, with a patient population that presents the complexity and diversity essential for comprehensive residency training.

The patient demographic you'll encounter reads like a textbook of American healthcare diversity – military families from Fort Sill bringing unique deployment-related health challenges, multi-generational farming families with occupational health needs, Native American patients requiring culturally sensitive care approaches, and urban residents seeking their medical home. This isn't a clinic where residents only see routine physicals and URI visits; it's where they learn to manage diabetic crises, address opioid use disorders through medication-assisted treatment programs you'll help oversee, and provide continuity care for complex chronic conditions that other practices find "too difficult" to manage.

  • Outpatient-focused practice with zero inpatient obligations – no hospital rounds interrupting your mornings or weekends
  • Comprehensive procedural training including IUD insertions, long-acting contraceptive devices, joint injections, laceration repairs, and I&D procedures
  • Obstetric co-management supervising residents through required continuity pregnancies with collaborative OB support for deliveries
  • Osteopathic Manipulative Treatment (OMT) integration throughout patient care, particularly valued for musculoskeletal complaints
  • "Tertiary backup call" only 4-5 times annually – purely phone consultation when residents can't be reached, no driving in required
  • Epic EMR system providing seamless documentation and communication across the healthcare system
  • Medication-assisted treatment program for opioid use disorders – the only facility in the region offering this vital service
  • Teaching supervision model where you oversee residents during their clinic days without maintaining your own panel during teaching sessions

The residency clinic operates with impressive efficiency thanks to seven dedicated nurses supporting the 15-resident complement, ensuring that administrative burdens don't interfere with teaching moments. Your supervision schedule naturally varies with resident progression – PGY-1s bringing one clinic day weekly with closer oversight needs, PGY-2s managing two days with growing independence, and PGY-3s demonstrating near-attending competence during their three clinic days. This graduated responsibility model means your teaching adapts daily from foundational skill-building with juniors to sophisticated clinical reasoning with seniors preparing for independent practice.

Friday mornings transform into vibrant educational sessions where you'll contribute to didactic presentations several times yearly, sharing your clinical pearls and practice wisdom with eager learners. The scholarly requirements remain refreshingly practical – supporting residents through one research project and publication during their training without the publish-or-perish pressure of university-affiliated programs. Your role emphasizes clinical excellence and teaching effectiveness over grant-writing and research metrics, allowing you to focus on what drew you to medicine: patient care and knowledge transfer.

The true distinction of this position lies not in any single element but in how they combine: meaningful teaching without inpatient exhaustion, procedural variety without surgical call obligations, complex patient management without overwhelming volumes, and academic contribution without research pressure. You'll close each day knowing you've not only treated patients but also elevated the capabilities of future physicians who will multiply your impact across countless communities.

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