The University of Rochester Medical Center is recruiting a primary care physician for the Complex Care Center, part of the Division of Transitional Medicine. This is an outpatient role caring for adolescents and adults with chronic conditions that begin in childhood, including intellectual and developmental disabilities, autism spectrum disorder, congenital heart disease, metabolic disorders, spina bifida, sickle cell disease, and cystic fibrosis.
The Complex Care Center offers a rare chance to build a focused primary care practice for a population that few programs are equipped to serve, inside a fully integrated academic health system.
More than 15,000 patients in the regional draw area qualify for the program. The clinic currently cares for roughly 1,400 of them, limited by the number of faculty in the center. Demand continues to grow as pediatric patients with complex, childhood-onset conditions transition into adult care and live longer than previous generations. This position expands access for a patient community that has few alternatives.
Setting: Outpatient primary care, hospital and university employed
Program: Complex Care Center, Division of Transitional Medicine
Patient focus: Adults and adolescents with childhood-onset chronic conditions
Clinic schedule: 7 half-day clinic blocks per week (3.5 clinic days)
Protected time: Approximately 1.5 days per week for administrative, teaching, and research work
EMR: Epic, with DAX AI documentation available
Inpatient: Not required
Call: 1:5 rotation by phone taken one week at a time
Clinical effort is scheduled in half-day (4-hour) blocks. A full-time clinical load is 7 half-day blocks, with protected time built in for academic and administrative work. Patient visits are 30 minutes across the board, with the option to book back-to-back slots for a particularly complex patient.
| Time | Activity |
|---|---|
| 8:00 to 8:30 AM | Team huddle (Zoom) |
| 8:30 AM to 12:00 PM | Patient visits |
| 12:00 to 1:00 PM | Lunch |
| 1:00 to 1:30 PM | Team huddle |
| 1:30 to 5:00 PM | Patient visits |
The center welcomes candidates from several training backgrounds, provided they are committed to outpatient primary care for this population:
Providers can be deployed by age range based on comfort and training. Internal Medicine physicians may see patients 16 and older, while those comfortable with younger patients can work in clinics serving the occasional patient who is ages 12 and 13.
There may be opportunities clinical or academic leadership positions due to the growth of the program. The program is also opening a new location geared toward neurodiversity, supported by a $50 million gift from the Golisano family. Physicians who want to develop a niche in areas such as cystic fibrosis or sickle cell disease can do so, though it is not required.