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Education-Centered Medical Home (ECMH)

The Education-Centered Medical Home (ECMH) is a four-year, longitudinal, ambulatory experience in primary care clinics where multilevel student teams (four from each class) work collaboratively to care for high-risk patients. In this student-centered environment, trainees learn traditional patient care, communication and medical knowledge objectives and work toward competence in a number of areas.

Students work with the same preceptor and peers over four years, caring for patients and measuring progress. This model builds professional identity early, offers 360-degree assessment and allows feedback from patients, peers and preceptors on progress in our eight core competencies

 

ECMH Sites

View the map of current ECMH sites. Browse the full list below.

Community Health
Internal Medicine

Location: 2611 W. Chicago Ave., Chicago, IL 60622

Preceptor:

Denny Community Health Center
Internal Medicine

Location: 150 E. Huron, Suite 1101, Chicago, IL 60610

Preceptors:

Erie Family Health Centers
Pediatrics

Location: 2750 W. North Ave., Chicago, IL 60647

Preceptor:

Location: 1701 W. Superior St., Chicago, IL 60622

Preceptors:

Location: 5215 N. California Ave., Chicago, IL 60625

Preceptors:

Howard Brown Health Center
Internal Medicine

Location: 6500 N. Clark St., Chicago, IL 60626 

Preceptor:

Lau Medical
Family Medicine

Location: 1102 W.Argyle St., Chicago, IL 60611

Preceptors:

Lavin Primary and Specialty Care
Internal Medicine, Women's Medicine,

Location: Lavin Family Pavilion, 259 E. Erie Ste. 2230, Chicago, IL 60611

Preceptors (Internal Medicine):

Location: Lavin Family Pavilion, 251 E. Erie Ste. 22, Chicago, IL 60611

Preceptors (Internal Medicine, Women's Medicine):

Lurie Children's Pediatrics
Pediatrics

Location: 4867 N. Broadway Ave., Chicago, IL 60640

Preceptor:

MiMedico
Family Medicine

Location: 1952 W. Cermak Road, Chicago, IL 60608

Preceptor:

Northwestern Medical Group (NMG)
Internal Medicine, Women's Medicine, LGBTQIA

Location: Galter Pavilion, 675 N. Saint Clair St., Chicago, IL 60611

Preceptors:

Location: Lavin Family Pavilion, 259 E. Erie St., Chicago, IL 60611

Preceptors:

Location: Arkes Pavilion, 676 N. St. Clair St., Chicago, IL 60611

Preceptors:

Northwestern Medical Group (NMG) (Belmont)
Internal Medicine

Location: 1333 W. Belmont Ave., Chicago, IL 60657

Preceptors:

Northwestern Medicine Group (NMG) (Bucktown)
Pediatrics

Location: 1776 N. Milwaukee Ave., Chicago, IL 60647

Preceptor:

Location: 1786 N. Milwaukee Ave., Chicago, IL 60647

Preceptor:

Northwestern Medicine (Lincoln Square)
Internal Medicine

Location: 4732 N. Lincoln Chicago, IL 60625

Preceptor:

Northwestern Medicine (Loop - South Clark)
Internal Medicine

Location: 20 S. Clark St., Chicago, IL 60611

Preceptor:

Northwestern Medicine Group (NMG) – SONO

Location: 1460 N Halsted St Ste 504, Chicago, IL 60642

Preceptors:

Oak Street Health
Family Medicine

Location: 4747 N. Harlem, Harwood Heights, IL 60706

Preceptor:

PCC Community Wellness
Family Medicine

Location: 5425 W. Lake St., Chicago, IL 60644

Preceptors:

Location: 6201 W. Roosevelt Road, Berwyn, IL 60402 

Preceptor:

Winfield Moody Health Center
Internal Medicine

Location: 1276 N. Clybourn Ave., Chicago, IL 60610

Preceptor:

Curricular Goals

This list of ECMH curricular goals is modified from the American College of Physicians.

Primary Care Physician

Definition: Each patient has an ongoing relationship with a primary care physician trained to provide first contact, continuous and comprehensive care.

Medical students are expected to:

  • Observe and participate in continuity in relationships with patient(s) and their families in a longitudinal fashion within practices that deliver first-contact, comprehensive, integrated, coordinated, high-quality and affordable care. 
  • Communicate effectively and demonstrate caring and respectful behaviors when interacting with patients and their families and fellow professionals. 
  • Explain the role of the primary care physician as advocate and develop and use strategies for advocating for individual patients and groups.

Team-Based Medical Practice

Definition: The primary care physician works with a team of individuals at the practice level who collectively take responsibility for the ongoing care of patients.

Medical students are expected to:

  • Work effectively with others as a member or leader of a healthcare team or other professional group via interdisciplinary team experiences (examples may include those involving nurses, APPs, social workers, case managers, mental health professionals, community partners, pharmacists, etc)
  • Articulate the roles, functions and working relationships of all team members 
  • Participate in teams within practices as they develop a culture of learning to improve the care process and patient experience. 

Whole Person Orientation

Definition: The primary care physician is responsible for providing for all the patient’s healthcare needs or taking responsibility for appropriately arranging care with other qualified professionals. This includes for all stages of life: acute care; chronic care; preventive services; and end-of-life care.

Medical students are expected to

  • Demonstrate knowledge and an appreciation of medical care in all stages of life. 
  • Practice motivational interviewing and use of other tools to promote patient engagement, self- efficacy, shared decision-making and health behavior change.
  • Demonstrate sensitivity and responsiveness to patients’ culture, age, gender and disabilities. 
  • Recognize the importance of health literacy and its impact on patient care and outcomes.

Enhanced Access to Care

Definition: Access to care is available through systems such as team care and new options for communications between patients, their personal physician and practice staff.

Medical students are expected to:

  • Experience a variety of encounter types such as face-to-face, telephone and electronic messaging, and home-based care. 
  • Use information technology to support patient care decisions and patient education.

Care Coordination & Systems-Based Care

Definition: Care is coordinated across all elements of the complex health system and the patient’s community. Care is facilitated by information technology and other means to ensure that patients get the indicated care when and where they need it, in a culturally and linguistically appropriate manner.  (e.g. subspecialty care, hospitals, home health agencies, nursing homes). 

Medical students are expected to:

  • Discuss how the economics of healthcare systems across a community, including all settings of care, affect patient care and outcomes. 
  • Demonstrate knowledge of community resources and the importance of working with non-physician partners.
  • Collaborate with specialists from various disciplines to provide patient-focused co-management of care over time.
  • Describe and discuss strategies needed to address patient transition(s) of care. 

Teaching & Learning

Definition: Physicians can enhance the care of patients by teaching to and learning from faculty, peers, patients and themselves. This occurs through sharing information clearly, and counseling and educating patients and their families about health conditions and disease prevention. Teaching can be enhanced through communication skills (e.g., closed-loop communication, avoiding medical jargon, teach back) and the use of teaching frameworks (e.g., teaching scripts).

Medical students are expected to:

  • Demonstrate clear patient communication, counseling and education to patients and families about health conditions and disease prevention. 
  • Develop and demonstrate the use of teaching scripts to enhance patient counseling. 
  • Demonstrate teaching skills to facilitate patient-centered learning with faculty and peers.

Quality & Safety

Definition: Advocate for the attainment of optimal, patient-centered outcomes. Evidence-based medicine and clinical decision support tools guide decision-making.  Physicians accept accountability for quality improvement (QI) through voluntary engagement in performance measurement and improvement.

Medical students are expected to:

  • Demonstrate and practice evidence-based medicine as the standard of care.
  • Identify basic principles of population health, including how patient registries can be used to manage population health
  • Engage in opportunities to review quality data and recommend evidence-based systems changes that respond to performance measurement. 

Payment & Medical Economics

Definition: Payment appropriately recognizes and values work done outside of face-to-face visit. It pays for care coordination, ancillary providers and community resources. Supports QI processes, e-communication, acknowledges case mix differences and incentivizes payments for systems improvements.

Medical students are expected to:

  • Know various physician payment methodologies (including those encompassing past, current and future policies)
  • Assist patients in dealing with system complexities via advocacy and negotiation

ECMH Leadership

Jah-Won Koo, MD

Associate Clerkship Director
jah-won.koo@nm.org

View Koo's Faculty Profile

Kathryn Hufmeyer, MD

Associate Dean, Curriculum
khufmeyer@northwestern.edu
Phone: 312-503-0818

View Hufmeyer's Faculty Profile

Mary Bailey, MPH

Program Administrator

mary.bailey@northwestern.edu