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Laurel Family Practice Clinic (LFPC), an Federally Qualified Health Center located on the Natividad campus, is the outpatient continuity clinic site for our residents throughout their 3 years.
We provide the following services:
- Primary and preventive care including adult physicals, well child exams and prenatal visits.
- Acute illness care for all ages, including walk-in access every day.
- Chronic disease management.
- Sexual and reproductive health, including the full range of contraceptive options, management of early pregnancy complications, STI Pre and Post exposure prophylaxis (PrEP and PEP), and STI screening/treatment.
- Pregnancy care, including high risk obstetrics and prenatal education through California’s Comprehensive Perinatal Services Program
- Gender-affirming care and care of LGBTQ+ patients.
- Treatment of infectious diseases such as latent tuberculosis, syphilis, hepatitis C, coccidioidomycosis.
- Medication-assisted treatment for substance use disorders (with buprenorphine, oral and injectable naltrexone)Point of care ultrasound (Gyn, OB, MSK, soft tissue, abdomen)
- Office procedures, both in residents’ continuity clinics as well as weekly Procedure Clinics (joint and soft tissue injection, skin biopsy, colposcopy, contraceptive im- plants, IUDs, toenail removal, ultrasound, dermoscopy)
- On site county behavioral health services (Crisis response team, psychology, medication management, social work)
- Telehealth visits
- Children’s book program: at every well child visit, families receive a bilingual book tailored to our community’s experience. The program was created by a Natividad resident, who continues to produce new books for FQHCs: https:// www.justicewithhealth.com/clinic-book-program.html
Clinic teams
Residents work with 2 medical assistants on their team for their 3 years at Natividad. Each clinic team includes a faculty team leader, 1-2 residents from each year, 2 MA’s, and a Patient Service Representative. Intern orientation includes extensive training in our electronic health record, shadowing senior residents, and a team-building afternoon to meet all the wonderful clinic staff!
Patient demographics and continuity
Each resident is the assigned primary care provider for a panel of patients that gradually increases throughout residency. Resident panels include at least 10% pediatric and 10% older adult patients, as well as many pregnant patients. Continuity of care is important for quality of care as well as provider and patient satisfaction. Our clinic process- es are designed to optimize continuity between residents and their assigned patients; clinic teams provide coverage if the PCP is not available. Residents are highly encouraged to attend deliveries for their prenatal continuity patients.
Electronic Health Record
Our EHR (Epic) provides access to our patients’ outside medical records, including those from specialists at Stanford and UCSF, and facilitates coordination of care across providers. Regular Epic training and coaching sessions are built into resident didactics throughout the year, to teach “tips and tricks” to optimize the platform. Residents also review quality metrics for their patient panel during these sessions and resident teams work together on Quality Improvement projects based on patient needs.
Patient Advisory Council
Our Patient Advisory Council meets quarterly with residents and faculty to give feedback and recommendations for how to enhance our services.
Resident time in their continuity practice gradually increases with each year in training:
| Training Year | # Clinic patients per half day |
# Clinic half days per week |
|---|---|---|
|
PGY 1 |
4-6 | 2 |
| PGY2 | 8-9 |
2-4 |
| PGY3 | 10 |
3-5 |
