Residents have their continuity clinic at Danis Pediatric Center, which sees almost 20,000 visits per year. Danis Pediatrics combines the excellence of SSM Health Cardinal Glennon Children's Hospital and Saint Louis University School of Medicine to develop a model of pediatric practice to serve as an example of excellent medical care for students and residents.
Each resident is assigned to a continuity clinic preceptor and day although, to accommodate the resident schedule, residents will have clinic on other days as well. At a minimum the residents will each have a half-day clinic 36 times per year, most residents will be in clinic well over 40 half-days. Third residents may choose to have their continuity clinic continue at Danis Pediatrics or elect to switch a community site or to a subspecialty clinic (with faculty approval).
First-year residents see three to four patients per session, second-year residents see four to six patients per session, and third-year residents see seven to eight patients per session. Each resident’s clinic includes children of all ages, children with chronic diseases, well children, and children with a variety of social and behavioral problems. The continuity clinic allows for a longitudinal experience of both routine and complex patients.
Continuity patients can obtain advice after hours through a nurse answering service with resident and attending back up. Second and third-year residents rotate providing backup to the nurse line from 4:30 p.m. to 10 p.m. on weekdays and 8 a.m. to 10 p.m. on weekends and holidays. Residents always have faculty backup.
Approximately 80 percent of patients at Danis Pediatric Center are covered by Medicaid. The physicians and staff take a very active role in the care of patients with chronic medical problems, with an additional focus on the social determinants of health and their impact on families. In addition to the medical and nursing staff, Danis Pediatrics has a psychologist and two dedicated social workers. The practice has initiatives in child foster care, refugee health, foreign adoption, perinatal depression, parenting interventions, infant mortality, food insecurity and recently enrolled in Missouri Health Net's Primary Care Health Home program.
Each year, more than 160,000 patient visits are made to the Ambulatory Care Center and Emergency Services. Ambulatory care services are provided through 45 general and subspecialty care clinics, including: