Johnson City Medical Center (JCMC) is a 407 licensed-bed facility which was originated in 1911 and has occupied its present location since 1980. The hospital is adjacent to the James H. Quillen College of Medicine, thus affording access to departmental facilities and the medical college library. All patient rooms are private and self-contained with charts, medications, and needed patient care items conveniently located outside each room.
Support services are state-of-the-art, including a 20-bed level III intensive care nursery, cardiac cath labs, radiation oncology unit, hemodialysis unit, pediatric surgery, cardiac and other surgical subspecialties, laboratory, phlebotomy, and radiological services.
Johnson City Medical Center (JCMC) is located in Johnson City, a city of 55,469 people. The referral base for the Department includes a large rural area oximately 42.6% of the patients seen at ETSU Physicians and Associates are presently in this category. ranging into Southern Kentucky, Southwestern Virginia, Southern West Virginia, and Western North Carolina. Of Johnson City’s population 49,973 are White; 3,549 are Black; 143 are American Indian; 678 are Asian; 1048 are of Hispanic origin; and 1126 are of other races. There are a considerable number of patients who have a rural background.
At JCMC, the primary teaching site, residents are involved in surgeries for three categories of patients: 1) their own patients from gynecologic clinics or continuity clinics; 2) patients of community physicians; and 3) patients of full-time ETSU faculty.
For their own patients, the residents perform history and physical examinations in the outpatient setting, write the pre-operative orders, be involved in the surgical procedure to the level of their ability and be involved in post-operative care.
For ETSU faculty, it is likely that the resident would see the patients pre-operatively and perform pre-operative assessment. They would be involved in the surgical procedure to the level of their ability, and they would see the patients post-operatively. In some cases, however residents may not have the opportunity to see the patients in the office pre-operatively but they do have the opportunity to see the patients pre-operatively on the day of surgery and familiarize themselves with the patient’s history and indications for a surgical procedure. The residents perform the procedure to the level of their ability and round on the patients post-operatively.
For community physician volunteers (clinical faculty), the residents have the opportunity to see the patients in the hospital on the day of surgery prior to the procedure and assess the patient’s history and indications for surgery. The residents round on the patients post-operatively.
The Center For Women's Health
The Center for Women's Health was built as an extension of the hospital and exemplifies the commitment to providing the region with the most advanced care in women's health and maternity services. This facility has 18 LDRPs with four high-risk intensive care monitoring beds, ultrasound and fetal diagnostic testing, and two convenient operating rooms dedicated to cesarean section. Individual on-call rooms for residents are located conveniently to the labor and delivery area. A resident office is located within the Women's Center to provide an area for study and data collection.
The Center for Women's Health offers preventive programs for women's health and a breast care screening program. It also houses the regional perinatal center which is one of five perinatal centers in the State of Tennessee. The hospital has been very staunch in its commitment to women's health in providing a center that has regional recognition for quality care and services.
JCMC is designated as a Safety Net Facility by TennCare since the institution cares for a disproportionate share of the TennCare patient population. TennCare replaced Tennessee Medicaid in 1996. Patients with TennCare insurance are generally reflective of the total population of East Tennessee. Many of the residents' patients are recipients of the TennCare insurance program. Approximately 42.6% of the patients seen at ETSU Physicians and Associates are presently in this category.
In 1992, the obstetrics and gynecology outpatient service moved to the P.L. Robinson Clinical Education Building on State of Franklin Road, adjacent to Johnson City Medical Center. The women's clinic has over 20,000 visits per year in 12,000 sq. ft space. In addition to primary care services for sick and well women, subspecialty clinics are held in adolescent obstetrics, adolescent gynecology, reproductive endocrinology and infertility, gynecologic oncology, high-risk obstetrics and prenatal diagnosis and counseling.
Resident continuity of care clinics are located in the same facility. Residents are assigned their own continuity patients in July of their first year.