The multispecialty clinic in a changing environment.

Abstract

The Ochsner Clinic, faced with a health care delivery environment undergoing dramatic changes, developed a strategy that included the addition of primary care specialists, satellite neighborhood clinics, a distant (regional) multispecialty clinic, and a health maintenance organization. The fundamental changes necessary for a group practice to internalize such a strategy are discussed. The opportunities for graduate medical education and research in the new environment are described.