What type of affiliation does FDR have with SUNY Buffalo?
our physicians have faculty appointments in the Department
of Emergency Medicine. Brooks
Memorial Hospital serves as a training site for both
residents and fourth year medical students from the
University at Buffalo School of Medicine. This has been in
place now for four years.
What type of billing services does FDR use?
FDR has its own billing and
collections company that is based in Western New York. We
currently par with all major insurances that our hospitals
contract with. A toll free number is available to patients
for any billing questions.
Does FDR use any physicians that
are not Emergency medicine trained?
Though we believe that emergency medicine training is best,
we have incorporated emergency physicians that are on staff
at hospitals. If the medical staff and administration
believe a physician has does a good job and should be kept
on staff we have accommodated such requests.
How are patient complaints handled?
director reviews the complaint speaks with the patient, and
a follow up letter is sent to the patient. All our
physicians are required to read “Leadership for Great
Customer Service” written specifically for emergency
medicine. We believe in identifying unsatisfied patients in
the ER at the time of the visit and dealing with unmet
Does FDR participate in marketing
with the hospital?
FDR has been involved financially with our hospitals in such
things as billboards, shirts, and hats. We also have given
lectures to the community on medical topics, written
articles for the local newspaper, and cosponsored EMS
How does a physician become a
partner in FDR?
years of service a physician is made partner in our group.
Unlike most groups, FDR does not have a monetary buy-in,
instead, years of quality hard work is all we require.
How many emergency room patients do
your physicians see per hour?
Our Emergency Physicians see
approximately 1.6 patients per hour. At Brooks where there
are no mid-level providers they see 1.7 patients per hour.
We believe in these staffing levels for safety and physician
well being. At Niagara Falls for example, we have 24hrs of
physician coverage and another 24 hrs of staggered midlevel
coverage (10a-10p and 3p-3a) for approx 27,000 visits.
oversight for the group?
Cooley MD joined our group in 2005 as our EMS Coordinator.
He completed a 2 year EMS fellowship at Erie County Medical
Center after his emergency medicine residency training.
Craig also has a Master’s degree in public health.
Why does FDR feel that residency
training is so important?
believe that those best capable of working in an emergency
department are those that have been trained in the
specialty. The training in emergency medicine is unique
since it deals with identifying and managing emergency
aspects of all medical disciplines. Emergency medicine
training includes significant time in medicine, pediatrics,
orthopedics, toxicology, trauma, and intensive care. All
those now trained in emergency medicine become proficient in
emergency ultrasound for identifying such emergencies as
ruptured ectopic pregnancy, ruptured abdominal aneurisms,
intra abdominal bleeding in trauma (see below), and
pericardial effusions. Included in this booklet are
published studies demonstrating clear differences with
emergency medicine training.
The pictures on the left show an
Emergency Physician making a rapid bedside diagnosis of
intraperitoneal blood with ultrasound in a trauma patient.
This saves time in the critical patient. We use this
technology at all of the emergency departments we staff.