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The Palmetto Health Family Medicine Center (FMC) is a residency teaching practice located in an urban setting in South Carolina. The practice provides more than 30,000 annual visits to a diverse panel of patients, including low-income and minority individuals, persons with disabilities, the elderly, and persons with multiple chronic diseases. The FMC is staffed by 14 faculty physicians, 30 residents, four fellows, and one nurse practitioner. Faculty and third-year (PGY-3) residents each average 12 half days of patient care per month; first-year (PGY-1) residents, second-year (PGY-2) residents, and fellows each average 7 half days per month. Panels are assigned according to provider full-time equivalent (FTE) count (ie, the number of half days of direct patient care each provider serves per week), with roughly 100 patients assigned per half day.