OHSU

Nicholas L. Gideonse, M.D.

Head Shot of Nicholas Gideonse
Specialty:
Family Medicine
Special Interests:
Pediatric Care (Family Medicine), Maternity/Obstetrics
Accepting Patients:
No
Languages:
English

Academic and Clinical Positions

Medical Director, Family Medicine at Richmond

Biography

A graduate of Harvard University and Case Western Reserve University School of Medicine, Dr Gideonse is Medical Director and Associate Residency Director of OHSU Family Medicine at Richmond, a 50,000 visit per year FQHC primary care site for greater than 13,000 patients. The site has integrated Behavioral Health,  and is a certified Level 3 Patient-Centered Primary Care Home. Providers include 12 physicians, 11 Mid-level providers, and 12 residents as one of three sites for the OHSU Residency Program.

After residency training at OHSU, he practiced in rural Oregon, returning to OHSU in 2002. His practice interests include: buprenorphine treatment of opiate dependence (particularly in pregnancy), maternity care, end-of-life care and Oregon’s Death with Dignity law, and community standards for pain treatment. His educational interests are the same, plus Patient-Centered Medical Home implementation, and especially barrier-free access. His current administrative challenge is converting this FQHC and residency clinic from visit-driven reimbursement and education to a fully capitated model in order to better support a new model of care.

His interest in Medication-Assisted Treatment for opiate dependence began in 2005 with an individual patient request, and has grown   to 75 or more current buprenorphine patients for the past 5 years.  In addition, five clinic physicians are certified and treating patients; his practice includes group visits, resident training; he has presented on this topic at Safety Net and OCHIN Learning Collaboratives, Oregon Academy of Family Physicians, and Society of Teachers of Family Medicine. His research interest is in using large database sources to study the implementation and population outcomes of integrating MAT and buprenorphine into Safety-Net Primary Care, and he has presented at AHSR on this topic.

He serves on the OHSU Family Medicine Board of Directors, the Oregon Primary Care Association Board of Directors, and as medical director to a Rural Health Clinic.

Professional Education

  • Degree:
    Case Western Reserve University, 1991
  • Residency:
    Oregon Health Sciences University, Chief Resident, 1993-1994
  • Certification:
    American Board of Family Practice, 1994, 2001
 

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503 418-3900

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