Dmg Custom Creaturecleverprestige

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Let me tell you a story that most GMs will be able to relate to.

The other day, I was working on an adventure for my home group. Now, I can't talk in too much detail about it for fear that my players will read this article before they finish the adventure and ruin a surprise. Anyway, I found myself flipping through the Monster Manual, looking for something to fill out an encounter in a room that had a really thing I can't talk about. And I realized I hadn't given any thought to dinner for the night. Well, I decided it was a good night for this lemon and dill infused salmon I make in my steamer. But that would mean a trip to the store. So, I decided to put the adventure building on hold and head to the grocery store. There, I picked up a chunk of salmon, a lemon, and some fresh dill. But the store didn't have any fresh dill. As a fun side note, I've been having a lot of trouble finding dill in Chicago. I don't know why. But that aside, the store had no fresh dill. And ground up dill bits in one of those little spice jars wouldn't work.

Now, dill is one of those tricky herbs. There's nothing quite like it. Substituting for dill is damned hard. In fact, just to make sure, I pulled out my iPhone and did a quick internet search. Sure enough, everyone agrees, it's dill or nothing. Now, ultimately, salmon works well with tarragon or thyme. The store didn't have either of those fresh either. So I had McDonalds. Because, if dinner was going to be ruined, it was going to be Ruined with a capital ‘r'. I don't handle disappointment well. I get spiteful.

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At the same time, I'd been thinking about my monster and adventure thing. I couldn't find just the perfect monster in the Monster Manual. But that was an easy fix. I'd just make my own monster. And then I found myself thinking that the adventure would actually work better if I customized several other monsters. So after I finished the McDonalds, I starting statting up some custom monsters. But I had to stop pretty quickly so I could go to the bathroom and suffer the consequences of McDonalds. I won't go into details.

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I found myself thinking about the dill problem. If I'd been a geneticist, I could have handled the situation easily. I could have just picked up a few herbs, taken them to my genetics lab, and grown my own custom dill. But I'm an accountant. And coming up with your own custom solutions in accounting usually ends up with the IRS throwing you in jail.

Fortunately, at least my adventure wasn't ruined and didn't land me in the bathroom for two hours. It came out really good. Because, while I can't grow my own custom herbs, I can build my own custom monsters. I'm sure you were all hoping for an article about amateur genetics, but instead, we're going to talk about custom monster construction in 5E today.

Why Now?

Why am I talking about this now? Aren't I in the middle of a great series on building adventures? And aren't I also in the middle of a big honking series about building a giant dungeon? Is now really the time to discuss how to populate your adventures with custom critters so that your fantastic adventure ideas aren't hampered by the limited selections of same-ole same-ole monsters in that $50 tome? Note my clever use of sarcasm to illustrate my point.

Custom monsters are an extremely powerful tool. In fact, after actually knowing how to build a f$&%ing adventure, I'd say that it's the most important tool in the adventure building toolkit. At least in D&D. Because D&D adventures always involve at least one good battle. And one of the things the designers of D&D actually did really well in the Dungeon Master's Guide for 5E was to actually provide robust tools for building custom monsters. And when I say building, I mean Building with a capital ‘B'.

Now, we're going to break this down into THREE lessons. Lesson one is about custom monster building the RIGHT WAY. That's this one. Lesson two is about custom monster building in D&D 5E. Lesson three is about custom monster building in Pathfinder, because I don't want to leave the Pathfinder folks out.

Why Skinjobs Suck

Let's talk about skinjobs. No, I don't mean the androids from the early 1980's sci-fi classic Terminator (or whatever, I frankly don't give a f$&%). I mean the skinjobs that most DMs online tell you are all you need. That is, reskinning monsters.

A skinjob or reskin occurs when you take a monster from the Monster Manual and use the monster's stats, but you call it a different monster and change it's appearance. So, it's not a kobold, it's a fiendish monkey creature that inhabits your little jungle temple. And it's not a troll, it's a giant gorilla that happens to be regenerate and have a weirdly inexplicable vulnerability to fire and acid.

Now, there is nothing inherently wrong with this approach except that it is terrible and it makes you a horrible GM and every time you do it, it makes Gary Gygax cry in gamer Valhalla. That's right, you're the reason Gary Gygax can't enjoy a peaceful gamer afterlife with endless beer and 1d4+2 virgin valkyries.

Look, reskinning is an okay thing once in a rare while. It's kind of like a dude wearing his sister's underwear. It can get him through an emergency, but he doesn't want to make a habit of it.

The thing with reskinning is that, ideally, theme and mechanics work together in a beautiful synergy. The whole becomes greater than the sum of its parts because of the way the two parts work together. So, sure, I could turn kobolds into monkey-beings that guard my monkey temple. But looking at some interesting furry mammals, I discover lemurs have tough bites and a powerful leap and they tend to mob prey. They also have a amazing climbing ability. Kobolds just have that mob thing. Think how much more more interesting my lemurians could be. The ceilings of my temples could be overgrown with vines and the lemurians could leap up to the ceiling, drop on invaders, and mob them to pull them down. There's nothing quite like that in the Monster Manual.

And that sort of crap invites players to get creative. Maybe the fire wizard burns the vines so the lemurians can't escape to the ceiling. I don't know. Something. And the party stays close together so the lemurians can't mob one party member. Or they retreat from the vine rooms.

When form matches function, the players can make educated guesses about tactics even before they see those tactics in action. Moreover, when the players are caught by surprise by some weird ability, instead of feeling screwed, they look at the creature and say 'oh, yeah, that actually makes sense, should have seen that coming.' It empowers the players. A kobold in a monkey costume isn't empowering.

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Close Enough isn't Good Enough

When D&D 4E hit the scene, one of the things that became popular was this crib sheet that let you slap together a quick-and-dirty monster by eyeballing the stats. All first level beasties should have an AC of 12, for example, or do 5 hp of damage with an attack bonus of +3. Whatever. Doesn't matter the specifics. That got spread around. And it was utter crap.

Meanwhile, both Pathfinder and D&D 5E have these tables of expected stats by Challenge Rating. And the implication is that you can simply slap together a monster by picking a row on that table, giving it those stats, and calling it a day. And you can. If you want to suck.

Both Pathfinder and D&D 5E have a really beautiful (yeah, I said nice thing) internal logic to them, a consistency. And the players and the GM learn that consistency by using it over and over and over. And then, it gives them cues. If a monster normal-size is wielding a longsword, I know about how much damage that thing is going to do to me. At least, I can ballpark it. And this goes pretty deep. Deeper than you realize. If a monster is wearing light armor and it doesn't have any sort of shell or scales or thick hide and I consistently miss on my attacks, the spellcaster is not going to throw anything that can be dodged. No Dexterity or Reflex saves. Why? The creature probably has a high Dexterity score and thus is really good at hitting the deck when a fireball goes off. And if the creature isn't physically imposing, I'm more likely to succeed if I try to wrestle it or shove it around. Consciously or not, the players makes decisions based on all the cues you give them. And spellcasters especially rely on those cues, because most of their resources are limited, and they need to use the right tool for the right job.

It's ESPECIALLY important if you're ever going to share a monster beyond the table not to simply fake it. Because you never know who is using your stuff. Maybe it is some table of non-tactical fluffy gamers who don't give a f$&%. Or maybe it's a table of real players who play right and focus on decisions and choices, including those of a tactical nature. It actually takes nothing away from the fluffy players if the monster is mechanically consistent. The only reason people avoid it is because it's tricky work.

Lazy GMs Need Not Apply

Long story short, if you're lazy or impatient or just want to half-a$& things, custom monster building isn't for you. You can do the skinjobs, you can do the close-enough, but frankly, why bother? Sure you can reskin a troll so that your players 'won't metagame and use its weaknesses,' but all that does is (a) prevent you from learning how to build GOOD monsters, (b) prevent you from learning how to build GOOD challenges without relying on surprise screw-jobs, (c) piss off your players, and (d) give you a monster you can only ever use once because after that the players will know their weaknesses and you don't know how to handle it when players KNOW the weaknesses of a monster and exploit them.

Custom monster building is kind of like painting miniatures. Some folks do it to make their games better, right? But it's a lot of work. And it's something you kind of have to enjoy for its own merits. Frankly, most GMs never need to touch custom monster building. At all. But if you're going to touch it, you need to understand it takes time and patience, there's a right way to do it, and your efforts will get better with time and practice.

Monster Building Basics

First, last, and in between, Pathfinder and ESPECIALLY Dungeons and Dragons 5E give you some really GREAT tools to build monsters with. And they explain those tools really, really badly. Especially Dungeons and Dragon's 5th Edition. Holy s$&% is that a mess of explanation for a really great set of tools. What that means is I'm going to f$%& with their process somewhat. I'm going to tell you a better process. So anytime I contradict something they say, f$&% them. I'm doing it better.

Let's start with some basic rules. Or rather, let's end with some basic rules. In the next installment, we'll tackle the specifics of monster building in D&D 5E. And after that, we'll make some Pathfinder beasts. So, you enjoy these quick tips and I'm going to have some salmon.

Understand the F$%&ing System

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You cannot build a solid, consistent, well-designed custom monster without an understanding of the system itself. And I mean a good understanding. In D&D 5E for example, you've got to know how a saving throw DC is calculated (8 + Proficiency Modifier + relevant Ability Score Modifier). Same with Pathfinder (10 + half HD + relevant Ability Score modifier). You need to know what the components of an attack roll are and how damage is calculated. You need to know, in your system of choice, how skill bonuses are determined, and how many feats something gets, and what it means to be a monstrosity or not to have a Constitution score. You don't have to be able to quote this stuff without reference to a book (though eventually, you will be able to), but you need to know where to find this information. And that's tricky in both D&D 5E and Pathfinder. 5E is so poorly arranged it's hard to find anything and building a monster requires three books. In Pathfinder, it's easier and only takes two books, but they are massive books with lots of stuff in them.

Know Why You're Building What You're Building

You have to know why you're doing what you're doing. And I don't mean 'I want something new and unique here in this room,' or 'I'm bored and want to build a monster.' Before you decide to build a monster, you've got to know what purpose the monster serves in the game. Now, I've seen a lot of custom monster stuff tell you that 'you need a good concept.' That's not true. You don't need a good concept before you start building. Like, you don't need to say 'I need an animated statue here that contains the divine essence of a god and serves as the final guardian for a sacred site and has divine magic.' But you DO need to say 'well, I've got a temple that needs a guardian thing.'

More specifically, you need to know what role the monster fills in the game. Is it self-sufficient or does it work as part of a group? If it's part of a group, what does it do in that group? Is it just ground infantry, ranged support, leadership, whatever? What are its goals? What's it trying to accomplish? How does it serve the game? And how powerful is it? In concrete game terms, that is.

'I need a final guardian for my temple, the last challenge of the adventure, and it alone has to try to drive off or defeat the party. It's defensive by nature and should try to outlast the party while protecting whatever it protects. And it needs to be a difficult challenge for 4th level PCs. Let's say CR 5.'

Or…

'I need little humanoid temple servants to serve the same ecological niche as goblins and kobolds. They work as a group and I should probably come up with a couple of different varieties. They should be monkey themed. They'll be up against 4th level PCs, but individually, they aren't very powerful. CR 1 tops so I can use lots of them.'

Figure Out Your Target Numbers

Monsters have a whole bunch of combat statistics, like attack modifiers, damage, armor class, saving throws, and hit points. You want to figure out roughly speaking where you need those numbers to be. We'll come back to this in more detail in parts two and three because it's quite system specific. But the thing is, you always want to work backwards into the creature. Basically, you want to do this in the complete opposite way you build a PC. Well, mostly. I'll explain what I mean with the last bit:

Ability Scores Come Last

Your ability scores, regardless of the system you are working with, are the LAST THING you come up with. Not the first. The last. Well, among the last. Hit Dice also come pretty near the end. You might think that the ability scores are so central to your concept that you need to know those first. And it's not bad to know that a creature is going to be strong or agile or smart or alert. But ability scores are the thing you have the most actual freedom with in either system. So, when you discover that your damage is coming up short, you can tweak it by giving the creature an extra two points of Strength. Now, that Strength increase is going to trickle back through to other things (like attack rolls or skill checks), but it's that system that keeps your creature consistent so that players can decide that it's too strong to shove or too agile to fireball.

Tweak, Tweak, Tweak

As you build your monster, you're going to bounce back and forth a lot. You're going to discover that the Constitution score you gave it puts it's HP too high, so you have to take away a HD or two, which will affect its skill points and feats (maybe). Or the extra point of Strength gives it too much extra damage. So, you're going to be fiddling a bit, especially toward the end, to make everything work. Just accept that.

Concepts Get Tweaked Too

So, my little lemurians might start out weak and agile, but during the tweaking phase, they might get stronger because of attack and damage roll calculations. That's fine. I just have to be willing to make them stronger. Maybe instead of lemur people, they are baboon people. A little bit tougher than before.

The point is, your concept isn't superior to the mechanics. Everyone thinks mechanics must serve the concept and any tweaking is always done to the mechanics. Well, that's not true. It's got to be able to go either way. Sometimes the needs of the game need to feed back up the assembly line and affect the concept, the fluff, the story. If you can't get over that, if you are so married to your concepts that the idea of letting the game mechanics force a tweak, you can't build custom content. Accept it.

Know When to Stop

In the end, though, you're also never going to get it perfect. It's never going to be one hundred percent dead on. The numbers won't quite match. You're going to be a little off here and there. And tweaking one thing will break another. There does come a point where you have to stop fiddling and accept that some part of it is going to be a little off. No system is perfect. Strive for precision, but have a reasonable tolerance for error.

DuPage Med­ical Group (DMG) was formed in 1999 when three health­care groups serv­ing the west­ern sub­urbs of Chica­go since the 1960s joined togeth­er. Today, DMG has grown into the largest and most suc­cess­ful inde­pen­dent mul­ti-spe­cial­ty physi­cian groups in Illinois.

This suc­cess is large­ly based on the informed direc­tion it receives through a physi­cian-gov­erned board. DMG is led by expe­ri­enced physi­cians who con­tin­u­al­ly seek inno­va­tions through a mod­el of QEA: Qual­i­ty, Effi­cien­cy and Access.

Man­ag­ing such a proac­tive mod­el of med­i­cine allows DMG to pro­vide qual­i­ty care, con­struct the most advanced facil­i­ties and imple­ment the lat­est tech­nol­o­gy. Through secure access of an elec­tron­ic health record and our patient por­tal, MyChart, our physi­cians and patients stay close­ly con­nect­ed on the care that forms the big­ger pic­ture of each patient's health. DMG pro­motes strong col­lab­o­ra­tion among its med­ical staff and solic­its help­ful feed­back from patients. Strong admin­is­tra­tive sup­port cre­ates sta­bil­i­ty for DMG physi­cians, empow­er­ing them to help dri­ve the group forward.

The end result is a tight-knit physi­cian group that sets the indus­try stan­dard and keeps ahead of the curve in the ever-chang­ing field of healthcare.

Con­tact Information

DuPage Med­ical Group, Cor­po­rate Office
1100 West 31st Street
Suite 300
Down­ers Grove, IL 60515
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Gen­er­al Inquiries 1−630−469−9200
Cus­tomer Ser­vice 1−630−942−7998
Appoint­ments 1 – 888-MY-DMG-DR (693−6437)

Mis­sion & Vision

Mis­sion

The mis­sion of DuPage Med­ical Group is to enhance the phys­i­cal well being of the patients we serve by con­tin­u­ing to pro­vide the high­est qual­i­ty med­ical care available.

Vision

To accom­plish this mis­sion, DuPage Med­ical Group will always pro­vide a com­pre­hen­sive array of health­care ser­vices for our patients, uti­liz­ing lead­ing-edge tech­nol­o­gy and tech­niques. Our med­ical team and sup­port staff will work togeth­er as a close-knit team. In turn, this col­lab­o­ra­tive cul­ture will allow us to con­tin­u­al­ly attract the high­est qual­i­ty physi­cians and staff mem­bers. And by pre­serv­ing the physician's lead­er­ship role in direct­ing our progress, DMG will ensure the most effi­cient, pro­gres­sive care possible.

The areas that we serve are also the places we call home. Our patients are our friends, fam­i­ly and neigh­bors. DuPage Med­ical Group will con­tin­ue to work active­ly in sup­port of these com­mu­ni­ties through vol­un­teer ser­vice and char­i­ta­ble giving.

Val­ues

DuPage Med­ical Group's approach to ser­vice excel­lence is based on the fol­low­ing C.A.R.E. val­ues in our dai­ly prac­tice. These apply to inter­ac­tions with every­one we view as our cus­tomers: patients, staff, physi­cians, ven­dors and the greater community.

Com­pas­sion

Gen­uine health­care address­es the needs of the patients and providers alike. The empa­thy that we show towards our cus­tomers begins with active lis­ten­ing. We then respond with action that we believe will pro­vide the best solu­tion. By demon­strat­ing gen­uine inter­est in the cus­tomer and meet­ing their needs, we build the foun­da­tion for DuPage Med­ical Group as a whole.

Account­abil­i­ty

DuPage Med­ical Group pro­motes a cul­ture of respon­si­bil­i­ty through respon­sive­ness and fol­low-through. Our abil­i­ty to pro­vide the high­est lev­el of care affords us the con­fi­dence to stand by our ser­vice for each cus­tomer. Accu­ra­cy is of the utmost impor­tance. The col­lab­o­ra­tive nature of our work helps us elim­i­nate mis­takes and make the most edu­cat­ed deci­sions possible.

Respect

Sen­si­tiv­i­ty applies to much more than the phys­i­cal symp­toms of health­care. We pro­mote respect through con­sid­er­a­tion of each customer's unique view­points and emo­tions. This cul­ture allows us to fos­ter a pos­i­tive envi­ron­ment to address impor­tant health­care needs. If our cus­tomers under­stand that they can trust us with their per­son­al feel­ings as well as their health con­cerns, we will be able to build rela­tion­ships that offer a life­time of care.

Excel­lence

We are com­mit­ted to going above and beyond expec­ta­tions for all cus­tomers at DuPage Med­ical Group. Our goal is to cre­ate a pos­i­tive expe­ri­ence that pro­vides reas­sur­ance and results. We offer pro­fes­sion­al ser­vice and advanced tech­nol­o­gy, all with­in a com­pas­sion­ate set­ting. And by con­tin­u­ous­ly tak­ing the ini­tia­tive to dis­cov­er new inno­va­tions, we give our cus­tomers a sense of secu­ri­ty in know­ing that they are in the most capa­ble hands.

His­to­ry

The His­to­ry of DuPage Med­ical Group – Supe­ri­or Health Care and Innovation

DuPage Med­ical Group began 50 years ago as the brain­child of Dr. Robert McCray, a local sur­geon and health care vision­ary. Dr. McCray's advance­ments helped rede­fine the physi­cian prac­tice in DuPage Coun­ty into the kind of per­son­al­ized, lead­ing-edge health care that until then was rarely avail­able out­side the uni­ver­si­ty med­ical or research cen­ter settings.

The For­ma­tion

In the ear­ly 1960s, Dr. McCray was still new to med­i­cine as a pri­vate-prac­tice sur­geon in Glen Ellyn, Ill., when he began re-imag­in­ing the physi­cian prac­tice as a way to give local patients access to advanced care spe­cial­ists and relat­ed med­ical ser­vices all under one roof. A rev­o­lu­tion­ary idea at a time when only 11 physi­cians prac­ticed in Glen Ellyn with few med­ical spe­cial­ists, Dr. McCray antic­i­pat­ed many aspects of group prac­tice now con­sid­ered commonplace.

Dmg Custom Creaturecleverprestige

Gen­er­al Inquiries 1−630−469−9200
Cus­tomer Ser­vice 1−630−942−7998
Appoint­ments 1 – 888-MY-DMG-DR (693−6437)

Mis­sion & Vision

Mis­sion

The mis­sion of DuPage Med­ical Group is to enhance the phys­i­cal well being of the patients we serve by con­tin­u­ing to pro­vide the high­est qual­i­ty med­ical care available.

Vision

To accom­plish this mis­sion, DuPage Med­ical Group will always pro­vide a com­pre­hen­sive array of health­care ser­vices for our patients, uti­liz­ing lead­ing-edge tech­nol­o­gy and tech­niques. Our med­ical team and sup­port staff will work togeth­er as a close-knit team. In turn, this col­lab­o­ra­tive cul­ture will allow us to con­tin­u­al­ly attract the high­est qual­i­ty physi­cians and staff mem­bers. And by pre­serv­ing the physician's lead­er­ship role in direct­ing our progress, DMG will ensure the most effi­cient, pro­gres­sive care possible.

The areas that we serve are also the places we call home. Our patients are our friends, fam­i­ly and neigh­bors. DuPage Med­ical Group will con­tin­ue to work active­ly in sup­port of these com­mu­ni­ties through vol­un­teer ser­vice and char­i­ta­ble giving.

Val­ues

DuPage Med­ical Group's approach to ser­vice excel­lence is based on the fol­low­ing C.A.R.E. val­ues in our dai­ly prac­tice. These apply to inter­ac­tions with every­one we view as our cus­tomers: patients, staff, physi­cians, ven­dors and the greater community.

Com­pas­sion

Gen­uine health­care address­es the needs of the patients and providers alike. The empa­thy that we show towards our cus­tomers begins with active lis­ten­ing. We then respond with action that we believe will pro­vide the best solu­tion. By demon­strat­ing gen­uine inter­est in the cus­tomer and meet­ing their needs, we build the foun­da­tion for DuPage Med­ical Group as a whole.

Account­abil­i­ty

DuPage Med­ical Group pro­motes a cul­ture of respon­si­bil­i­ty through respon­sive­ness and fol­low-through. Our abil­i­ty to pro­vide the high­est lev­el of care affords us the con­fi­dence to stand by our ser­vice for each cus­tomer. Accu­ra­cy is of the utmost impor­tance. The col­lab­o­ra­tive nature of our work helps us elim­i­nate mis­takes and make the most edu­cat­ed deci­sions possible.

Respect

Sen­si­tiv­i­ty applies to much more than the phys­i­cal symp­toms of health­care. We pro­mote respect through con­sid­er­a­tion of each customer's unique view­points and emo­tions. This cul­ture allows us to fos­ter a pos­i­tive envi­ron­ment to address impor­tant health­care needs. If our cus­tomers under­stand that they can trust us with their per­son­al feel­ings as well as their health con­cerns, we will be able to build rela­tion­ships that offer a life­time of care.

Excel­lence

We are com­mit­ted to going above and beyond expec­ta­tions for all cus­tomers at DuPage Med­ical Group. Our goal is to cre­ate a pos­i­tive expe­ri­ence that pro­vides reas­sur­ance and results. We offer pro­fes­sion­al ser­vice and advanced tech­nol­o­gy, all with­in a com­pas­sion­ate set­ting. And by con­tin­u­ous­ly tak­ing the ini­tia­tive to dis­cov­er new inno­va­tions, we give our cus­tomers a sense of secu­ri­ty in know­ing that they are in the most capa­ble hands.

His­to­ry

The His­to­ry of DuPage Med­ical Group – Supe­ri­or Health Care and Innovation

DuPage Med­ical Group began 50 years ago as the brain­child of Dr. Robert McCray, a local sur­geon and health care vision­ary. Dr. McCray's advance­ments helped rede­fine the physi­cian prac­tice in DuPage Coun­ty into the kind of per­son­al­ized, lead­ing-edge health care that until then was rarely avail­able out­side the uni­ver­si­ty med­ical or research cen­ter settings.

The For­ma­tion

In the ear­ly 1960s, Dr. McCray was still new to med­i­cine as a pri­vate-prac­tice sur­geon in Glen Ellyn, Ill., when he began re-imag­in­ing the physi­cian prac­tice as a way to give local patients access to advanced care spe­cial­ists and relat­ed med­ical ser­vices all under one roof. A rev­o­lu­tion­ary idea at a time when only 11 physi­cians prac­ticed in Glen Ellyn with few med­ical spe­cial­ists, Dr. McCray antic­i­pat­ed many aspects of group prac­tice now con­sid­ered commonplace.

Dr. McCray vis­it­ed 35 clin­ics across the coun­try, includ­ing Minnesota's pres­ti­gious Mayo Clin­ic, exam­in­ing spe­cif­ic ele­ments that made group prac­tices suc­cess­ful. He teamed with sev­er­al local physi­cians – fel­low sur­geon and part­ner Dr. Glen Asselmeier, internists Drs. Joe Crum­rine, Fred Kuharich and James Erlen­born and pedi­a­tri­cians Drs. James Ver­coe and William Kin­dra­chuk. Dr. Gary Chris­tensen joined the team a short time lat­er after com­plet­ing a res­i­den­cy in obstet­rics and gynecology.

The group broke ground in August 1963 on a 12,000-square-foot build­ing and agreed on call­ing itself the Glen Ellyn Clin­ic, part­ly in homage to the Mayo Clinic.

Built with Innovation

The Glen Ellyn Clin­ic opened its doors on Sep­tem­ber 1, 1964, with eight physi­cians, 15 nurs­es and a staff of lab tech­ni­cians and admin­is­tra­tive per­son­nel. The clin­ic offered a host of inno­va­tions that were ground­break­ing at the time – a lab­o­ra­to­ry, X‑ray ser­vices and a phar­ma­cy, all onsite. The clin­ic offered evening hours, around-the-clock pedi­atric care and an urgent care depart­ment. For the first time, DuPage Coun­ty patients had access to a full range of spe­cial­ty health care – surgery, inter­nal med­i­cine, obstet­rics and gyne­col­o­gy, pedi­atrics and ancil­lary ser­vices – in one location.

The clin­ic embraced admin­is­tra­tive inno­va­tions as well. Physi­cians com­bined their nurs­ing and office staffs, med­ical records and billing func­tions. Accounts receiv­able were pooled and a bonus struc­ture imple­ment­ed based on per­for­mance and clin­ic prof­itabil­i­ty. The founders also ensured part­ner­ships would be avail­able to younger physicians.

After it's first year of oper­a­tion, the clin­ic was see­ing 300 new patients a month. By 1970, the part­ner­ship had grown to 25 physi­cians, while office and lab space was added with a 24,000-square-foot clin­ic expansion.

Suc­cess and Growth

The clinic's patient pop­u­la­tion and staff con­tin­ued expand­ing in the ear­ly 1970s. Two new office build­ings were built to accom­mo­date the many new med­ical spe­cial­ists who were join­ing. New physi­cians saw Glen Ellyn Clin­ic as an oppor­tu­ni­ty to prac­tice in the com­pa­ny of estab­lished col­leagues. Mean­while, the clin­ic intro­duced a range of spe­cial­ties to the West­ern Sub­urbs, includ­ing tho­racic surgery, neu­ro­surgery, car­diac surgery, gas­troen­terol­o­gy, inva­sive car­di­ol­o­gy and neonatology.

The clin­ic con­tin­ued expand­ing in the 1980s, adding 38,000 square feet of office and lab space to accom­mo­date physi­cians in 16 spe­cial­ties and sub-spe­cial­ties. Clin­ic offices were opened in Bloom­ing­dale and Naperville with a full range of ser­vices. By the end of the decade, the Glen Ellyn Clin­ic was one of the city's biggest employ­ers – 80 physi­cians and a staff of 480 han­dling 300,000 annu­al patient vis­its. It also owned one of the largest clin­ic oper­at­ed labs in Illi­nois, annu­al­ly per­form­ing more than 100,000 tests onsite and 25,000 more offsite.

Change and Transition

The 1990s saw sig­nif­i­cant changes as sev­er­al found­ing clin­ic part­ners began retir­ing. In addi­tion, advances in med­ical and infor­ma­tion tech­nol­o­gy required sig­nif­i­cant finan­cial invest­ment to keep pace with the indus­try. Beyond that, the emer­gence of man­aged care and the result­ing changes in reim­burse­ment meth­ods called for new oper­a­tional strate­gies. In the late 1990s, the clin­ic became part of the country's largest physi­cian man­age­ment com­pa­ny in an effort to ensure the finan­cial strength it need­ed to con­tin­ue growing.

The new arrange­ment didn't mean an end to the chal­lenges, how­ev­er. As man­aged care gained ground in the 1990s, physi­cian groups across the coun­try expe­ri­enced increas­ing pres­sures, includ­ing two oth­ers in DuPage Coun­ty that would fig­ure promi­nent­ly in the Glen Ellyn Clinic's future – Mid-Amer­i­ca Health Part­ners and Wheaton Med­ical Clinic.

Formed in 1964, Wheaton Med­ical Clin­ic includ­ed 25 physi­cians and had recent­ly affil­i­at­ed itself with a major health insur­er. With 50 pri­ma­ry care physi­cians, Mid-Amer­i­ca Health Part­ners had formed in 1995 as a physi­cian-led inde­pen­dent prac­tice group. After Wheaton Med­ical Clin­ic merged with the Glen Ellyn Clin­ic in 1997, Mid-Amer­i­ca joined the fol­low­ing year. Short­ly after, physi­cians from all three began efforts to return the com­bined clin­ic to the pri­vate physi­cian group-prac­tice mod­el under local control.

The result was DuPage Med­ical Group formed in 1999.

Present-Day Com­mit­ment

DuPage Med­ical Group is now the state's lead­ing mul­ti-spe­cial­ty group prac­tice and still com­mit­ted to supe­ri­or care and inno­va­tion, with a lead­er­ship struc­ture designed to main­tain bal­ance between pri­ma­ry and spe­cial­ty care. With more than 700 pri­ma­ry care and spe­cial­ty physi­cians in more than 100 loca­tions, DuPage Med­ical Group han­dles upwards of 2 mil­lion patient vis­its annu­al­ly, treat­ing about a third of DuPage County's population.

Today, DuPage Med­ical Group is expe­ri­enc­ing unprece­dent­ed growth and expan­sion into neigh­bor­ing coun­ties, as the orga­ni­za­tion con­tin­u­ous­ly strives to meet the pop­u­la­tion growth and move­ment of patients into sur­round­ing areas. Car­ry­ing on the lega­cy of Dr. McCray and his co-founders, DuPage Med­ical Group is focused on pro­vid­ing the West­ern Sub­urbs with access to the finest health care avail­able and oper­at­ing on the prin­ci­pal that physi­cians make the best deci­sions for patient care.

The Road Ahead

With recent­ly enact­ed changes in nation­al health care pol­i­cy, uncer­tain­ty in the indus­try is like­ly to linger for the next sev­er­al years. DuPage Med­ical Group will stay pre­pared by con­tin­u­ing to attract the most tal­ent­ed physi­cians, nurs­es and admin­is­tra­tive staff. Along the way, we'll nev­er for­get our founders' ded­i­ca­tion to the patients and neigh­bor­hoods we serve.





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