2020-2021 Family Medicine Chief Residents. Family Medicine Residency at SFGH: Past, Present and Future By Anne Kavanagh The faculty in the fledgling UCSF Family and Community Medicine Residency Program at San Francisco General Hospital pose for a photo in 1976, seven years after the medical specialty was established in part to address the nation's shortage of primary care doctors. “With diabetes, for instance, so much care is required that no clinician can do it alone,” Villela explains. Despite the demands, he still finds time to see patients. View bio. “Bob Crede was ahead of his time,” says Sommers. In this role she sees patients in clinic, at home, and by video. UCSF is an institution of higher learning where tomorrow’s leaders in the life sciences, health care and health policy receive high-quality education and training. QI didactics have been integrated into the R1 curriculum with material from the practice transformation curriculum. “It was very rewarding to be involved in the fiber of the lives of teenagers,” she says. “Our huge challenge right now is gearing up to participate meaningfully in health care reform,” she says. Ross University. “The UCSF SFGH Family and Community Medicine Residency has a distinctive mission to prepare family physicians to care for families and underserved populations,” said Grumbach. “It’s my favorite day,” she adds. “We looked around and saw there were no services for them; those only came into play after they’d been arrested for prostitution,” Chang says. There, residents become very skilled at addressing common pediatric outpatient complaints. Annual bike tour of SF healthcare and social services locations. That ferment led to innovations that have helped make the program a magnet for exceptional students. Caring for underserved Chinese also appealed to Yu, an immigrant from Hong Kong. UCSF needed a leader for this rather herculean task, and Fink got the job. He came to CPHC in 2007 after a long and varied career at UCSF. UCSF is a special place, where the excitement about great clinical care, education, and scholarly activity is enhanced by deeply held values of health equity and public service. Her colleagues and community activists started a program, Banteay Srei, to help sexually exploited girls. In addition to a longitudinal series of clinical lectures and workshops, we provide a social medicine curriculum that runs through three years, a practice transformation and quality improvement curriculum, a behavioral medicine curriculum, and an advocacy and community engagement curriculum. Banujan Balachandran, MD. We are a fast-paced residency and a diverse and inquisitive community, learning through dialogue and shared experiences. And patient-centered care is a major emphasis. She is the director of the geriatrics curriculum for the UCSF Family & Community Medicine Residency. We train residents to think systemically, addressing both the minutia of cellular processes and macrosystemic issues such as culture and policy. “It was very exciting to be paving the way,” recalls Goldschmidt, a longtime professor of family medicine at UCSF. Seven years ago, Kimberly Chang began noticing a troubling trend among her young female patients at Asian Health Services (AHS), a community health center in Oakland’s Chinatown. This time is set aside for in-depth discussions and presentations on primary care topics, practice management, behavioral science, and procedural skills. This time is set aside for in-depth discussions and presentations on primary care topics, practice management, behavioral science, and procedural skills. Her vision led to the highly successful Teens and Tots program, where a multidisciplinary team delivers primary care to teen moms and their kids, along with health and parenting education. Residents who learn best through action, who learn in community, and who enjoy being challenged thrive here. She is now trying to understand from a patient perspective what makes for high quality, coordinated care. The sheer volume of patients visiting La Clínica de La Raza is daunting — 68,000 in 2010. On July 1, Dr. Leah Rorvig became the director of the geriatrics curriculum for the UCSF Family & Community Medicine Residency, based at ZSFG. Director, Chinatown Public Health Center, San Francisco Department of Public Health, Clinical Professor, UCSF Department of Family and Community Medicine. By recruiting the top faculty members, students, residents, and staff nationwide, UCSF — a community of the best and the brightest — sustains its reputation for excellence in education, discovery, and clinical care. We've Moved! In addition to working with residents and ensuring superb care of older adults at the Family Health Center at ZSFG, Dr. Rorvig also sees patients at the SFDPH geriatric assessment clinic with Dr. Anna Chodos. This training complements the pediatric training experience residents have in their continuity clinic, where they learn well-child and preventative pediatrics. On July 1, Dr. Leah Rorvig became the director of the geriatrics curriculum for the UCSF Family & Community Medicine Residency, based at ZSFG. UCSF Fresno Expo Highlights Family and Community Medicine Research: Palliative Medicine Reduces Hospital Charges and Stays: Graduating UCSF Fresno physicians to care for patients and teach future doctors Rotations. AT Still University School of Osteopathic Medicine Arizona. “The UCSF SFGH Family and Community Medicine Residency has a distinctive mission to prepare family physicians to care for families and underserved populations,” said Grumbach. Two fourth-year UCSF medical students, Bill Gerber and Robert Drickey, helped create the groundwork and then became the inaugural residents in 1972. residency program. Learn more, UCSF Program Trains More Than 400 Family Doctors in 40 Years. Dr. Rorvig also sees patients for geriatrics consultation. Patient Care. is board certified in Family Medicine and Hospice and Palliative Medicine. It's a model for community-based training that offers ambulatory and inpatient care, including obstetrics in a variety of settings. Family medicine faculty are regular contributors to these lectures. The Santa Rosa Family Medicine Residency, a UCSF affiliate, is situated 50 miles north of San Francisco. Our Resident Physicians are experiencing a full scope practice and have adjusted very well to their home clinic in Parlier. By recruiting the top faculty members, students, residents, and staff nationwide, UCSF — a community of the best and the brightest — sustains its reputation for excellence in education, discovery, and clinical care. All faculty are members of the Department of Family & Community Medicine of the UCSF School of Medicine. Good thing this was not a crew who listened to conventional wisdom – the UCSF Family and Community Medicine Residency Program at San Francisco General Hospital and Trauma Center (SFGH) celebrates its 40th anniversary in March 2012. These students train in a Family Medicine continuity practice at both Kaiser Permanente Santa Rosa and Rohnert Park sites. On this service, we work very hard to address the severe illnesses endured by patients, and we work just as hard to address the social determinants of health that contributed to hospitalization. UCSF Family Medicine responds to community needs during COVID-19 pandemic Read more Family Community Medicine partners with a network of Transitions Clinics during the COVID-19 pandemic “The traditional one-to-one patient-doctor model is not as effective for patient outcomes as it could be,” he explains. “I like to joke that we change our curriculum every year because we are always innovating,” says Teresa Villela, MD, residency director since 1999 and a 1992 program graduate. He then joined the UCSF internal medicine residency in the Mt. They also decided they “must understand the patient within the context of the community, not just the family,” says Fink. Zion primary care track (UCPC), and participated in the Health Equities Pathway at ZSFG. 2020-2021 Family Medicine Chief Residents. Ross University. UCSF residents and faculty are focused on providing equitable care for all patients and promoting the growth of a diverse physician workforce. Albert Yu loves the diversity of family practice: the range of ages, the wide scope of clinical problems, the multi-layered focus. Welcome to the S an F rancisco General Internal Medicine P rimary C are Track of the UCSF Internal Medicine Residency Program (SFPC).. We were founded in 1982 by Dr. Rick Haber with the vision to provide comprehensive, outstanding and equitable medical care and advocacy for diverse patients and populations, particularly for those from marginalized groups. Goldschmidt, for example, started a family medicine inpatient service at SFGH in 1979 directly linked to the community clinics, enhancing both patient care and physician training. A partnership between UCSF and UHC has provided an immense number of services in O.B., Pediatrics, and Family Medicine. Chang began asking them questions, eventually learning the girls were being sold for sex. In particular, they wanted physicians for hard hit rural areas and inner cities. The residency director in the 1980s, Denise Rodgers, MD, forged important collaborations with hospital leadership to elevate primary care and continually fought funding cuts. This track is offered to PGY-2 and PGY-3 residents. I came to Contra Costa in 2015 and serve as a family medicine physician at North Richmond, and faculty with a passion and commitment to diversity, equity and inclusion; community engagement; and strengthening health career pathways. The UCSF Fresno Family Medicine Residency program implemented the UCSF Double Helix Practice Transformation curriculum into their program in July 2016. Will Kids Be Safe When They Return to School? I remember working out my own rotation with the chief of surgery.”, They were heady days, he says. Annual bike tour of SF healthcare and social services locations . “There were lots of family issues, lots of depression,” says Chang. Jaskeerit Purewal, MD. Many were of Southeast Asian descent whose parents had fled war zones. The New York Times recently wrote that AHS is “in the vanguard of a new public health approach to treating American-born minors lured into the sex trade.” In addition, the Institute on Medicine as a Profession honored Chang for her efforts with a 2011 Physician Advocacy Merit Award. The University of California, San Francisco (UCSF) has been a center for training in Occupational and Environmental Medicine (OEM) since 1977. With the rise of specialists and the decline of general practitioners, the nation was facing a shortage of primary care physicians. She viewed the young women not as criminals but as victims. Global Health Fieldwork: Learn, serve, and teach abroad during 6 months of fieldwork at a vetted international site with a focus on teaching local medical students and training local family medicine resident physicians and contributing to the development of Family Medicine in these countries. We offer a four-year program (PGY 1-4) with 10 residents per year, featuring a strong emphasis on clinical teaching and hands-on training. Since being named chief medical officer in 2005, Zayas continues to shake things up. Arlin Venturina, MD Clinical Professor, UCSF Program Director, UCSF Fresno Department of Family and Community Medicine Chair, Community Regional Medical Center Family Medicine Advisory Arlin Venturina, M.D. We believe that residency is a time to transition from learning by reading to learning by doing. Residency Coordinator Kirsten Dahmen [email protected] Phone: (415) 353-7359 Fax: (415) 514-8928. I came to Contra Costa in 2015 and serve as a family medicine physician at North Richmond, and faculty with a passion and commitment to diversity, equity and inclusion; community engagement; and strengthening health career pathways. Welcome to the UCSF Medicine Residency website. Both clinics became key to training residents — and fell under Fink’s purview. Our residents are also the only interns on the SFGH pediatric wards, where they are supervised by second and third year pediatrics residents. Our Resident Physicians are experiencing a full scope practice and have adjusted very well to their home clinic in Parlier. Leandra Conley, DO. We offer a four-year program (PGY 1-4) with 10 residents per year, featuring a strong emphasis on clinical teaching and hands-on training. They were also open to an idea outside the mainstream: the family as the central unit of care. St. George University. UCSF Fresno Family Medicine offers regularly scheduled didactic sessions. Chicago Medical School at Rosalind Franklin University of Medicine & Science. St. George University. UCSF is an institution of higher learning where tomorrow’s leaders in the life sciences, health care and health policy receive high-quality education and training. “I’ve always been interested in the big picture,” says Odom Walker, who studied engineering and has a master’s in public health from Johns Hopkins University. To that end, our program wholeheartedly supports the rising national consciousness around structural racism and racial inequity. The Occupational and Environmental Medicine Clinic at the UCSF Mount Zion campus provides specialty consultations for patients with illnesses, exposures, or health concerns related to their workplace, … The UCSF Occupational Medicine Residency and Fellowship is an integrated 2-year program in which the trainees progressively take on greater responsibility and achieve core competency in the areas delineated by the American College of Preventive Medicine and the American Conference on Graduate Medical Education (ACGME). But not by his colleagues in the UCSF Division of Ambulatory and Community Medicine. Yu gets such variety in spades as director of the Chinatown Public Health Center (CPHC) in San Francisco. She started in the teen clinic and soon saw the need for family practice-style care for pregnant teens and their babies. Our residents also rotate through the SFGH nursery, where they see a high volume of neonates. The UCSF Primary Care Internal Medicine Residency program implemented the UCSF Double Helix Practice Transformation curriculum into their program in July 2016. Zion primary care track (UCPC), and participated in the Health Equities Pathway at ZSFG. “You can also have a broad impact by getting involved with policy, advocacy, community organizing and public health.”, Kara Odom Walker, MD, MPH, MSHS, SFGH, 2007, Assistant Clinical Professor, UCSF Department of Family and Community Medicine. Cancer/Oncology; Cardiovascular Disease; Chronic Respiratory Disease; Diabetes; Occupational and Environmental Disease UCSF-SFGH interns reflect on family medicine, community, and social justice. All residents are required to do a quality improvement or practice transformation project and a community engagement or advocacy project during residency. Chief Medical Officer, La Clínica de La Raza. Family & Community Medicine Residency Program Pathway. View bio . We all shared the same values, so the arguments were about the best way to learn. As part of the government’s War on Poverty, the Office of Economic Opportunity awarded SFGH a grant to improve outpatient services, including establishing a family health center and a satellite community clinic in the city’s South of Market neighborhood. We believe that the health of one individual is intimately and inextricably connected to the health of all individuals. Emphasizing outpatient care was also met with skepticism. The family health center that Fink launched years ago today has almost 40,000 patient visits a year, many managed by residents. During second and third year, residents have the opportunity to rotate at outside labor and delivery sites to increase their delivery volume and hone their skills. The redwoods, coastline, and vineyards of Sonoma County provide necessary respite during the intense experiences of residency training. Residency: UCSF Family & Community Medicine Residency Program at San Francisco General Hospital Medical School: UCSF School of Medicine, PRIME-Urban Underserved. Because we place a strong value on relationships in medicine, we prioritize continuity in scheduling, and our residents have approximately a 70% continuity rate with their patients. is board certified in Family Medicine and Hospice and Palliative Medicine. The Family Health Center offers a wide range of services, including nutritionists, a behavioral health team, and many specialty clinics that residents rotate through for training. We seek to find each resident’s strengths and learn together as a team. “Family practice is impossible.” That’s what pediatrician Don Fink, MD, heard when he and an intrepid group of UCSF faculty set out to create a new family medicine residency program. They are moving to team-based care, integrating more behavioral health services, and expanding clinical sites, to name a few projects. All impact how someone experiences health and how I need to formulate decisions,” he says. UCSF was ripe territory, therefore, when a new medical specialty was established in 1969 — family medicine. The Department of Medicine at the University of California, San Francisco is committed to training and supporting physicians from all backgrounds, including traditionally underrepresented groups, to enhance the diversity of our residency training programs and to … Learn about UCSF’s response to the coronavirus outbreak, important updates on campus safety precautions, and the latest policies and guidance on our COVID-19 resource website. “Everywhere we went, no one knew what to make of us … There was a lot of on-the-fly creating of curriculum. When she arrived in Los Angeles, the public health system was in chaos because Martin Luther King Jr.-Harbor Hospital, a large public facility, had just closed. UCSF Family and Community Medicine: Third year UCSF Medical Students rotate year-round, longitudinally, with us in their Family and Community Medicine Clerkships. Learn more. For example, current residents are steeped in team-based care as a way to better treat chronic conditions and manage work overload. Family medicine faculty are regular contributors to these lectures. Yet family medicine was controversial, says Fink. AT Still University School of Osteopathic Medicine Arizona. Please visit us at our new webiste: http://fcm.ucsf.edu/education/sfghfcm-residency-program Chicago Medical School at Rosalind Franklin University of Medicine & Science. Zayas then moved on to run school-based clinics. “They provide the meaning and purpose behind everything we do,” he says. Family and Community Medicine residents are the only interns on the labor and delivery floor at SFGH, where they are supervised by fourth year OB residents. Founded in 1974 at Valley Medical Center in Fresno County, the Emergency Medicine residency is one of the first EM programs in the country. “The faculty, residents and many of our colleagues were all supercharged by our social and political mission — health care equality for the poor.”, “Because the residents were activists, we took plenty of gust from them,” says Fink. Second and third year residents are also scheduled with consistent preceptors once a week while on outpatient rotations so that they can benefit from continuity teaching relationships. Innovating to improve care is nothing new to Zayas, who arrived at La Clínica fresh from residency. The UCSF Occupational Medicine Residency and Fellowship is an integrated 2-year program in which the trainees progressively take on greater responsibility and achieve core competency in the areas delineated by the American College of Preventive Medicine and the American Conference on Graduate Medical Education (ACGME). Residents are spending more time in outpatient clinics to enhance continuity of care. Support the development of family medicine in under-resourced countries through collaboration, mentorship, and clinical education. Popular programs for UCFS students include all the Bay Area programs including the UCSF Family Medicine residency program at SFGH, Santa Rosa Family Medicine Residency, Contra Costa Regional Medical Center, San Jose O’Connor Hospital, and Kaiser Permaente Napa-Solano in Vallejo. Our residents train almost exclusively in San Francisco’s Department of Public Health (DPH) clinical network, where over 95% of the patients are uninsured or insured through Medicare or Medicaid. We believe that the health of one individual is intimately and inextricably connected to the health of all individuals. As a resident, you will have some of the best clinical faculty available anywhere available to you. People were more supportive of developing sub-specialists rather than generalists. UCSF Fresno Family Medicine offers regularly scheduled didactic sessions. Banujan Balachandran, MD. His days are a whirlwind of managing the center, teaching residents, collaborating with community partners and treating patients. “They were our guinea pigs,” says Fink. Touro University-California: Since 2010, we have been an academic affiliate of Touro University-CA, College … The UCSF Fresno Family Medicine Residency has graduated hundreds of residents since its inception in 1970. The department does not accept foreign medical graduates. Outpatient Family Medicine: 2 weeks: 2-4 Minor Procedure Clinic Our residency offers strong inpatient training, preparing graduates to manage advanced disease with confidence. Omar Sandoval, MD. The job turned out to be a bit more than Fink bargained for. PG-3 Residents. Resident continuity clinic is at the Family Health Center, the largest primary care clinic in the network. She pursued that quest after residency through the prestigious Robert Wood Johnson Foundation Clinical Scholars Program at UCLA. Yet at its core, the residency has stayed true to its roots. “That’s what makes our training truly unique — this marriage between the academic excellence of UCSF and the mission-driven ethos of SFGH.”. “The standard dissent was that we could not master internal medicine, pediatrics, obstetrics and surgery in three years. 2019 Spokes for Folks. View bio . “Even if we work as fast as we can, there are more patients than we can serve,” says Patricia Zayas, chief medical officer of the Oakland-based community health center, which has 26 sites spanning three Bay Area counties. In general, our longitudinal curricula are structured with a focus on knowledge building in the first year of residency, skill building in the second year of residency, and practical application in the third year of residency. Odom Walker returned to San Francisco and joined the faculty at UCSF with fresh knowledge of how a fragmented health care system can lead to poor access and delays in care. The UCSF SFGH program has an emphasis on training residents and students to work in partnership with patients. UCSF-SFGH interns reflect on family medicine, community, and social justice. All applications are handled through the Electronic Residency Application Service (ERAS). 2019 Residency Graduation. Contra Costa Family Practice Residency Program. Frailty Is a Factor in Higher Mortality for Women Awaiting Liver Transplants. The Santa Rosa Family Medicine Residency, a UCSF affiliate, is situated 50 miles north of San Francisco. Each year, UCSF Orthopaedic Surgery matches six first-year residents (PGY-1s) to the 5-year program, and one to a six-year program with one year of dedicated research. And that number is growing. Transfusion Medicine; Tuberculosis; Malaria; Noncommunicable and/or Chronic Disease. All faculty are members of the Department of Family & Community Medicine of the UCSF School of Medicine. The young clinician-scientist also continues to care for the underserved at SFGH. Arlin Venturina, MD Clinical Professor, UCSF Program Director, UCSF Fresno Department of Family and Community Medicine Chair, Community Regional Medical Center Family Medicine Advisory Arlin Venturina, M.D. Sommers, MD, now professor emeritus of family medicine, and others followed. Tomas Diaz, Lily Muldoon, & Kevin Padrez) who took 3rd place in the 2019 SAEM MedWAR (Medical Wilderness … “It was really an eye-opening experience in how to partner with communities to make a difference at the local level,” she says. We run an independent family medicine inpatient service, staffed by teams that are led by second and third year residents. Our UCPC-GIM residency is fully integrated with the larger Department of Medicine Residency Program at UCSF, which includes the diversity of inpatient training in a 3-hospital system. Congrats to our UCSF team (Drs. OEM Residency. “I’d always wanted to work in public and community health,” he says. Founded in 1972, our residency program grew up alongside the community clinic system in San Francisco. Our second and third year residents manage the antepartum service and are present to support and mentor our first year residents on OB. Residency: UCSF Family & Community Medicine Residency Program at San Francisco General Hospital Medical School: UCSF School of Medicine, PRIME-Urban Underserved. During all three years of residency, residents spend a month in the pediatric urgent care clinic or pediatric emergency room. “With the old model, if the patient doesn’t come in, I don’t take care of the problem,” he says. It's a model for community-based training that offers ambulatory and inpatient care, including obstetrics in a variety of settings. Family & Community Medicine Residency Program Pathway. To equip family physicians with the knowledge and experience to be leaders in global health. In addition, she provides medical expertise for human trafficking task forces in the Western Pacific (Palau, the Marshall Islands and Micronesia). Residents are responsible for a panel of patients starting in their first year. UCSF’s longtime partner in public health, SFGH, stood out as the ideal training ground for the fledging program. Family Medicine Residency Anniversary Addresses Changing Climate of Health Care. 2019 Spokes for Folks. The USF-MPM Family Medicine Residency is the first and only Family Medicine residency in Florida to offer IM training through the University of Arizona’s Integrative Medicine in Residency program. Fink, for one, had learned during house calls that “if I didn’t understand family dynamics, I wasn’t going to be successful in delivering the care children needed.”. Thus, our program combines intensive in-hospital training with structured extensive training in primary care and general medicine. UCSF Medical Center and Moffitt-Long Hospital are located on the main UCSF campus (adjacent to Golden Gate Park) in close proximity to the Schools of Medicine, Dentistry, Nursing, and Pharmacy.Moffitt-Long Hospital is a 500 bed (adults) facility and serves as a tertiary and quaternary referral center and an important provider of primary care to residents of San Francisco. By 1973, they had assembled the first full class of residents and recruited a director, Robert Massad, MD. OEM Residency. Jaskeerit Purewal, MD. Outside of his clinical work, he can often be found baking treats or playing board games in the co-op where he lives, or hiking the trails of Pt. Right now he’s knee-deep in redesigning how CPHC delivers primary care. “Instead, we are creating teams to better support the delivery of services without the physician having to drive it.” They are also developing disease registries to capture all CPHC patients with chronic conditions so the team can conduct outreach. The Family & Community Medicine Residency Program Pathway has given our Resident … These include: Minor Procedure Clinic; Womens and Infants Clinic; Pain Group; Diabetes and Hypertension Group Visits; Substance Use Clinic; Teen Clinic; and Family Care Unit. Each year, UCSF Orthopaedic Surgery matches six first-year residents (PGY-1s) to the 5-year program, and one to a six-year program with one year of dedicated research. He began recruiting faculty; the first was Joanne Donsky, MSW, who is still with the program. Welcome to the S an F rancisco General Internal Medicine P rimary C are Track of the UCSF Internal Medicine Residency Program (SFPC).. 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