Primary care residents’ first year is similar to the categorical internal medicine interns, although they have additional ambulatory block time. Nine months are spent in hospital and emergency department rotations, and three months occur in the ambulatory setting. All interns begin their continuity clinic, based at SFGH, during their intern year. During the ambulatory months, interns receive a structured ambulatory curriculum focused on outpatient medicine and working with vulnerable populations; they also receive special preparation on how to work effectively in our primary care clinic at SFGH (General Medical Clinic). All SFPC interns have their block months together, which provides an opportunity for community building and shared experiences.
R2 and R3 years
In the second and third years, residents spend half of the year in hospital rotations and the other half in the ambulatory setting. During this period, residents receive their core ambulatory curriculum over a two year span, which includes the following:
- Traditional didactic sessions organized into modules and focused towards primary care residents. Modules include Endocrinology, Rheumatology, Geriatrics, HIV Medicine, Psychiatry/ Behavioral Medicine, and many others. Speakers tend to be faculty at SFGH; they focus on ways to provide high quality care to underserved population and apply their teaching to our patient population.
- • Outpatient clinic rotations at SFGH including: Hematology, Oncology, Women’s Clinic, Tuberculosis Clinic, HIV Clinic, Homeless Outreach, and San Quentin Prison, among others.
- A second community clinic based on the resident’s interests. Examples of second community clinics include the East Bay AIDS Center, La Cli҆nica de la Raza, Over 60s Clinic (geriatric medicine), and various community clinics in San Francisco. This experience provides an additional opportunity to develop primary care skills in a different setting.
- Educational conferences
- Ambulatory Report
- Journal Club
- Ambulatory Morbidity & Mortality Report
- Primary Care Grand Rounds
- Quality Improvement and Patient Safety Curriculum
Health Equities Curriculum
All members of the SFGH Primary Care Tract participate in the Health Equities: Academics and Advocacy Training (HEAAT) curriculum. This training occurs during the R2 and R3 years and consists of didactics, site visits, and opportunities for scholarly work. Educational topics areas include housing and homelessness, social determinants of health, substance use, prison medicine, and many others. Residents from all UCSF internal medicine tracks can select to participate in this curriculum as well, which provides opportunities for residents to collaborate across tracks. In addition to the HEAAT curriculum, residents have the option of developing a project and joining the School of Medicine’s Health and Society Pathway to Discovery.