Curriculum

Dr. Beaman in Intern Clinic

Interns in Clinic

Interns in Clinic

Dr. Addington-White in Clinic

 

PG1 Year

The intern year for primary care medicine interns at SFPC is similar to that for the categorical internal medicine interns, with nine to 10 months spent on hospital-based and emergency department rotations in addition to two to three months of outpatient rotations. SFPC interns will participate in two clinic immersion months alongside their fellow SFPC interns focused on outpatient medicine skills, community activities, and SFPC team building. 

Sample SFPC Clinic Immersion Month:

PG1 MON TU WED TH FRI
AM Urgent
Care
Ambulatory
Medicine
Didactics
Intern
Half
Day
Ambulatory
Medicine
Didactics
Social Medicine
& Community
Site Visits
12 Medicine
Conference
SFGH Medicine
Grand Rounds
M&M
Conference
Medicine
Conference
Journal
Club
PM RFPC
Continuity
Clinic
Ambulatory
Medicine
Didactics
Administrative
Time
RFPC
Continuity
Clinic
RFPC
Continuity
Clinic

PG2 Year 

The second and third year for SFPC residents involve six to seven outpatient blocks alternating with five to six inpatient rotations. Ambulatory months are designed to include intensive continuity clinic experiences with rotations through core medicine subspecialty clinics. SFPC residents participate in dedicated primary care and health equity didactic curriculums in addition to having time for academic and quality improvement projects.

Sample SFPC Block Month:

PG2 MON TU WED TH FRI
AM Subspecialty Clinic Elective* Administrative
Time 
Second Continuity Clinic​​​​

Core Outpatient
Medicine Didactics

Health Equity Didactics & Community
Site Visits
12 Medicine
Conference
SFGH Medicine
Grand Rounds
M&M
Conference
Medicine
Conference
Journal
Club
PM Subspecialty Clinic Elective* RFPC
Continuity
Clinic
Project
Time
RFPC
Continuity
Clinic
Administrative Time

*Electives include: Cardiology, CHF, Dermatology, ENT, GI, Hepatitis C treatment, HIV, ID, Injections, MSK, Pulmonary, Renal, TB, etc.

PG3 Year

During this year there is time for more elective choices for subspecialty clinics as well as elective months for international rotations, Addiction Medicine, homeless care, and research activities.

Sample SFPC Block Month:

PG3 MON TU WED TH FRI
AM Subspecialty
Clinic
Elective*
Administrative
Time
Subspecialty
Clinic
Elective*

Core Outpatient
Medicine
Didactics

Health Equity Didactics
&
Community Site Visits
12 Medicine
Conference
SFGH Medicine
Grand Rounds
M&M
Conference
Medicine
Conference
Journal
Club
PM Second
Continuity
Clinic
​​​​
RFPC
Continuity
Clinic
Project
Time
RFPC
Continuity
Clinic
Administrative
Time

 *Electives include: Cardiology, CHF, Dermatology, ENT, GI, Hepatitis C treatment, HIV, ID, Injections, MSK, Pulmonary, Renal, TB, etc.

Themes/Topics

On outpatient block months, the Thursday and Friday ½ days of Core Outpatient Medical Topics and Health Equity Curriculum follow a theme with didactics, pertinent readings, and site visits.  

Themes for PG2s and PG3s for the 2020-2021 Academic Year:

PG2 Block Focus PG3 Block Focus
Health Equity Trauma Informed Care
Substance Use Disorders Gender Health ​​​​​
Mental Health Disorders Immigration Health
Incarceration Care of patients experiencing homelessness
Advocacy Disability
Community Health Care of the Community

The core outpatient didactics include longitudinal curriculums in the following:

Career Series

SFPC residents have opportunities to meet and learn from SFPC graduates about their career journeys. Through the career series, residents have the opportunity to learn about careers in a variety of settings beyond academic medicine including rural medicine, primary care at Federally Qualified Health Centers, organizational leadership jobs, policy and advocacy work, and incarceration medicine.

Curriculum in Sexual & Reproductive Health

This curriculum focuses on the care of patients with female reproductive organs. Sessions employ an interactive Team-Based Learning model to teach about contraception, abortion, abnormal uterine bleeding, urinary incontinence and menopause. The curriculum also includes a four-hour workshop led by family planning specialists specifically focused on the skills needed for internists to provide medication abortion services. 

Health Systems & Change Management

This two-year curriculum for SFPC second- and third-year residents focuses on identifying areas for improvement in clinical systems and learning to implement change. Using A3 Thinking and Human Centered Design frameworks, residents develop a QI project addressing an operational, quality, or patient safety problem in clinic. Population health management activities are used to demonstrate an approach to clinical healthcare disparities. In their R3 year, residents learn to approach medical errors and patient harm from a systems standpoint as they apply this framework to an ambulatory M&M. 

Narrative Medicine

Writing the Wrongs: Facilitated by Ashley McMullen, host of Black Voices in Healthcare podcast series, Narrative Medicine involves the practice of narrative competency, or the "ability to acknowledge, absorb, interpret, and act on the stories or plights of others." COVID-19 has made readily apparent the consequences of an inequitable healthcare system. While it is important for us as providers to advocate publicly for vulnerable patients, we must also create safe spaces to internally reflect on our own blind spots and strengthen community/accountability among our colleagues. The goal of this curriculum is to use stories and narrative competency to gain proximity to those whose identities and experiences may differ widely from our own and to improve the care that we provide across differences. We may have all the knowledge and facts about health disparities, but stories stick with us in ways that can empower lasting change. 

Primary Care Building Block Curriculum

In the primary care transformation curriculum, residents will learn the principles of high-performing primary care using the 10 building blocks model. Primary care transformation has improved quality of care, efficiency, and patient satisfaction across practices nationwide. Through interactive multidisciplinary sessions, residents will apply the building blocks to opportunities to strengthen team-based care and population management in their continuity clinic practice at the Richard Fine People's Clinic. 

Support Group/Wellness

Resident Wellness Group meets monthly for residents on block. It provides a safe, confidential space for residents to reflect on their experiences, support each other, and learn from the collective wisdom of the group. We use techniques like reflective writing to process the many emotions that accompany the residency experience, and we practice simple stress reduction methods. Resident Wellness Group is supplemented by 1:1 emotional office hours, whereby residents can sign up for an individual conversation with Beth about topics ranging from work/life balance to career decisions to individual patient cases and their effect on our well-being.