Resident Curriculum Materials

The UCSF Double Helix Curriculum is a supplemental practice transformation resident curriculum consisting of lectures, workshops, and readings that aims to teach residents ways to 1) alleviate daily system pressures and 2) think about system structures and system change.

The curriculum was built using the framework of the 10+3 Building Blocks model for PCMH implementation, which our team has organized into four curricular threads: Access, Care Team, Change Management, and Population Management. The materials below are listed in a ranked order of highest priority to lowest priority materials.

We encourage you to download any materials that would be useful additions to your resident teaching curriculum. If you’re unsure how to integrate these practice transformation materials into your existing curriculum, check out our How to Use page for ideas.

PRACTICE TRANSFORMATIONClinic strives to practice high-performing primary care while simultaneously teaching residents,faculty, and staff how to lead practice transformation.
Thread Objectives
CARE TEAMProviders, residents, and staff always work on their team to practice shared-decision making and continuity.
Thread Objectives

Presentations

Team Based Care (Evaluation)

Patient Team Partnership (Evaluation)

Cultural Humility (Evaluation)

Larger Medical Network Example (Evaluation)

Workshops

Intern Clinic Shadowing

Share the Care

Patient Discover Rounds

Example Patient Shadowing Journal

OSCE Interpreter Exercise

Medical Neighborhood Assessment Activity

Care Coordination Cases (Example Answers)

Articles

Ghorob and Bodenheimer, Share the Care: Building Teams in Primary Care Practices

Markova et al, Implementing Teams in a Patient-Centered Medical Home Residency Practice

Ghorob and Bodenheimer, Sharing the Care to Improve Access to Primary Care

Sharma et al, What Happens After Health Coaching?

Sharma et al, Patient Advisory Councils: Giving Patients a Seat at the Table

Carrillo et al, Cross-Cultural Primary Care: A Patient-Based Approach

Patcher, Culture and Clinical Care

Bodenheimer, Coordinating Care - A Perilous Journey through the Health Care System

Olayiwola et al, Facilitating Care Integration in Community Health Centers

Young et al, Improving Resident Education and Patient Safety

POPULATION MANAGEMENTThe clinic prioritizes scheduling patients with their primary resident provider or team and residents have dedicated time to work on panel management.
Thread Objectives

 

ACCESSClinic provides patients with prompt access to care.
Thread Objectives

Presentations

Access Basics (Evaluation)

Access Barriers (Evaluation)

Access Case Study (Evaluation)

Improving Access (Evaluation)

Measuring and Interpreting Access (Evaluation)

Workshops

Know Your Access

Access Tic Tac Toe

Access Vignettes

Test Your Access

Advanced Case Study

Measuring Access 101

Articles

Rose et al, Advanced Access Scheduling Outcomes

Dowbor et al, Shrinking the Language Accessibility Gap

Murray and Schall, Advanced Clinic Access: Key Concepts for Resident Providers

CIN, California Access Case Study

Safety Net Medical Home Initiative, Enhanced Access

Dartmouth College, Improving Patient Access to Care

CHANGE MANAGEMENTResidents, providers, and staff lead practice transformation through data-driven improvement.
Thread Objectives

Presentations

Quality Improvement Basics (Evaluation)

Engaged Leadership (Evaluation)

Workshops

Mission Statement Exercise

Data Driven Improvement (PDSA Form) (IHI Run Chart Template) (Answers)

True Colors Activity

Articles

Morley et al, The School Mission in Medical School Mission Statements

Example Mission and Vision

Dupper et al, Shifting Concepts, Changing Contexts: The New Schools' Drive for Change

Hargreaves and Braun, Data-Driven Improvement and Accountability

Massachussets General Hospital, Data-Driven Insights Help Providers Improve Patient Care

Blanchard and Rudin, Improving Hospital Efficiency Through Data-Driven Management

Kotter, Leading Change: Why Transformation Efforts Fail

 

QUALITY IMPROVEMENT PROJECTSResidents work with clinic staff and faculty mentors to lead quality improvement projects that propel existing clinic transformation priorities.