Residents in the UCSF/SFGH Family and Community Medicine Residency Program train primarily at San Francisco General Hospital, in the Family Medicine Inpatient Service and the outpatient Family Health Center. Residents also train at several partner sites:
"The General" is THE city and county hospital for San Francisco, and the only Level I Trauma Center for the 1.5 million residents of San Francisco and northern San Mateo counties. The hospital serves more than 100,000 patients each year, and provides 20 percent of the city's inpatient care. Considered one of the finest public hospitals in the country, SFGH offers compassionate and culturally competent care to a diverse community of patients in more than 20 languages. UCSF has partnered with SFGH since 1872, attracting physicians who are leaders in their fields and making SFGH one of the nation's top academic medical and training centers. Rotations based at the General include: Family Medicine Inpatient Service, Pediatrics, Geriatrics, Obstetrics, Emergency Medicine, Intensive Care, and Family Medicine.
The FHC is the largest primary care clinic in the San Francisco Department of Public Health, and where our residents maintain their continuity practices. The FHC provides comprehensive primary care for 12,000 patients, all of whom are uninsured or publicly insured. Residents work in teams alongside attending physicians, social workers, nurses, medical assistants, nutritionists and other specialists to provide comprehensive, integrated care for our patients. Our model includes an Integrated Behavioral Health Team, who join primary care doctors in the exam room to meet with patients together. This coordinated approach incorporates patient education, counseling, and the selective use of diagnostic, screening and therapeutic services directed toward health maintenance and early diagnosis and treatment of illness.
The Family Medicine Inpatient Service at SFGH provides acute inpatient care to adults. Patients are admitted from the Family Health Center, the Primary Care Network Clinics of San Francisco DPH, and the SFGH Emergency Department. FMIS is staffed by 4 R1s, 2 R2s, 2 R3s, 1 Chief Resident, and 2 Attending Physicians. A clinical pharmacist, pharmacy students, and 1-2 medical students are also on the service most of the time. FMIS teams care for patients with a high level of complexity, including acute illness such as sepsis, COPD, CHF and GIB, as well as complications of chronic diseases, such as diabetes, hypertension, HIV/AIDS and cancer. FMIS collaborates with medical and surgical consultative services in co-management of complex patients, and in development of innovative educational and quality improvement programs.
"New Gen" is a clinic of UCSF's Department of Obstetrics, Gynecology and Reproductive Sciences with a focus on serving urban youth ages 12-24. With a goal to decrease the number of unintended pregnancies and sexually transmitted infections amount high risk youth in San Francisco, New Gen provides approximately 5,500 clinical reproductive health care visits to 2,500 clients annually. Residents work at New Gen as part of their Women's Health rotations.
Laguna Honda is a skilled nursing and rehabilitation center within the San Francisco Department of Public Health. Founded in 1866, LHH is one of the largest skilled nursing facilities in the United States, and represents one of the most extensive commitments by any city or county to therapeutic care for seniors and adults with disabilities. Residents spend time at Laguna Honda as part of their Family Medicine, Women's Health, Orthopedics, Urogyn, Musculoskeletal Medicine, and Derm/Endocrinology rotations.
The UCSF/SFGH Family and Community Medicine Residency Program partners with Planned Parenthood to provide comprehensive reproductive health training for residents, including counseling, pelvic sizing, contraception, miscarriage management and abortion care- although it is not required that residents participate in abortion procedures.
UCSF FCM residents train at various Kaiser Permanente sites in Northern California, for experience in Obstetrics, Cardiology, Musculoskeletal Medicine, and Surgery.