UCSF Family and Community Medicine Residency

Zuckerberg San Francisco General Hospital


The UCSF Family & Community Medicine Residency program is based at Zuckerberg San Francisco General Hospital (ZSFG), a publicly funded hospital. Their continuity clinic, the Family Health Center (FHC), exclusively serves uninsured or publicly insured individuals and provides over 50,000 patient visits a year. Over 20 languages are spoken at the FHC and this large, complex clinic is staffed by nearly 100 staff and providers.

The UCSF Family & Community Medicine Residency program had a robust 2-year long Continuous Quality Improvement (CQI) curriculum in which residents were each expected to develop a quality improvement project using the FOCUS-PDSA. In the R2 year, 48 hours were devoted to the curriculum, with a focus on didactics and early project development. R3s had another 48 hours, most of which were set aside for project implementation and analysis. When the residency implemented the UCSF Double Helix Practice Transformation curriculum in July 2016, they:

1) Added 2 hours to R1 year to teach the basic principles of the 10 Building Block model,

2) Integrated practice transformation concepts into the R1 and R2 clinic orientation sessions,

3) Utilized the materials on this website to integrate teaching about Practice Transformation into the R2 CQI curriculum,

4) Deliberately alluded regularly to the concepts throughout the CQI curriculum, and

5) Focused on increasing integration of resident CQI projects into ongoing clinic transformation efforts.

Tips from the Residency Program