Why This Model?

High-functioning teaching clinics are one way to address the problems facing primary care. At their best, they provide excellent clinical care experiences while simultaneously providing inspiring training experiences for students and residents. Establishing these high-functioning teaching clinics, however, requires a little guidance.

Between 2010-2011, the UCSF Center for Excellence in Primary Care (CEPC) visited dozens of high functioning primary care clinics of varying size, staffing, and patient populations. They discovered that despite these differences, these clinics shared several similarities in the ways they deliver high quality, patient-centered healthcare.

The CEPC has summarized these similarities in the 10 Building Blocks of High Performing Primary Care. They have since identified an additional 3 Building Blocks that are critical for resident teaching clinics.

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The CEPC’s 10+3 Building Blocks of High Performing Primary Care identify shared qualities of high performing primary care clinics that deliver high quality, patient-centered healthcare.

The UCSF Double Helix Curriculum uses the CEPC’s 10+3 Building Blocks of High Performing Primary Care model to teach residents, faculty, and clinics how to identify and remove some of the barriers that interfere with the delivery of high quality, patient-centered healthcare.

* While we use the 10+3 Building Blocks of High Performing Primary Care model in this curriculum, the goal is not merely to promote implementation of this model. Instead, our goal is to teach the next generation of primary care leaders the way to think about system structures and system change so that they can build and guide us towards the model of tomorrow.