Family Medicine Curriculum

Curriculum

Ambulatory Care

UCSF Fresno offers a unique blend of training with distinct urban and rural family health centers. All family medicine residents have an identified continuity clinic, which they select from 3 federally qualified health centers (FQHC) - United Health Centers Ambulatory Care Center (ACC), United Health Centers in Parlier, or Clinica Sierra Vista (see teaching sites for additional information on each site).

In addition to continuity care clinics, residents also partake in a wide variety of outpatient experiences, including pediatrics, women’s health, medical subspecialties, surgery/procedure-based services, behavioral health, geriatrics, and palliative care.  These outpatient experiences take place at various teaching sites including UHC, Veteran’s Administration Central California Health Care System, Alzheimer and Memory Center, Community Cancer Institute, and more.

Our family medicine faculty have many areas of expertise and specialty clinics where our residents can rotate through and expand their medical knowledge.  These specialty clinics include:

Gender Affirming Care (UHC ACC)

The family medicine physician provides holistic, patient-centered care, ensuring each patient feels respected, understood, and supported.  By working in the Central Valley, the primary care physician also plays a critical role in addressing health disparities and improving access to quality healthcare for the transgender and gender-diverse community in the region.

We are proud to offer access to culturally competent, inclusive gender affirming care. All residents rotate through the gender affirming care clinic during their outpatient medicine rotation in their 2nd year of residency.  In this clinic, residents learn how to provide comprehensive medical care for transgender and gender-diverse patients.

Hepatitis C Clinic (UHC ACC and UHC Parlier)

Chronic hepatitis C is a chronic, life-threatening infection that disproportionately affects the marginalized communities. These include people who are suffering from poverty, homelessness, or addiction. The prevalence is reported as high as 26% in these communities, compared to 1-2% nationally. The good news is that, if found early, it is a curable disease, and our mission is to train family physicians to be able to treat these patients from their primary care offices.

The Centers for Disease Control and Prevention (CDC) encourages primary care physicians to treat chronic hepatitis C infections. The UCSF Fresno FCM is a leader in treating patients with chronic hepatitis C from our primary care clinics. These referral clinics are embedded within our harm reduction clinics in two large health systems in Fresno County that allow us to provide state-of-the-art treatment in an efficient way to patients in both urban underserved and rural areas. Residents rotate through these clinics, and they can choose to do deeper learning by choosing elective rotations in these clinics. We also encourage residents to conduct research studies and are currently reviewing outcomes of chronic hepatitis C care from our co-located rural clinic.

Hepatitis C treatment Guidelines: https://www.hcvguidelines.org/
Reach out to faculty lead, Dr. Khan: [email protected]

 


Inpatient Care

UCSF Fresno provides intensive, structured inpatient learning opportunities. Family medicine residents are assigned to teaching services at Community Regional Medical Center (CRMC) and Valley Children’s Health Care, the only pediatric hospital in the San Joaquin Valley.

The bulk of inpatient training is provided at Community Regional Medical Center (CRMC). Residents are supervised by family physicians skilled in inpatient and obstetric care on the Med D, FMI, and FMOB inpatient services.  In addition, they work with a variety of outstanding specialists while on outside rotations.


Scholarly Projects

During their three years of training, residents complete one scholarly and one quality improvement project with extensive support and individualized expert assistance for their projects by family medicine research faculty and staff. They present their projects to their peers and members of the UCSF Fresno academic community during their third year of training. Residents have many opportunities for regional and national dissemination of their scholarly work, which is encouraged by the program.


Curriculum Committee

UCSF Fresno pays careful attention to its curricular offerings. A curriculum committee consisting of residents and faculty meets monthly to critically appraise our curricula. Each curricular area is reviewed every six months, and an in-depth analysis is done annually. Resident evaluations of rotations are reviewed, and the curriculum modified and updated as necessary.