General Medicine Clinic at San Francisco General Hospital

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Organization Type: 
Educational Institution
Program Type: 
Standing Program
Education Level: 
Postgraduate (e.g., residency, fellowship)
Educational Elements: 
Experiential including clinical contact with patients
Program Description: 

The General Medicine Clinic of San Francisco General Hospital is the primary residency continuity clinic site for 53 internal medicine residents at University of California, San Francisco.  The mission of the General Medicine Clinic is to provide comprehensive, high quality primary care services to adults in the San Francisco safety net, and to provide an excellent teaching environment for UCSF students and residents. 

During the 2011-2012 academic year, the clinic provided more than 32,000 patient visits to more than 6,500 individual patients, the majority of whom were low-income people with complex medical conditions. 

As a patient-centered medical home (PCMH) that practices team-based care, clinic patients select or are assigned to a primary care provider to ensure both continuity of care and the opportunity for residents to develop longitudinal relationships with patients. At the same time, in order to support residents in caring for patients, a team model of care is used that includes a practice partner, a primary attending preceptor, a resident continuity nurse practitioner, team medical evaluation assistants, team behavioral assistants, and team clerks. The clinic also uses an electronic health record that is integrated with hospital data, and includes notes, medications, allergies, laboratory and diagnostic studies, as well as an electronic referral and consultation system.

Objectives for this three-year program include:

  1. to provide training and a high degree of competence in the management of severely ill hospitalized patients
  2. to provide an ambulatory care experience that has continuity throughout the three years of training and provides increasing breadth and intensity of experience in the primary care setting
  3. to acquire the specialty and subspecialty skills necessary for the practice of internal medicine
  4. to develop skills in interviewing and patient communication in order to gather data effectively and to understand illness in the context of patients' life patterns
  5. to learn to function effectively as the internist member of a primary health care team, working with other physicians, psychologists, nurse practitioners, pharmacists, social workers, dieticians and physical therapists
  6. to learn the skills needed for modern medical practice
Targeted Professions
Internal Medicine
Self-Reported Competencies
PCPCC’s Education and Training Task Force identified 16 interprofessional training competencies critical for preparing health professionals for practicing in team-based, coordinated care models such as patient-centered medical homes. Listed below are the self-reported competencies that this program has achieved, which have been organized by the five core features of a medical home as defined by the Agency for Healthcare Research and Quality
Patient-Centered Care Competencies: 
Advocacy for patient-centered integrated care
Cultural sensitivity and competence in culturally appropriate practice
Development of effective, caring relationships with patients
Patient-centered care planning, including collaborative decision-making and patient self-management
Comprehensive Care Competencies: 
Assessment of biopsychosocial needs across the lifespan
Risk identification
Coordinated Care Competencies: 
Care coordination for comprehensive care of patient & family in the community
Interprofessionalism & interdisciplinary team collaboration
Team leadership
Quality Care & Safety Competencies: 
Assessment of patient outcomes
Quality improvement methods, including assessment of patient-experience for use in practice-based improvement efforts
Last updated November 15, 2013

* Please note: Information contained in this database is self-reported by representatives from each program. It does not represent an exhaustive list of education and training programs and inclusion does not constitute an endorsement from the PCPCC.


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