Ambulatory Care Training
Since 2011 our VA has been designated as one of five national Centers of Excellence (COE) in Primary Care Education.
This has facilitated a full transformation of all VA internal medicine resident clinics to the patient centered medical home model (called Patient Aligned Care Teams (PACT) in the VA) The PACT model includes dedicated ancillary support staff for enhanced chronic care management and to support coordination of care for complex patients. All VA based UCSF residents participate in an innovative, nationally-recognized curriculum, which includes training in inter-professional collaboration, patient-centered communication, shared-decision making, patient safety and continuous quality improvement. Each of these core principles along with a comprehensive curriculum in outpatient medicine topics are addressed through weekly educational sessions during outpatient months and further reinforced during direct patient care activities. Our intern immersion curriculum to accelerate training for new interns in continuity clinic was featured in the October 2017 Journal of Graduate Medical Education, Author’s spotlight.