As a regional medical campus, UCSF Fresno carries out its training and patient care charge through a network of affiliated partners. Residents have the opportunity to work in a variety of primary training sites with an impressive list of specialists at major hospitals, health agencies and programs, clinics and individual physician’s offices. In addition, Fresno County is the center of health care between Los Angeles and Sacramento. Acute care hospitals, the only Level 1 Trauma Center, a regional burn center and numerous non-hospital programs serve a young and culturally heterogeneous population.


Community Medical Centers

Community Medical Centers is a locally owned nonprofit organization and the largest supplier of health care services in central California with about 6,000 employees and 1,000 affiliated physicians. It encompasses Community Regional Medical Center, Clovis Community Medical Center, Fresno Heart & Surgical Hospital, University Medical Center and other specialized facilities. Together they provide more than 840 licensed beds and thousands of admissions, surgical procedures and deliveries annually. In addition to clinical training of residents, the CMC hospitals also provide clinical training for many allied health professionals. Community Regional Medical Center is now the main teaching hospital of the UCSF Fresno residency program. It features:



Veterans Affairs Central California Health Care System

The Veterans Affairs Central California Health Care System, which first opened in 1950, serves more than 100,000 eligible veterans and their families who live in and adjacent to the San Joaquin Valley.


The VA formally affiliated with the UCSF Fresno program in 1975 and remains an important partners. This general acute care hospital provides more than 40 housestaff positions and about 50 full-time physician faculty members. The VA is a major participant in the psychiatry and internal medicine residency programs, and provides clinical instruction for residents in family practice and general surgery. Additionally, the hospital is a training site for students in nursing and allied health professions.


The VA is not just a stand-alone facility but has established health care services closer to veterans’ home communities, such as a clinic which opened in 1998 at the former Castle Air Force Base, located in the Merced-Atwater area.

The hospital offers special services in chemical dependency treatment, inpatient and outpatient psychiatry, audiology, speech pathology and rehabilitative medicine, and it is a reference resource for the treatment of coccidioidomycosis. Active clinical research programs are maintained in major departments. A 60-bed nursing home supervised by a full-time geriatrician offers opportunities to work in extended patient care.

Veterans Administration ( 




Children's Hospital Central California

Children's Hospital Central California is one of the nation’s newest pediatric facilities and is a regional referral center for pediatric care. It is one of the 10 largest independent children's hospitals in the country and the only one located in a rural area. Its primary service area encompasses over 45,000 square miles, stretching from Stockton to Bakersfield and the Sierra Nevada Mountains to the Pacific Ocean. It is one of the largest service areas of any children's hospital in the nation. Founded in 1952 by five visionary women as a 42-bed hospital with a staff of 118 physicians, Children's has grown into a 297-bed pediatric medical center on a 50-acre campus. It remains the principal site for inpatient pediatric residency training, providing clinical instruction for medical students and housestaff in family and community medicine, psychiatry, radiology, emergency medicine and surgery.


In September of 1998 the new Children's Hospital Central California was dedicated to the children of Central California. This extraordinary, state-ofthe-art facility enjoys widespread support and is the hub of an integrated pediatric health care system. CHCC has 500 doctors practicing in over 40 pediatric subspecialties with clinics and services throughout the state. From nearly 2,000 patients in 1952, Children's Hospital now sees more than 12,000 inpatient cases, 50,000 emergency and urgent care visits, and performs over 9,000 surgeries each year.


Children's Hospital Central California


Other Affiliated Health Care Institutions and Training Sites


Saint Agnes Medical Center
(  is a private, not-for-profit 326-bed facility with more than 20,000 admissions and 400,000 outpatient visits per year. Specialized services include advanced interventional cardiology and cardiac surgery, a breast imaging center and an area-wide hospice for both adults and children. Saint Agnes was the first hospital in Fresno accredited by the American College of Surgeons. It moved to its present location in 1975, increasing its number of beds from 75 to 326.


Kaiser Permanente Fresno Medical Center ( is an integrated, non-profit pre-paid health insurance program operated by the nation’s largest health maintenance organization. The Fresno Medical Center, which opened in spring 1995, is the newest service facility built by Kaiser Permanente in California. It offers primary and specialty care including orthopedics, cardiology, infectious disease and ophthalmology.


Selma Community Hospital
(  Selma Community Hospital (SCH) is a rural hospital administered by the successful and stable Adventist Health System. SCH offers pediatrics, internal medicine, obstetrics, and skilled nursing care. The medical staff is dominated by highly trained family physicians. Selma has an average daily census of 24 patients and provides 24-hour emergency room coverage. The well-equipped obstetrics unit makes it possible for patients to experience labor and delivery in the same room.

Rural Training Sites

In addition to traditional rotations in hospitals, the program also provides residents with substantial experience in rural and/or underserved communities through ambulatory rotations-care of nonhospitalized patients in community clinics.  Two such sites are the Adventist Community Care Family Health Center in Selma and Clinica Sierra Vista Elm Health Center in Southwest Fresno. 

Adventist Health Community Care Health Center
Adventist Community Care Selma presents a unique opportunity for residents who are interested in clinical training and practice in a rural site.  Selma is a predominantly Hispanic, agricultural community located 25 minutes from Fresno. Selma provides residents with patients of all ages, with many women and children.  Residents receive exceptionally strong obstetric training at this site. There are also many patients with a variety of chronic medical conditions.  Residents have the opportunity to develop an independent practice style in a rural setting at this site. 

Clinica Sierra Vista Elm Health Center (CSV)
Clinica Sierra Vista, formerly called Sequoia Health Center, is located in a multi-cultural community which is federally designated as medically underserved.  CSV offers residents an excellent education that incorporates community-oriented primary care.  The Health Center's 11,000 square foot facility is located ten minutes from CRMC.  It includes a special procedure room, a modern laboratory, x-ray services, and a library.  Patients from CSV are admitted to Community Regional Medical Center.