UCSF Fresno offers a unique blend of training with distinct urban and rural family health centers.   Residents select from a hospital affiliated primary care training site adjacent to Community Regional Medical Center (CRMC), a community-based family health center in southwest Fresno (Clinica Sierra Vista), or a rural health center located in an agricultural community 25 minutes away in the rural community of Selma.  (Adventist Health Community Care).  Family medicine residents have an outstanding reputation in our community and are in great demand in rural, urban and suburban settings.


The CMC Family Health Center is one of seven health centers dedicated to the care of the underserved located at the Deran Koligian Ambulatory Care Center (ACC) in downtown Fresno.  The Family Health Center consists of 16 modern examination rooms.  In addition, there is a large procedure room, a resident conference room and work area equipped with multiple computers and an AV system for presentations.  The ACC medical office building borders Community Regional Medical Center and the UCSF Fresno Center.  CMC residents have easy access to rotations and lectures taking place at CRMC or the neighboring UCSF Fresno Center. 


CMC residents have the opportunity to care for many patients with a wide spectrum of clinical pathology from diverse cultural backgrounds and multiple ethnic groups making their home in California’s Central Valley.   A bilingual staff, on-site translation services, and video translation services facilitate access to health care for the area’s diverse population.


Family medicine faculty based at CMC teach residents a wide array of skills in preventive medicine, chronic care, inpatient and acute care management, HIV/AIDS & Hepatitis C, quality improvement, and research methodology, among many other areas.

Adventist Health Community Care Selma presents a unique opportunity for residents who are interested in clinical training and practice at a rural site.  Selma is a predominantly agricultural community with a population of approximately 23,000.


The residency practice at AHCC-Selma is staffed by seven full-time attending family physicians that practice at the health center and provide teaching and supervision for family medicine residents.  AHCC Selma utilizes a multidisciplinary team approach which includes nurse practitioners and physician assistants as well as advanced practice nurses, health educators, and social workers.  Medical students rotate through AHCC Selma on a routine basis.


Selma provides residents with an educational environment in a challenging clinical setting.  In this rural community setting, residents see a wide spectrum of cases, from chronic medical conditions to prenatal and well child care, as well as perform varied office procedures. Residents manage their hospitalized patients at a local rural hospital and deliver their obstetric patients at a nearby rural community birthing center under the direction of experienced community obstetricians and family physicians performing full scope obstetrics including cesarean sections, thereby expanding upon the learning opportunities for residents in this rural setting.


Clinica Sierra Vista (CSV) is located in southwest Fresno, a vibrant, multi-cultural community.  CSV cares for a large underserved population in one of 14 areas across the state targeted by the the California Endowment in their Building Healthy Communities initiative.  Serving a primarily Hispanic population, translation services and bilingual staff facilitate access to care at this federally qualified health center.


The residency practice is operated by Clinica Sierra Vista in a new state-of-the-art Health Center facility located ten minutes from CRMC.  Completed in 2013, the center includes six exam rooms, a resident work area with library and online resources, a modern laboratory with a full-time technician, x-ray services, as well as pharmacy and ancillary services.  Patients requiring inpatient medical services are admitted to Community Regional Medical Center.


CSV emphasizes a health care team approach and maintains nutritional, social, and health education services.  CSV is committed to meeting the health care needs of the community and as an organization has expanded their role in the community.  CSV has made outreach efforts at local schools and started school-based clinics.  Faculty at the site encourage community engagement acting as team physicians with local high schools and participating in school-based health fairs. 


The CSV pathway offers residents an excellent education that incorporates community-oriented primary care.  CSV residents have a diverse patient population with ample opportunities for urgent care training and outpatient procedures.  The acquisition of ambulatory care skills in a multicultural setting is also emphasized providing a practical and relevant education.