Family Health Centers
DEPARTMENT OF FAMILY & COMMUNITY MEDICINE, UCSF FRESNO
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 (CMC), a community-based family health center in southwest Fresno (Clinica Sierra Vista – Elm), or a rural health center located in an agricultural community about 24 miles from CRMC (Adventist Health Community Care – Reedley). 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 located in the Deran Koligian Ambulatory Care Center. The Family Health Center consists of 15 exam rooms each equipped with a wall-mounted computer in order to easily review labs and other studies with patients. In addition, there is a large resident conference room equipped with several computers and an AV system used for teaching. The ACC medical office building borders Community Regional Medical Center and the UCSF Fresno Center. In addition to the family medicine center the new, two-story building includes Women’s Health, Children’s Health, Internal Medicine, HIV Special Services, Ophthalmology and Dental services. 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. This includes Hispanic and Southeast Asian ethnic groups, as well as African-Americans, Native Americans, and others. A bilingual staff and translation services facilitate access to health care for the area’s diverse population.
Family medicine faculty based at CMC are quite experienced and have skills in inpatient care, HIV/AIDS management, Hepatitis C, and research methodology. Faculty from the community regularly precept residents and medical students at the CMC Family Health Center. Many of these preceptors are graduates of the UCSF Fresno family medicine program and are in private practice or in community health centers and other practice settings in the community. They are eager to share information with residents about the many exciting practice options available to family physicians after graduation.
Adventist Health Community Care-Reedley (AHCC–Reedley) presents a unique opportunity for residents who are interested in clinical training and practice in a rural site. Reedley is a predominantly Hispanic, agricultural community of 25,000 people located 30 minutes from CRMC.
The Reedley pathway is housed within the Adventist Medical Center-Reedley (AMC-Reedley), a friendly, rural 49-bed hospital administered by the well-established Adventist Health system. AHCC-Reedley utilizes a multidisciplinary team practice which includes six full-time attending family physicians, physician assistants, health educators, and social workers. Medical students also rotate through AHCC-Reedley.
Reedley provides residents with a stimulating educational environment in a challenging clinical setting. In this rural community setting, residents manage prenatal and well child care, as well as perform procedures in the outpatient setting.
Reedley residents especially enjoy the small town flavor of their training site. Faculty and staff often know the extended families of their patients. Most families are low income. A typical mix of patients includes all ages, with many women and children. There are also large numbers of patients with a variety of chronic medical conditions including diabetes, hypertension, emphysema, and congestive heart failure.
AHCC-Reedley patients are admitted AMC-Reedley where they are followed by family medicine residents and faculty. It has up-to-date services including a CT scanner, MRI services, and a variety of specialists who visit on a regular basis. Residents assist on gynecologic procedures. Family medicine residents are the only residents working at the hospital and the hospital medical staff is dominated by family physicians. Residents are encouraged to work directly with patients in all of the hospital’s patient care areas.
The AHCC-Reedley pathway offers family medicine residents the opportunity to develop an independent practice style in a rural setting. There are also many opportunities to obtain surgical experience in procedures in which family physicians can later obtain privileges. At the same time, Reedley residents are fully integrated into the tertiary care experience and the family medicine education provided at Community Regional Medical Center. Few family medicine residencies offer this mix of education, experience, and training.
United Health Center – Parlier (UHC) is located in Parlier, a predominantly Hispanic, agriculture based, rural community. Supervision comes from core UCSF Fresno faculty.
UHC – Parlier is located in a Federally Qualified Health Center facility located thirty minutes from Community Regional Medical Center (CRMC). Our newest pathway site, established in 2017, 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 Adventist Health Center – Reedley or CRMC. This pathway established its relationship with the residency program in 2015, with our residents providing prenatal care.
Serving a primarily Hispanic population, translation services and bilingual staff facilitate access to care at the federally qualified health center (FQHC). UHC is committed to meeting the health care needs of the community.
The UHC pathway offers residents an excellent education that incorporates community-oriented primary care. UHC residents have a diverse patient population with ample opportunities for prenatal care, deliveries, post-partum care and outpatient procedures. The acquisition of ambulatory care skills in a multicultural setting is also emphasized providing a practical and relevant education.
The variety and demographics of the population served by this standalone FQHC make it an attractive prospect for the residency with a rich cultural and patient care demographic. This particular pathway site also engages significantly with the surrounding community, including extensive work and outreach with seasonal farmworkers which would provide fantastic additional opportunities for residents to participate in activities to address social determinants impacting the health of their patients.