Continuity Clinics
Overview
At UCSD we offer our residents a wide variety of continuity clinic experiences. From the underserved and uninsured populations to community-type practices, our residents the opportunity to treat patients throughout our diverse San Diego community. Residents establish care at one clinic over their entire residency to build continuity with their patients. Each clinic incorporates a broad, well-received and nationally utilized case- based curriculum on a weekly basis. This multidisciplinary approach to outpatient medicine prepares our residents well for Internal Medicine boards. Each clinic is supervised by Internal Medicine attending physicians.
VA FIRM Clinics
The VA FIRM clinics, located in La Jolla and Mission Valley, deliver excellent primary care to a diverse veteran patient population. A well-established Women's Continuity Clinic provides the opportunity to care for patients of both genders under the direction of excellent general medicine and women's health faculty. In addition to the program-wide pre-clinic case conference, there is a monthly women's health curriculum delivered by faculty with interest and expertise in women's health. The strengths of this clinic include outstanding continuity, excellent nursing and support staff, easy access to diagnostic testing and consultation, and an outstanding computerized medical record that facilitates delivery of outstanding preventive care. Telephone follow up of patients is shared between residents, using a small group practice model.
UCSD Hillcrest Clinic
The UCSD Hillcrest Clinic is a well-established residency clinic with close faculty supervision. Excellent general medicine and women's health faculty, including the Director, a prior Chief Resident of the program. Patients have routine medical issues with some emphasis on the underserved with developmental disabilities and psychiatric concerns. Exposure to women's health issues is excellent. Records are computerized; consultations readily available; and continuity is excellent. Patient follow up is shared between interns and residents, using small groups as is done in private practice.
UCSD La Jolla Internal Medicine Group
This UCSD La Jolla Internal Medicine Group has a group of well-established attendings with large individual practices. The patient population is predominately from the La Jolla and north San Diego county area. Residents will see routine medical issues, and become comfortable with pain management and women's health. Records are computerized. Consultations are readily available. Continuity is outstanding, and patient follow up is shared between attending physicians, interns and residents.
Logan Heights Family Medical Center
The Logan Height Family Medicial Clinic, supervised by UCSD and community attendings, provides care to an under-served community of largely Spanish-speaking individuals. Resources are somewhat limited but all health care maintenance issues including pap, mammograms, sigmoid/colonoscopies are comfortably addressed. Consultations with subspeciality providers are available. Patient follow up is shared between interns and residents.
St. Vincent de Paul Society Clinic
The St. Vicent de Paul Clinic is a well established clinic shared with Family Medicine/Psychiatry residents and is part of the Father Joe's Village homeless community. Supervised by UCSD and community attending, trainees provide care to a large, predominately Spanish-speaking population. Clinic experience provides an opportunity to practice medicine, including routine health maintenance, with limited resources. Records are computerized, and consultations are available. Patient follow up is shared between interns and residents.
Scripps Green Clinic
Located in La Jolla at Scripps Clinic and Green Hospital, this is a well established clinic in a "nested practice" model. New to our residency last year, this clinic has a unique model. Each resident is paired with one attending for the entire year and sees a subset of the attending's patients as his/her continuity patient panel. The patient population is typical of a community practice with excellent patient follow-up and opportunity for continuity of care. Records are computerized, and consultations, tests and procedures are readily available on site. The experience provides excellent continuity with follow up shared between the resident and attending in a true partnership model. Residents will see between 4 and 8 patients per half-day session, depending upon the resident's level of experience. Residents will perform all bedside diagnostic and therapeutic procedures indicated for their patients.