How Do You Build a Doctor? The Future of Medical Education at UCSF Fresno UCSF Fresno Mini-Medical School Michael W. Peterson, M.D. UCSF Fresno Associate Dean 10/8/2019 Outline of the Talk What is the need for the region? Steps to preparing to be a practicing physician • Pipeline programs • Post-Bac • Medical School • Graduate Medical Education Regional opportunities for medical school Regional opportunities for graduate education 10/8/2019 1 9/10/2019 UCSF Fresno Mini Med School 2019
What is the need for the region? Current state • Health Outcomes ‒ Fresno County ranks 52 out of 58 counties in health outcomes ‒ Pre-term birthrate one of the highest in the country ‒ Disproportionate incidence of diabetes, asthma and obesity ‒ One of the highest rates of congenital syphilis in the country • Poor access to healthcare ‒ Total number of primary care physicians (45 per 100,000 population) compared with 57 statewide and recommended 60-80 per 100,000 ‒ Poor demographic match (6% of physicians in the state are Latino while 40% of the population is Latino) 10/8/2019 How do we prepare and train physicians for the region? 10/8/2019 2 9/10/2019 UCSF Fresno Mini Med School 2019
Steps to a Physician: UCSF Fresno Junior High School: Junior Doctors Academy • Establish study habits • Develop time management skills • Introduction to STEM and healthcare experiences High School: Doctors Academy • Enhance study habits, time management • Expand exposure to healthcare and research • Prepare students to matriculate to college 10/8/2019 Steps to a Physician: UCSF Fresno Providing Exposure to Healthcare 10/8/2019 3 9/10/2019 UCSF Fresno Mini Med School 2019
Steps to a Physician: UCSF Fresno College/University (4 years plus) • Work with Fresno State on Health Careers Opportunity Program (HCOP) • Work with UC Merced on Pre-med advising • Host the Reaching Out to Aspiring Doctors (ROAD) Conference • Assist in developing post-bac programs to strengthen applications 10/8/2019 Steps to a Physician: UCSF Fresno Medical School (4 years) • Starting with the class of 2023 (started July 2019)- San Joaquin Program in Medical Education • Started with 6 students in 2019 going to 12 students per year in 2020 • Targeted recruiting students from the Central Valley, from historically under-represented minorities in medicine, and who express an interest in practicing in the Central Valley • As we identify funding, will expand to 50 students per year 10/8/2019 4 9/10/2019 UCSF Fresno Mini Med School 2019
Steps to a Physician: UCSF Fresno Medical School • Will be trained using the UCSF Bridges curriculum with topics specific to the CV being imbedded • Initially, first 18 months will be in SF with the last 2.5 years being in the Valley 10/8/2019 Steps to a Physician: UCSF Fresno Branch Campus: SJV PRIME 10/8/2019 5 9/10/2019 UCSF Fresno Mini Med School 2019
Steps to a Physician: UCSF Fresno Specialty and subspecialty training (3-7 years) • Physicians cannot practice in California until they have completed at least 3 years of residency • Residency is the first phase of graduate medical education • UCSF Fresno has seven residencies with 280 residents • All of them spend the majority of their time in the Valley learning to provide healthcare under the oversight of faculty in Fresno 10/8/2019 Steps to a Physician: UCSF Fresno Specialty and subspecialty training (3-7 years) • After residency, some physicians will opt to do additional subspecialty training (eg. Cardiology, oncology, GI, etc.) • UCSF Fresno has 17 fellowships with 42 trainees at this time Predictors of practice location • Where did the physician grow up (SJV PRIME) • Where did the physician finish training (residency and fellowships) 10/8/2019 6 9/10/2019 UCSF Fresno Mini Med School 2019
Steps to a Physician: UCSF Fresno 10/8/2019 Steps to a Physician: UCSF Fresno UCSF Fresno is committed to preparing physicians to practice in the San Joaquin Valley About 50% of our resident and fellow trainees remain in the Valley to provide care We are committed to developing a diverse workforce that looks like our patients and understands their language and culture UCSF Fresno is committed to working with our community partners to improve health outcomes in the Valley We hope some of you will one day be part of our training programs 10/8/2019 7 9/10/2019 UCSF Fresno Mini Med School 2019
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