How Do You Build a Doctor? The Future of Medical Education at UCSF - - PDF document

UCSF Fresno Mini Med School 2019 9/10/2019 1

How Do You Build a Doctor?

The Future of Medical Education at UCSF Fresno

10/8/2019

UCSF Fresno Mini-Medical School Michael W. Peterson, M.D. UCSF Fresno Associate Dean

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

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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)

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How do we prepare and train physicians for the region?

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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

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Steps to a Physician: UCSF Fresno Providing Exposure to Healthcare

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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

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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

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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

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Steps to a Physician: UCSF Fresno Branch Campus: SJV PRIME

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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

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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)

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Steps to a Physician: UCSF Fresno

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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
• ur 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

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