GRADUATE MEDICAL EDUCATION UNDERGRADUATE MEDICAL EDUCATION. A Message from the Dean. Joan L. Voris, MD Associate Dean, UCSF Fresno

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1 UCSF FRESNO MEDICAL EDUCATION AND RESEARCH PROGRAM GROWING VALLEY DOCTORS TEACHING TRAINING PUBLIC SERVICE RESEARCH TECHNOLOGY

2 A Message from the Dean The University of California San Francisco, Fresno Medical Education Program (UCSF Fresno) has educated one of every three Central Valley doctors. We have a dedicated network of outstanding medical faculty members and have provided training for more than 3,000 physicians since our inception in Today, UCSF Fresno plays a vital role in answering local healthcare needs ranging from training medical professionals to providing clinical care for patients. The program conducts research pertinent to the Valley s diverse and growing population and creates a pipeline of students academically prepared to pursue careers in health and medicine. Through our network of partner hospitals including Community Medical Centers, Children s Hospital Central California and the VA Central California Health Care System, medical students and residents train in state-of-the-art facilities where superior patient care is the cornerstone. UCSF Fresno provides road maps for younger students to develop careers in a myriad of healthcare professions by offering health science education to junior high and high school students. UCSF Fresno also trains pharmacy students at the UCSF School of Pharmacy providing them with advanced pharmacy practice experiences and rotations in Fresno. GRADUATE MEDICAL EDUCATION UCSF Fresno is a regional campus under the auspices of the UCSF School of Medicine. The core of our mission is the commitment to all phases of medical education. UCSF Fresno trains approximately 290 residents and fellows each year. Our trainees come from all over the United States and throughout the world. UCSF Fresno trains physicians utilizing the highest standards of excellence and the latest advancements in medical research, technology and equipment. The UCSF Fresno Center for Medical Education and Research is a state-of-the-art facility that will enhance these efforts well into the future. UCSF Fresno s network of partners provides the most technologically advanced facilities in the area: the only regional burn center between Los Angeles and San Francisco, the area's only Level 1 trauma center and the nation s 13th largest freestanding children's hospital. We serve a region with 88 ethnic backgrounds and 105 languages, which provides a diverse spectrum of pathologies. Our training partners are also committed to our goal of training the best medical specialists to provide the best healthcare in the region. UCSF Fresno advances medical education, safeguards the Valley's health and wellness, and provides opportunities for continued growth and development of its medical practitioners, all in a setting that is compassionate and caring. Please join us on an incredible journey that has impacted thousands of lives and will continue to do so every day for generations to come. Joan L. Voris, MD Associate Dean, UCSF Fresno UNDERGRADUATE MEDICAL EDUCATION In close association with UCSF Fresno's faculty and its residency training programs, UCSF Fresno educates more than 250 third- and fourth-year medical students each year. Serving the medically underserved region of Central California, UCSF Fresno s mix of both urban and rural areas as well as our unique patient diversity provides opportunities for clinical experience and investigation of healthcare problems not often seen at UCSF s main campus in San Francisco. UCSF Fresno operates multiple highly sought after programs, including LIFE (a longitudinal integrated third-year curriculum). UCSF Fresno is also the clinical training site for the UC Davis/UC Merced San Joaquin Valley Prime Program in Medical Education (PRIME). The program s focus is on medically underserved groups and communities throughout the Valley, with emphasis on disparities in health status, cultural competence, and clinical clerkships serving patients from diverse backgrounds. The clerkships are a recruitment tool, encouraging medical students to consider UCSF Fresno for their residency training.

3 RESIDENCIES EMERGENCY MEDICINE FAMILY AND COMMUNITY MEDICINE FELLOWSHIPS ACUTE CARE SURGERY CARDIOVASCULAR DISEASE GASTROENTEROLOGY HOSPICE AND PALLIATIVE MEDICINE INTERNAL MEDICINE INFECTIOUS DISEASE INTERVENTIONAL CARDIOLOGY OBSTETRICS/GYNECOLOGY MATERNAL CHILD HEALTH ORAL AND MAXILLOFACIAL SURGERY MEDICAL EDUCATION (ADMINISTRATIVE) MINIMALLY INVASIVE SURGERY ORTHOPAEDIC SURGERY PEDIATRICS PULMONARY/CRITICAL CARE PSYCHOSOMATIC MEDICINE SLEEP MEDICINE SURGICAL CRITICAL CARE PSYCHIATRY ULTRASOUND WILDERNESS MEDICINE SURGERY QUICK FACTS Community Regional Medical Center (our largest affiliate hospital) has the 3rd busiest ER in the state Over 260 active clinical research studies occur at any given time at UCSF Fresno We have a 40% resident retention rate of graduating residents to serve the Valley QUICK FACTS The VA is a multi-facility system providing care to a diverse Veteran population throughout the entire San Joaquin Valley Children s Hospital Central California is the 2nd largest children s hospital in the state and is a regional referral center for pediatric care

4 UCSF FRESNO CLINICAL RESEARCH CENTER UCSF FRESNO ASSOCIATED PROGRAMS The cultural richness of the Valley makes it an ideal setting for significant population-based studies. UCSF Fresno s Clinical Research Center has over 260 studies in 25 areas of medical research. In keeping with our mission of research, teaching, and public service, UCSF Fresno also sponsors programs that address the special health needs and issues of the Valley community. A vital component to academics and to providing excellent medical care Taking Research to the Bedside stems from being able to conduct exceptional, cutting-edge medical research. At UCSF Fresno, we have just completed a brand new, state-of-the-art facility to house the numerous research studies currently being conducted. This research center provides multiple benefits to our programs and to the community including: Patients do not have to leave the Valley for access to the newest diagnostics and treatments Physicians (community and academic physicians) can offer the latest advances to their patients The research center helps us attract the best and brightest physicians to the Valley The ability to address unique health issues present in the Valley The new research lab is an economic engine for the region and our programs The center is an essential component to any future medical school program In the Clinical Research Center we have highly trained physicians in a wide array of specialties conducting research activities ranging from clinical studies in numerous areas to basic science, as well as a core of experienced clinical investigators to work with a very diverse patient population. This has allowed us to have quite an expansive breadth of research-related studies for our programs. These studies include, but are not limited to, acute lung injury, asthma, breast cancer, diabetes, Alzheimer s disease, cardiovascular disease, head trauma, stroke, pain management, tuberculosis and Valley fever. This is just a short list of a much broader portfolio of over 260 active clinical studies our programs are conducting. UCSF Fresno research faculty provide opportunities for residents, fellows and students to participate (or develop their own study) in federally-funded nationwide studies not otherwise available to the region. Historically, extramural funding for research studies is in excess of $2 million annually and many of the studies are grant-funded from institutions like the National Institutes of Health. UCSF Fresno's Alzheimer's and Memory Center (AMC) was founded in 1989 as a vital research, diagnostic, treatment resource and outreach clinic for managing the dementia of Alzheimer's and other related illnesses. The AMC treats patients from the nine-county region of the Central San Joaquin Valley, and the county of San Luis Obispo. Its approach to care is multi-disciplinary, using the skills of a neurologist, neuropsychologist, family physician and social worker to provide a sensitive and thorough diagnostic process, and post-diagnostic resource and support services to improve the quality of life for people with dementia, their families and caregivers. As a part of UCSF, the AMC is involved with the education of young physicians, medical students, doctoral level psychology students and Master s level social work students. Additionally, AMC clinicians are involved in an active schedule of outreach and education across the communities of their service area. UCSF Fresno s Pharmacy Education Program provides advanced practice experiences for students from the UCSF School of Pharmacy. Students electing to complete their rotations in Fresno spend the last 12 months of their training working with the Central Valley's diverse patient population. California Statewide Area Health Education Center (AHEC) is one of the University of California's oldest and most widely distributed development programs for health professions. Located at UCSF Fresno, AHEC develops and supports recruitment, training, and retention programs for health professions in urban and rural underserved communities. In addition to support for the UCSF Fresno Family Medicine Residency, AHEC works with 14 community-based organizations across the state. Activities include pre-health professions programs, rotations and training in community health centers, and continuing education. AHEC partners include UC Office of the President, UC PRIME, UCTV, Office of Statewide Health Planning and Development, California's Primary Care Association and Office of Rural Health.

5 STATE-OF-THE-ART SIMULATION IN MEDICAL TRAINING UCSF Fresno s educational mission of teaching, learning, and assessment through simulation is demonstrated in our state-of-the-art Simulation Lab. Offering residents and health professionals opportunities to work side-by-side, they develop strong communication and collaborative skills that improve patient safety and health outcomes. Sophisticated simulator-based scenarios are created for residents to learn through a hands-on approach on how to administer complex procedures, effectively work in a health care team, and respond to life-threatening situations. Mock examination rooms are also incorporated into the learning environment and residents are recorded during their treatments and their performance is evaluated by faculty on techniques, bedside manner and diagnostic skills. Our learning activities cover the entire spectrum of patient care, from practice of history-taking and physical examination to inter-professional team training and procedural skills practice. The UCSF Fresno Simulation Lab supports our educational mission of teaching, learning, and assessment through simulation, while preparing tomorrow s clinicians to provide the highest quality patient care. WELCOMING RESIDENTS TO BOOT CAMP UCSF Fresno is pleased to offer our residents the opportunity to begin their residency experience by jumping right in to participating in our clinical skills Boot Camp orientation. The simulation mannequins used during this boot camp are state-of-the-art and can create a multitude of medical scenarios for training and learning from faculty experts. Under the direction of experienced faculty members, about 80 incoming residents rotate in groups to eight different areas of the camp to practice and enhance their patient care skills in a boot camp setting using a variety of methods. The stations include suturing skills, airway management, central venous catheterization, advanced cardiac life support, pediatric resuscitation, survival techniques and SimMan and rhythm recognition. Residents also train in communication scenarios with physicians, patients and nurses. The UCSF Fresno Boot Camp is a unique program designed to boost an intern s confidence in their capabilities and skills required in being a physician.

6 UCSF FRESNO STUDENT PROGRAMS UCSF Fresno also provides road maps for middle school and high school students to pursue careers in the health professions. UCSF Fresno's Latino Center for Medical Education and Research was founded in 1994 to develop healthcare professionals to serve the San Joaquin Valley by providing culturally competent care to the medically underserved. To accomplish its goal, the Latino Center has created a strong educational pipeline within the public schools in Fresno County by recruiting, mentoring and tutoring educationally disadvantaged students. The Doctors Academy at Sunnyside, Caruthers and Selma high schools and Junior Doctors Academy are early collegiate preparation programs operated by UCSF Fresno's Latino Center. Both programs seek to increase the number of educationally disadvantaged students who go on to become competitive applicants to health profession schools. The UCSF Fresno Summer Biomedical Research Internship Program (SBI) provides a quality biomedical research experience for high school students the first of its kind in the San Joaquin Valley. The program matches high school students, in the summer between their junior and senior year, with faculty members who have or are developing a research project. In the last 25 years, over 200 students have participated in the SBI program and many of them have completed their medical residencies, are working in the biomedicine or biotechnical industries, or are in medical school or doctorate programs at various universities. 155 North Fresno Street Fresno, California Phone (559) Fax (559)

7 UCSF Fresno CENTER FOR MEDICAL EDUCATION AND RESEARCH For more information, contact: UCSF Fresno Center for Medical Education and Research 155 North Fresno Street Fresno, California Phone: Fax: W W W. F R E S N O. U C S F. E D U