The Santa Rosa Family Medicine Residency, a University of California, San Francisco (UCSF) affiliate, provides a three-year longitudinal curriculum in integrated patient-centered medical home (PCMH) ambulatory care.  Goals for this program are to train participants in developmentally appropriate skills, knowledge, and attitudes in the following domains: access to care; quality improvement; population management; team-based care; integrated and coordinated care; personal care physician; patient-centered services; medical informatics to support the medical home; and leadership skills. 

In July 2010, the program made major shifts in its teaching paradigm in order to:

1. Make the resident’s PCMH a core curricular experience with more time spent without increasing panel sizes or “clinical work” to ensure time and resources are used to master practicing as  a personal family physician;
2. Emphasize the ambulatory experience as a clinical learning module with adequate time for time intensive visits practiced on the new model platform adding multi-modal communication, team-based care, and alternative means for learning and caring for their population of patients during scheduled panel management time, group medical visits, and chronic care;
3. Increased preceptor supervision, teaching, and facilitation of the new model experience for the resident; and
4.  Formalize resident physician leadership in the medical home with three months spent during each residents’ third year as “Chief” for their module team.