Continuity Clinics

Overview

At UC San Diego, we offer our residents a wide variety of continuity clinic experiences. From the underserved and uninsured populations to community-type practices, our residents have 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 and faculty mentors, as is required by the ACGME. 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.

UC San Diego Hillcrest Clinic

UC San Diego Hillcrest Medical Office - 4th and Lewis

Hillcrest Internal Medicine, also known as "Lewis Internal Medicine," is located a few blocks away from UC San Diego Medical Center in Hillcrest. Patients are culturally and ethnically diverse, and are from the local area as well as several hours away. Many languages are represented, including a large Spanish-only speaking population. Average patient age is 50 years. Male:female ratio is 2:3.

Many of the residents' patients are insured by Medicare or Medi-Cal (California Medicaid). Residents will have their own panel of patients, and follow-up between visits is shared by residents and attending physicians. Residents are supervised by four established faculty members. Records are computerized using Epic and residents will have access to sub-specialty notes within the entire UC San Diego Health.

UC San Diego La Jolla Clinic

UC San Diego Internal Medicine Group facility in La Jolla

The UC San Diego Internal Medicine Group - La Jolla has a group of well-established attending physicians with large individual practices. The patient population is predominantly 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 among attending physicians, interns and residents.

UC San Diego Sorrento Valley Clinic

The UC San Diego Sorrento Valley Medical Group is a new practice which was started in 2015.   It's size creates a small-practice type environment, where staff and faculty know each other very well.   This enhances the opportunities for team oriented care, optimized to assist patients with a spectrum of needs and issues. The patient population is from all over the San Diego area and includes underserved and Medi-Cal patients.

 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 among attending physicians, interns and residents

VA Primary Care Clinics

VA Mission Valley Clinic

The VA San Diego Healthcare System clinics, located in La Jolla, Mission Valley and Sorrento Valley, deliver outstanding primary care to a diverse population of male and female veterans of all ages.

Our clinics provide the opportunity to build and manage your own patient panel under the supervision of excellent general medicine and women's health faculty.

Additional strengths include talented nursing and support staff, easy access to diagnostic testing and consultation and a robust computerized medical record. Residents are incorporated into Patient Aligned Care Teams (PACT) that include physicians, nurses, clerical staff, pharmacists, dietitians and mental health practitioners embedded in primary care.

Follow-up of patients is shared between residents and all PACT team members and includes a multi-disciplinary call center. Residents receive regular feedback on well-accepted quality measures to assist in their practice-based learning and improvement activities.

The VA Primary Care clinics allow residents to immerse themselves in an exemplary primary care environment with rich opportunities to learn from deserving and appreciative patients, as well as exceptional staff and faculty.

St Vincent de Paul Village Medical Clinic

St. Vincent de Paul Village Family Health Center

St. Vincent de Paul Village Family Health Center in San Diego is a world-renowned facility and model of comprehensive continuum of services provision for the homeless and disenfranchised community. This includes housing, clothing, food services, laundry, schools, vocational training, employment services, psychological counseling and medical care.

St. Vincent de Paul Village is a non-denominational, federally recognized non-profit corporation. The Village Family Health Center is well established and has been a favorite site for UC San Diego internal medicine continuity clinic for well over a decade, providing residents an opportunity to work with an ethnically and culturally diverse underserved population. Each house officer is assigned a panel of continuity patients who consistently identify the resident as their primary care provider. The clinic offers a wide range of clinical opportunities, from treating patients with little to no previous medical care to learning how to manage chronic medical issues in a resource-limited setting.

The clinic is staffed by a core group of internal medicine faculty members who have special interest in the underserved community. The priority mission of the Village Family Health Center is to care for people who are homeless, some of whom live in the Village and others on the street.

Once established in the Village clinic, patient care can continue on an ongoing basis even after an individual leaves the Village. The clinic also cares for a number of people who are not homeless but uninsured and undocumented (and therefore not eligible for public insurance programs). Residents' referral of homeless patients from the inpatient arena is also encouraged.

At the St. Vincent de Paul Medical Clinic, residents have the opportunity to develop clinical/diagnostic skills while helping patients who often have very serious health problems and very limited resources. Due to the Affordable Care Act, the vast majority of patients have insurance, but access to specialty care can still be a challenge. The clinic emphasizes team-based care and the internal medicine residents work with the shelter's case managers, the clinic's mental health staff and the family medicine-psychiatry residents.

The patient population is ethnically and culturally diverse. Some of the patients are Spanish speaking, making this clinic an excellent site for UC San Diego residents who want to refine their Spanish language skills. That said, the majority of the patients are English speaking, and interpreters are readily available for those house staff with limited or no Spanish skills.

Scripps Green Clinic

Scripps Clinic Torrey Pines

Located in La Jolla at Scripps Clinic and Green Hospital, the Scripps Green Clinic is a well-established clinic with a "nested practice" model. This clinic has a unique model whereby 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.

Kaiser Permanente Clinics

Located in various Kaiser Permanente Medical Offices throughout San Diego, this is a well-established clinic in a "nested practice" model. This clinic has a unique model whereby 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 working and middle-class patients with excellent patient follow-up and opportunity for continuity of care. An electronic medical record is in place and consultations, tests and procedures are readily available. Kaiser Permanente also has a population management program embedded in its EMR, so residents assigned to this clinic will spend a portion of their time in quality improvement projects under the direction of their attending.

San Ysidro Health Center

San Ysidro Health Center (SYHC) is a federally qualified health center that serves a primarily Spanish speaking, underserved population. Services offered include medical, dental and mental health services. The majority of the patients at SYHC are uninsured or underinsured, and many are undocumented. Patients at this clinic often present with advanced disease, most often due to lack of insurance or lack of funds to pay for medical services. The mission of the San Ysidro Health Center is “…to improve the health and well-being of our community’s traditionally underserved and culturally diverse people.” The clinic is located in San Ysidro, CA, just across the border from Tijuana.