title: The Road to Excellence for Primary Care Resident Teaching Clinics.
abstract: Primary care residency programs and their associated primary care clinics face challenges in their goal to simultaneously provide a good education for tomorrow's doctors and excellent care for today's patients. A team from the Center for Excellence in Primary Care at the University of California, San Francisco, conducted site visits to 23 family medicine, internal medicine, and pediatric residency teaching clinics. The authors found that a number of programs have transformed themselves with respect to engaged leadership, resident scheduling, continuity of care for patients and residents, team-based care, and resident engagement in practice improvement. In this Commentary, the authors highlight the features of transforming programs that are melding inspiring resident education with excellent patient care. The authors propose a model, the 10 + 3 Building Blocks of Primary Care Teaching Clinics, to illustrate the themes that characterize transforming primary care residency programs.
authors.affiliation: R. Gupta is assistant clinical professor of medicine, Division of General Internal Medicine, and associate medical director, General Medical Clinic, San Francisco General Hospital, University of California, San Francisco, San Francisco, California. K. Dubé is research associate, Center for Excellence in Primary Care, Department of Family and Community Medicine, University of California, San Francisco, San Francisco, California. T. Bodenheimer is professor emeritus, Center for Excellence in Primary Care, Department of Family and Community Medicine, University of California, San Francisco, San Francisco, California.
authors.forename: Reena
authors.initials: R
authors.lastname: Gupta
authors.forename: Kate
authors.initials: K
authors.lastname: Dubé
authors.forename: Thomas
authors.initials: T
authors.lastname: Bodenheimer
mesh_terms: D000046:Academic Medical Centers; D000553:Ambulatory Care; D000554:Ambulatory Care Facilities / Q000458:organization & administration / Q000592:standards; D003266:Continuity of Patient Care; D004503:Education, Medical, Graduate / Q000379:methods* / Q000592:standards; D005194:Family Practice / Q000193:education*; D006801:Humans; D007388:Internal Medicine / Q000193:education*; D007396:Internship and Residency; D010348:Patient Care Team; D010372:Pediatrics / Q000193:education*; D010561:Personnel Staffing and Scheduling; D011320:Primary Health Care; D058996:Quality Improvement