Primary care in the U.S. is in decline. While primary care is the foundation of an effective health care system, there is a shortage of primary care (PC) physicians.
UC Davis Health is committed to addressing the shortage of primary care physicians by educating a larger and more diverse primary care workforce, and by working with Federally Qualified Health Centers in the region to provide primary care and behavioral health services to low-income residents.
As the region’s only academic health center, a core mission of UC Davis is to meet the Primary Care workforce needs of California’s urban and rural counties. UC Davis is among the top schools for Primary Care specialization. In 2025, 63% of UC Davis graduates matched into Primary Care—leading all UC medical schools by greater than 20%—and 81% of graduates matched for residency in California.



This commentary provides an update on the current state of thirty-two 3-year MD programs in the United States, highlighting the key features, innovations, growth, outcomes, and lessons learned in the development and implementation of these programs at CAMPP (Consortium of Accelerated Medical Pathway Programs) member institutions.
This perspective describes two models, the University of North Carolina Fully Integrated Readiness for Service Training (FIRST) and the California Oregon Medical Partnership to Address Disparities in Rural Education and Health (COMPADRE), that link undergraduate medical education (UME) and graduate medical education (GME) through mission-oriented admissions, tailored curricula, and place-based clinical training focused on recruiting, training, and retaining physicians to work in rural and underserved communities. Both programs leveraged regional collaboratives across the medical training continuum to address and mitigate common workforce development challenges. This intentional linkage across the medical training continuum mitigates barriers commonly experienced in physician workforce development efforts, promoting graduates to practice in regions with dire physician shortages.
The Transforming Education and Community Health (TEACH) program, a specialized track for third-year internal medicine residents, attracts students and residents from diverse and underrepresented backgrounds to University of California Davis Health, in partnership with the Sacramento County Health Center (SCHC), where it trains them to deliver culturally humble care, improves continuity of inpatient and outpatient care, enhances resident and faculty diversity, and addresses local health care disparities. TEACH graduates reflect the racial and ethnic diversity of California and have been consistently more likely than their peers to practice general internal medicine and to practice in medically underserved settings. The program’s success underscores the importance of community–academic partnerships in advancing health equity.
This assessment of the University of California Davis Accelerated Competency-based Education in Primary Care (ACE-PC) program implemented in 2014 with Kaiser Permanente Northern California (KPNC) and the American Medical Association’s Accelerating Change in Medical Education initiative considers the broad stakeholder input to address needs for a diverse physician workforce. While accelerated programs are not advisable for all students, particularly those who need time to explore other specialties or who struggle to reach out for help, ACE-PC is a successful 3-year MD pathway for diverse students committed to PC and health equity.
When schools consider innovations, they might consider A3YPs for multiple reasons; this perspective helps provide justification for the program and broadly considers return on investment (ROI). The ROI for students includes decreased debt, reduced costs and stress associated with the fourth-year residency applications, and a directed pathway with facilitated transition into a residency program with accompanying professional identity development.
This study investigated whether medical school length (3 vs 4 years) was associated with early residency performance. For the specialties studied, there were no significant differences in MS performance between 3-year and 4-year graduates at 6 and 12 months into internship. These results support comparable efficacy of accelerated 3-year programs in preparing medical students for residency.
This evaluation of the current state of the 3-year MD programs through the Consortium of Medical Pathway Programs (CAMPP) adds to the discussion around a transition to a competency-based medical education (CBME) framework, that students can achieve needed competencies for graduation in less than the traditional four-year structure.
Our team continues to drive innovative initiatives in medical education that are designed to improve the health of California’s diverse communities, especially in rural areas or historically medically underrepresented communities experiencing physician shortages.
New partnerships in Shasta, Nevada and Humboldt counties aim to boost local primary care and psychiatry workforce.
Residents and faculty in the TEACH partnership have championed health equity and reshaped the primary care workforce.
Latest PRIME program seeks to improve health and increase access to care in medically underserved area.
A team of 30 national experts convened by UC Davis Health offers solutions to improve patient care, diversify workforce and boost funding.
UC Davis hosted a who's who of state and national thought leaders and physicians eager to improve the declining state of primary care.
In an op-ed for The Sacramento Bee, Anthony Jerant and Richard Kravitz share their perspective on the shortage of primary care physicians.
COMPADRE partnership opens clinical training program in Klamath Falls, OR in an effort to increase physician workforce.
Oregon Health & Science University and the University of California, Davis to expand access to quality health care.