PC Food Bank

Learning about food insecurity and volunteering!

The UC Davis Internal Medicine has offered a Primary Care (PC) Program to Internal Medicine residents dedicated to careers in Primary Care since 1979.  Our mission is to train Internal Medicine residents who are passionate and committed to primary care to become physician leaders in primary care, education, advocacy and scholarship. The program accomplishes this goal by offering comprehensive and diverse clinical care experience and didactics. 

We are committed to recruiting a diverse group of residents who are dedicated to primary care careers and health equity. 

2021 PC Intern Class meeting with the program directors

Patient Population

UC Davis Medical Center cares for a diverse community, with individuals from a wide range of socioeconomic and geographic backgrounds. Our medical center also accepts the full range of insurance types which gives our trainees unique breadth in clinical learning. By the end of training, beyond working at UC Davis, our PC residents will have worked at the VA, Kaiser, community Federally Qualified Health Centers (FQHCs), and specialty clinics.  

Each of these clinical experiences exposes our trainees to an even wider range of patients, payor types and medical conditions. The diversity of clinical care settings and patients gives our residents the experience to feel confident they can practice in any primary care setting they choose. 

PGY1 Year

The PGY 1 year has a similar structure to the categorical residents, and each intern begins their ambulatory training with a comprehensive 2-week ambulatory immersion. In addition, PC Interns will attend Tuesday morning PC teaching sessions when on outpatient and the 2-week Primary Care Elective with the whole PC program. 

PGY2 and PGY3 Year

SCHEDULES
As with the residency, we follow an overall 4+4 system.  

The PC residents spend more time in the ambulatory setting compared with their categorical colleagues. On average the R2s and R3s spend 16 weeks (vs 10-12 weeks for categorical).  

During ambulatory weeks, resident schedules have 2-3 continuity clinics, geriatric longitudinal clinic, and HIV longitudinal clinic. During the week, residents also rotate in core ambulatory medicine subspecialty clinics (see "Clinical Rotations" list below) to enhance their office-based training, non-medicine specialty clinics and have dedicated time for wellness, administrative time, and research and QI projects. See a sample template below. 

 

Monday 

Tuesday 

Wednesday 

Thursday 

Friday 

AM 

Subspecialty Clinic or Admin 

PC Teaching 

Geri Clinic or Continuity Clinic 

R2-3 Cohort Conference 

Continuity clinic or wellness 

Lunch 

MMQS 

PC Morning Report 

Morning Report 

Grand Rounds 

Morning Report 

PM  

Geri Clinic or Subspecialty clinic 

Continuity clinic 

Continuity clinic 

Subspecialty clinic or Research/QI time 

HIV longitudinal clinic or Continuity clinic 

ELECTIVES
In addition to the ambulatory time to explore clinical experiences that will enhance your primary care training, our residents have flexibility for elective time. During PGY2 year, each resident has 2 electives plus the Primary Care elective. The PGY3s have 3 electives plus the Primary Care elective and Geri inpatient rotation. This allows for a lot of time to personalize your experience. 

Residents generally choose their elective clinics based upon their own perceived educational needs and career goals. The program directors meet with the residents to mentor them. Residents are encouraged to create their own clinic experiences if they are not available. Below are a few of the unique electives our PC residents have priority enrollment in. 

Rural Electives
The PC residents have opportunities for 2 and 4 week rural primary care rotations at two Northern California sites. Both sites offer strong primary care and addiction medicine clinical experiences. These rotations allow residents to immerse themselves in addiction medicine, rural primary care, subspecialty training that will enhance their primary care training, and more! 

Check out this newsletter submission from one of our current PGY3, Maria Garnica Albor!

Correctional Medicine Elective
2 week rotation at the Vacaville Correctional Medical Facility. Residents rotate through primary care clinic with longtime correctional medicine primary care physicians and advocates and the hospice clinic. See link.

Clinical Rotations

A. Continuity Clinics and Primary Care Program Specialty Clinics:

  • Primary Care continuity at UC Davis or Sacramento County Health Center: two to three ½ day clinic per week.
  • Health Aging Clinic (UC Davis): one ½ day clinic per week.
  • One Community Health (HIV) Clinic: one ½ day clinic every 2 weeks.

B. Specialty and Subspecialty Clinics:

  • Cardiology (Sacramento County, UC Davis) 
  • Pulmonary Clinic (UC Davis, VA) 
  • Gastroenterology Clinic (UC Davis) 
  • Hepatology Clinic (UC Davis) 
  • Endocrinology Clinic (UC Davis) 
  • Nephrology Clinic (Sacramento County and UC Davis) 
  • Neurology Clinic (Sacramento County, UC Davis) 
  • Rheumatology Clinic (Sacramento County, UC Davis) 
  • Dermatology Clinic (VA, UC Davis) 
  • Urology Clinic (UC Davis) 
  • Oncology Clinic (UC Davis) 
  • Hematology Clinic (VA Medical Center) 
  • Infectious Diseases Clinic (UC Davis) 
  • Procedure Clinic (Sacramento County) 
  • Allergy Clinic (UC Davis, Mercy Health Care) 
  • Pre-Op Clinic (UC Davis) 
  • Podiatry Clinic (VA) 
  • Sports Medicine Clinic (UC Davis, Sacramento County) 
  • Medicine-Psychiatry Clinic (UC Davis) 
  • Pain Medicine (UC Davis) 
  • Wound Clinic (VA) 
  • Women's Health (Sacramento County, VA) 

C. Inpatient Rotations:

Residents will have 13 blocks of a combination of these rotations over their final two years. 

Please visit our 'Rotations & Clinics' page to learn more about the inpatient rotations & outpatient clinics that our residents rotate through. 

Primary Care Teaching and Curriculum

The Primary Care Curriculum is delivered over a two year period and addresses core topics in primary care. For each topic, we try to integrate updates in primary care guidelines and best practices, journal club articles and a social justice curriculum.  

PC and TEACH residents on ambulatory blocks meet every Tuesday morning (8 to 12) for interactive seminars on core primary care topics. This is in addition to the core cohort curriculum every resident attends, grand rounds, MMQS conference, and specialty conferences while on elective. 

Key topics covered include:

  • Psychiatry in Primary Care

    • Focuses on the approach to the diagnosis and treatment of common psychosocial topics pertinent to primary care.

  • Medical Interviewing and Communication Skills Seminar

    • This seminar series entails reviewing both basic and advanced interviewing skills, including practicing motivational interviewing techniques for common primary care complaints.

  • Health Care Policy and Advocacy

    • Sacramento is home to our state capital and learning how to be a physician advocate and leader is part of our program curriculum. During your two years, you will develop skills in writing, public speaking and learn to share patients stories to advocate for them to county, city and state level audiences. Each year we participate in Lobby Day.

  • Healthcare Disparities

    • Sacramento faces many unique health and healthcare disparities. By looking at social determinants of health, and how, as physician leaders, we can combat them we begin to unpack structural barriers to care our patients face. Through local site visits and guest lecturers from local agencies we learn about food insecurity, refugee resettlement, homelessness resources, and harm reduction. 

    • We also have more in depth lectures on specific populations and risks:
      • LGBTQI Medicine
      • Gun Violence
      • Latino Health
      • Geriatrics
      • Homeless Health
      • Women's Health
      • Incarceration
      • Food Insecurity
  • Outpatient Morning Report

    • Our residents are responsible for presenting a case at morning report each Tuesday, focusing on outpatient medicine. This is a great opportunity to take a primary care case and share what you learned with your colleagues. 

  • Clinical Reasoning/EBM Seminars

    • PC residents run these interactive seminars to elucidate the fine points of clinical reasoning, with the help of faculty facilitators.

  • Journal Club

    • PC Residents critically review articles from the primary care medical literature with their colleagues, applying the basic tenets of Evidence Based Medicine.

Scholarly Work

In addition to the clinical rotations and teaching, each Primary Care Resident is expected to complete a quality improvement project. During PGY2 year, residents will participate in the QI track, where they will learn the fundamentals of QI research. Then working with dedicated QI faculty who are trained to support these research projects, residents will embark on the exciting journey of understanding and solving problems at a clinic or system wide level. The scope and content of the projects are quite variable and we encourage residents to work together to tackle projects both at the Sacramento County Health Center and at the ACC.  

Schedules

Please also refer to the Categorical Medicine Track for details on inpatient rotations and the intern year. 

The proposed schedules for Primary Care PGY2 and PGY3 years are outlined below. Please note that these numbers are subject to change, depending on a variety of factors. 

Outpatient 16-18 weeks
UC Davis/Kaiser/VA Wards 14 weeks
MICU/VA ICU 2-4 weeks
Cardiology Inpatient 4 weeks
ER/Urgent Care 2 weeks
GenMed Consults 2 weeks
Neurology 2 weeks (R2 only)
Elective 4-6 weeks
Vacation 4 weeks

Advocacy session with Senator Pan (above). Lobby day at the State Capitol.

Faculty Leadership

Sara Teasdale, MD is the Primary Care Program Director and clinician at the Sacramento County Health Center. Clinically in addition to complex medicine care, she is interested in psychiatry in the primary care setting, gender affirming care, and women’s health. She focuses on creating curriculum and ambulatory focused teaching for the residency and primary care program that focuses on health equity, general internal medicine.  

Zach Holt MD is the Assistant Primary Care Program Director and primary care physician at the UC Davis Ambulatory Care Center, with interests including complex medical care and chronic pain.  Dr. Holt is also involved in the successful UC Davis School of Medicine Accelerated Competency-based Education in Primary Care (ACE-PC) program, and he loves helping trainees at all levels discover the joy of caring for patients longitudinally. 

Primary Care residents work very closely with UC Davis faculty in a wide range of specialties. Our General Medicine faculty are dedicated clinician-educators, community advocates, diversity leaders, QI researchers, and the majority care for their own primary care panels in the same clinic. They are great clinicians and role-models for doctor-patient relationships. 

What About TEACH?

We often get the question “can you do the TEACH program if you are in the Primary Care program?”  

The answer is a resounding YES. 

TEACH is a program for 3rd-year residents only, so many PC residents move over to the TEACH program and add a Sacramento County continuity clinic for their 3rd year. 

It adds up to a well-rounded education, with great experiences in PC and geriatrics in the 2nd year, and extensive work with the underserved in the 3rd year. 

At least half of our TEACH residents have done the PC program for their first two years. 

How To Apply

Both our Categorical and Primary Care programs have separate numbers in the National Residency Match Program, and both programs are listed on ERAS.   

  • If you are interested in either, or both, you just select it when applying through ERAS. You are free to rank both programs in the Match, but we use ERAS to determine if we should list you. 

Applicants who are certain that they want to do primary care should list the PC program first in their match list. They should also list the Categorical program, as we often have residents join the PC program via the application during the intern year. Applicants who are uncertain about a primary care career can join the Categorical program. By November of their intern year, they likely will have a better idea about if they want to do primary care. If so, they can apply for the remaining primary care slots. We usually have space to accommodate all that apply in their internship. 

The applications for the slots to be filled from our active interns are sent out in November, and final selection takes place in late January each year. Preference is given to those residents interested in pursuing primary care internal medicine as a career, or those who plan to do subspecialty training in fields that involve significant ambulatory practice. 

Primary Care Graduates

Visit our 'Life After Residency' page to see where past Primary Care residents have gone after graduating. 

How To Contact Us

Any questions about the Primary Care Internal Medicine Residency Program can be directed to the Primary Care Program Director, Dr. Sara Teasdale, at srteasdale@ucdavis.edu or Primary Care Associate Program Director, Dr. Zach Holt, at zbholt@ucdavis.edu.