Residents, Grad Students, and Fellows

Overview

The Health & Society Pathway requirements include completion of curricular requirements and experiential requirements. Both the curricular and experiential requirements may be completed over the course of your residency training, but all requirements must be completed by spring of your graduation year.

Please also make sure to complete the GME Enrollment application form by February 15 the year prior to your entry into the Health & Society Pathway. A preview of the application form can be found here.

 

Curricular Requirements

Health & Society learners are required to:

  • Participate in the H&S GME Core Course: A yearly, week-long didactic course in the fall focused on leadership skills, healthcare policy issues, health care financing, and population health. This is required for all residents in the Health & Society Pathway. Generally, this course takes place in early October.

  • Fulfill additional curricular competencies in the following topics: Social & Behavioral Science, Population Health Disparities, Health Systems & Policy, Research & Evaluation, Leadership & Advocacy, and Community Engagement.

Options for fulfilling the additional curricular competencies listed above include participation in:

  • The School of Medicine's month-long IDS 140.09 course
  • The Health Equity: Academics and Advocacy Training (HEAAT) track
  • The Health Systems and Leadership (HSL) track
  • Relevant coursework offered by your training program or elsewhere (subject to approval by the H&S Pathway leadership). For example, Pediatric and Family & Community Medicine training programs have required curricula in community heath and advocacy that meet some of the required content areas
  • Coursework completed prior to participation in the H&S Pathway (subject to approval by the H&S Pathway leadership)
  • Independent learning resources

Please note: Please contact H&S Pathway Director, Dr. Naomi Wortis, to create a learning plan in order to fulfill the curricular requirements above.

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Experiential Requirement: Legacy Product

Health & Society learners are required to:

  • Complete a legacy product through which the learner will develop deeper substantive knowledge and an enhanced skill set in the project area
  • Have a project mentor and participate in the H&S Pathway Work-in-Progress sessions (unless participating in HSL, HEAAT, or other structured WIPs)
  • Participate in the annual spring Pathways Symposium, also called ePosterpalooza!

The legacy product should combine learners' personal interests, professional goals, and some aspect of the H&S track curriculum described above. Examples include, but are not limited to, publication in a peer-reviewed journal, abstract/poster presentation at a regional or national meeting, conference talk, online module, or educational reference.

For help identifying a mentor and/or project, please contact H&S Pathway Associate Director of Experiential Learning, Dr. Irene Yen.

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Health Equity Academics and Advocacy Training (HEAAT)           

Centered at San Francisco General Hospital, the HEAAT program is devoted to training physicians to be leaders in the care of the underserved. Our curriculum emphasizes meeting the complex needs of poor and vulnerable patients and developing methods of care that are effective, efficient, and accessible to all people. Our training encompasses preparation for careers in primary care, subspecialty care, and international medicine.                                                                                 

Curriculum

The Health Equities and Advocacy track of H&S consists of a 2-year curriculum containing the following elements.

  • H&S GME Core Course: A yearly, week-long didactic course focused on leadership skills, healthcare policy issues, healthcare financing, and population health. This is required for all residents in the Health and Society Pathway.
  • Weekly Didactics: Weekly morning meetings during 6 months each year (corresponding to the Internal Medicine block and elective months).

The curriculum will focus on topics covered in social medicine which emphasizes the social, economic, and political factors that are powerful determinants of health. We strive to teach residents ways to incorporate these factors into their approach to patient care. The curriculum utilizes seminars, lectures, field trips, case conferences, and journal clubs to deliver this material. See below for curricular areas covered. Our curriculum utilizes The Medical Management of Vulnerable and Underserved Patients: Principles, Practice, Populations, King and Wheeler, eds., as the basic textbook.

Experiential Component

Legacy Project

  • Must be completed by the end of residency program
  • Combines personal interests, professional goals, and some aspect of the H&S track curriculum described above. Examples include, but are not limited to, publication in a peer-reviewed journal, abstract/poster presentation at a regional or national meeting, conference talk, online module, educational reference

For more information on the HEAAT program, please contact:

Sharad Jain, MD
HEAAT Director
Sharad.Jain@ucsf.edu

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Health Systems and Leadership (HSL)

The Health Systems and Leadership (HSL) track of the H&S Pathway consists of a 2-year curriculum containing the following elements. Please note that internal medicine residents must elect Block A in order to participate in this track. Primary care residents should speak with their program directors before applying, as HSL activities often conflict with primary care program requirements.

Curriculum  
  • H&S GME Core Course: A yearly, week-long didactic course focused on leadership skills, healthcare policy issues, healthcare financing, and population health. This is required for all residents in the Health and Society Pathway.
  • Project-Based Learning Course: A second, week-long didactic course every other year focused on either:
    • Health policy - including healthcare finance, legislative process, negotiations, constituency advocacy, healthcare law/risk management, and message-management
      • Occurs in even years (e.g. 2012)
    • Safety and quality improvements, including organizational performance theory, systems vulnerability analysis, human factors engineering, stake-holder determination, and influencing power structures
      • Occurs in odd years (e.g. 2013)
  • Weekly Didactics: Weekly Friday morning meetings during 6 months of the year (corresponding to the Internal Medicine block schedule). Meetings focus on professional development, elaboration of core concepts covered during the courses above, and project planning/execution (see below).
Experiential Component
  • Group Project: An annual group project related to the second didactic course, i.e. either focused on health policy or quality improvement. The project will meet the following requirements:-- Delivery of a final product (policy brief, executive summary, failure mode effects analysis, etc.) to a high-level leader or organization, who can use the product to affect substantive change benefiting a large number of healthcare consumers.
  • Participate (as a group) in the annual spring Pathways Symposium, also called ePosterpalooza

For more information on the HSL track, please visit the HSL website here.

Edgar Pierluissi, MD
HSL Director
epierluissi@medsfgh.ucsf.edu

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Independent Track

**For help identifying a mentor and/or project, please contact H&S Pathway Associate Director of Experiential Learning, Dr. Irene Yen, at Irene.Yen@ucsf.edu.

Curriculum
  • H&S GME Core Course: A yearly, week-long didactic course focused on leadership skills, healthcare policy issues, healthcare financing, and population health. This is required for all residents in the Health and Society Pathway.
  • Longitudinal Didactics: Independent learners are required to identify longitudinal didactics that pertain to their project work.
  • Indepdent Learning Resources: Learners pursuing an independent project outside of a track can access the Health & Society Pathway independent learning resources here (UCSF MyAccess login required). 
Experiential Component

Legacy Project

  • Must be completed by spring of graduation year from H&S
  • Combines personal interests, professional goals, and some aspect of the H&S track curriculum described above. Examples include, but are not limited to, publication in a peer-reviewed journal, abstract/poster presentation at a regional or national meeting, conference talk, online module, educational reference
  • Participate in the annual spring Pathways Symposium, also called ePosterpalooza

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