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Medical Education

Medical Student Reports on Summer with Care Connect Program

Taking care of patients with complex needs through an interdisciplinary approach.

Photo: Elisabeth Fall

By Zoe Kornberg, MS2

*Note: Patient-identifying information has been changed to protect patient confidentiality.

This summer as part of the UCSF Primary Care Leadership Academy, I spent six weeks precepting at a county-run primary care practice in Richmond called Care Connect. This practice is solely dedicated to patients who are characterized as super-utilizers—those who use a disproportionate amount of health care resources with frequent hospitalizations and emergency department visits. By virtue of being invited into the program, our patients are very sick—half have a substance use disorder, half have diabetes, a third have heart failure, and a quarter are on dialysis. Our small team—consisting of physicians, nurse case managers, clinic nurses, an alcohol and drug counselor, a social worker, a community health worker, and a housing specialist—devotes itself to a panel of fewer than one hundred patients.


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