Establishment of a local medical school was a long-standing interest in the SJV where shortage of physicians, special needs in rural areas and limited access to continuing physician education were chronic problems. 1960 Carnegie Commission on Higher Education and the Nation’s Health identified Fresno as a desirable site for a Health Science Center. Rowell and Committee gathered support for greater UC involvement in local medical education. UC decided on a permanent clinical branch in Fresno and in 1975 the state legislature gave assurance of continued suport of the program. The VA provided support for the program and for a medical education building located at the VA and with that the program was born.
The pathway to becoming a physician. After completing college, 4 years of medical school MD degree, but no license. Obtain license after 1 year of residency (usually). License means can practice independently, but choose to stay in residency to obtain more training. Residencies provide training in specialized area. As you can see, by the time they complete their residency they have been in school or training for at 23-25 years. May decide to continue to obtain subspecialty training, cardiology or gastroenterology, which is another 2+ years. Then enter practice. CME.
Well, our programs continue to grow with the support and dedication of all of us. The partnership with our organizations have allowed medical education to expand. There were 188 residents in 2006 and now there are 200. At maturity2012, there will be 219. However, the largest area of growth is in fellowships
There were 2 fellows in the surgical critical care/trauma in 2006 now there are 19 and when mature the will be 37 in the specialties of … We are training in critical specialties to address the physician shortage in these specialties and provide future physicians for our community.
UCSF Fresno Medical Education Program
UCSF Fresno Medical Education Program “ Growing Valley Doctors”
History of UCSF Fresno <ul><li>Milo Rowell and the Committee of 100, concerned about the shortage of doctors in the Valley, advocated for a medical school in Fresno </li></ul><ul><li>1975 the UCSF Fresno Medical Education Program was established </li></ul><ul><li>One of four medical education programs in the University of California system (UC Riverside, King Drew, UC Berkeley) </li></ul>
Primary Care Physicians in the SJV 0 10 20 30 40 50 60 70 80 Fresno Kern Kings Madera Merced San Joaquin Stanislaus Tulare Number per 100,000 Population-2000 County California Joel Diringer, et al, 2004
Specialist Physicians in the SJV 0 20 40 60 80 100 120 140 Fresno Kern Kings Madera Merced San Joaquin Stanislaus Tulare Number per 100,000 Population-2000 County California Joel Diringer, et al, 2004
Residency Programs Emergency Medicine 28 34 40 Family Medicine 33 33 33 Internal Medicine 54 54 67 Obstetrics & Gynecology 12 12 12 Pediatrics 28 30 30 Psychiatry 16 16 16 Surgery 17 21 21 188 200 219 FY 06 FY 09 At Maturity
Fellowship Programs Cardiology 0 6 9 Interventional Cardiology 0 0 1 Gastroenterology 0 0 6 Hospitalist 0 1 1 Infectious Disease 0 2 4 Minimally Invasive Surgery 0 1 1 Palliative Care 0 0 1 Pulmonary/Critical Care Medicine 0 6 9 Surgical Critical Care/Acute Care 2 2 3 Ultrasound 0 0 1 Wilderness Medicine 0 1 1 2 19 37 FY 06 FY 09 At Maturity Grand Total: 190 219 256
Fact: Doctors Stay Where They Train! <ul><li>Physicians stay in the region where they complete medical education… national 70-80% remain if they do medical school and residency training in the area </li></ul><ul><li>UCSF Fresno 30-50% of graduates stay in the area </li></ul>