Primary Care Immersion Weeks

Primary Care Immersion (PCI) Weeks are a core element of the Primary Care Track experience.  Our PCI weeks are developmentally structured, with progressive freedom and independence as residents progress towards graduation.  Primary Care interns have two structured weeks which incorporate a variety of outpatient experiences.  Primary care PGY2 residents enjoy four weeks, three of which are themed around core areas of medicine and one of which is a joint week during which the entire class are together for various didactic and practical activities.  Primary care PGY3 residents also have a joint week with their entire class and three self-directed PCI weeks during which they are encouraged to explore their own areas of interest and gain special expertise in areas of primary care in which they want to excel.  

R1: (2 weeks)

  • Motivational Interviewing training (see our article describing this curriculum in the Journal of General Internal Medicine)

  • Women’s health: Breast Clinic, Women’s Health Triage clinic, Cervical Cancer Screening clinic

  • Respite care

  • Pediatrics Transition clinic

  • Home visits with the Complex Care team

  • Addiction medicine clinic (also known as BRIDGE clinic) 

  • Skilled nursing facility visit

 

R2: (4 weeks)

  • Palliative care

  • Psychiatric crisis and triage

  • Geriatrics

  • Joint Primary Care Immersions Week with PGY2 classmates, including:

    • Home visits with faculty 

    • Outpatient Procedure Intensive Workshop

    • Primary Care Journal Club

    • Tours of local community clinics

    • Structural competency training

 

R3: (4 weeks)

Self-directed selective time to solidify career plans and interests, gain more experience in areas of interest, and further explore the community safety net in the Bay Area

Examples:

  • Homeless outreach team

  • HIV medicine

  • Alameda County Public Health Department

  • Asian Health Services

  • La Clinica De La Raza 

  • LifeLong Primary Care clinics

  • Home hospice

  • Street Level Health Project

  • Prison medicine