Beginning in 2005, the Transforming Education and Community Health (TEACH) Program Track is a highly successful primary care training track for residents interested in caring for the medically underserved and becoming leaders in academic general internal medicine. The long term goal of the TEACH Program is to improve access to high quality health services by training General Internal Medicine physicians who provide well-coordinated, evidence-based, culturally humble care to underserved adults. In partnership with the County of Sacramento Department of Health and Human Services, this community-based collaborative aims to reduce health disparities and increase the number of primary care physicians in medically underserved communities. Its endeavors and accomplishments were recently featured in an article for the Sacramento Bee

Our TEACH program philosophy was expanded to our UC Davis Medical School.  Medical students who share this aim are joining the TEACH-Medical Student Program for their medical school training and work with our TEACH residency team.

Our Patients

Sacramento is one of the most racially and ethnically integrated major cities in the United States, providing a unique setting for teaching culturally humble care.  The TEACH Program is centered in Oak Park, a vibrant, historic community just steps from UC Davis.

The TEACH Clinic is located in the County of Sacramento Primary Care Center, a 100,000 sq ft comprehensive ambulatory facility that provides outpatient services to medically underserved patients.

The patient population is very diverse, including significant percentages of Hispanic, Caucasian (of which a substantial proportion is Russian speaking), African-American, Southeast Asian, Chinese, and other ethnicities. One in eight patients requires an interpreter. The primary languages spoken include: English, Spanish, Vietnamese, Hmong, Russian, Mien, and various Chinese dialects.

 In January 2016, the Sacramento County Primary Care Center expanded primary care services to 3,000 undocumented residents of Sacramento County through a program called Healthy Partners. The residents who work in the TEACH Clinic see a large number of these patients and feel very proud to be part of the program.

Oak Park Community

County clinic

Oak Park Community

TEACH Clinic, County of Sacramento Primary Care Center

Curriculum

The TEACH program is a yearlong experience that replaces the traditional third year of residency. Residents rotate in one week blocks on the TEACH inpatient service, where they care for primarily uninsured or Medicaid patients admitted to UC Davis Medical Center. The 3rd year resident leads the team of an attending and two third-year medical students.

When not inpatient, TEACH residents spend three afternoons per week in their county-based continuity clinic at the Sacramento County Primary Care Center.  They also rotate through UC Davis specialty and sub-specialty clinics as well as county-based clinics including the Psychiatry, Nephrology, Musculoskeletal Medicine, and Rheumatology Clinics.

A typical TEACH resident annual schedule includes (subject to changes):

  • 22 weeks on Ambulatory Care

  • 4 weeks on UC Wards

  • 10 weeks on TEACH Wards

  • 4 weeks on MICU

  • 2 weeks on CCU

  • 4 weeks of elective

  • 2 weeks of ER

  • 4 weeks of vacation

Whenever possible, hospitalized TEACH in-patients are followed up by their personal resident physician in the TEACH clinic. This experience allows the resident physician to care for patients during their acute illness, during their recovery, and in follow-up care.

Applying to the TEACH Program

The TEACH Program is for third year residents. We have residents apply for one of the five TEACH resident positions during their second year of residency. Both categorical and primary care residents are welcome to apply.

TEACH Graduates

Our TEACH graduates go onto a variety of careers, including primary care, hospitalist, and subspecialty fellowships. Visit our 'Life After Residency' page to see where some of our recent TEACH graduates have gone. 

Reference

Fancher TL, Keenan C, Meltvedt C, Stocker T, Harris T, Morfín J, McCarron R, Kulkarni-Date M, Henderson MC. An academic-community partnership to improve care for the underserved.
Acad Med. 2011 Feb;86(2):252-8.