General Internal Medicine Clinic at Mount Zion

Resident Clinic

All UCPC interns and residents practice in the General Medicine Clinic (GMC) at UCSF Mount Zion.  GMC is an integrated resident-faculty practice where faculty internists, residents, nurse practitioners, and medical students work together providing continuity care for patients from many different socioeconomic backgrounds. Patients cared for in GMC reflect the rich ethnic and cultural diversity of the San Francisco Bay Area.  Approximately 50% of patients identify as minorities with most identifying as being either Latino, Asian, Pacific-Islander or African-American.  GMC patients speak over 48 different languages and the clinic has a robust interpreter program.  Approximately one-third of GMC patients have Medicare, one-third have managed care plans, and one-third have Medicaid. GMC is designed to provide high-quality care to complex patients and to give the residents an experience similar to what they would encounter in the practice of medicine outside of a teaching institution. In this integrated practice, faculty and resident physicians work closely together in care teams with medical assistants and nurses. Care teams also include nurse practitioners and administrative staff.

Clinical social workers, an integrated psychiatrist, psychologists, case managers, behavioral health, nutritionists and a podiatrist in the Division of General Internal Medicine complete the Clinic team. They assist in evaluating psychological problems, provide for counseling needs of patients, offer alternative therapies for selected conditions, and help identify useful community resources. A faculty psychiatrist joins with the internal medicine faculty to teach the weekly seminar on behavioral and social medicine topics and provides ongoing care to patients as needed. The entire general internal medicine faculty is committed to the complete care of our patients including their psychosocial needs.

The continuity experience in primary care internal medicine is the core of this residency program. Learning in the outpatient setting is different and the challenges posed by patient problems vary considerably from hospital-based medicine. The volume of patients is greater and the length of each encounter is shorter. Preventive medicine and programs for health promotion are a priority, and complicated multi-system medical problems are routinely managed as outpatients. GMC utilizes an effective electronic health record that assists providers in managing their diverse, complex patient panels.  Each of our faculty members has a continuity primary care practice, ensuring that clinical teaching is based on years of ambulatory care experience.  GMC has been a leader in implementing innovative clinic improvements across the UCSF system.

The General Internal Medicine Clinic at Mount Zion is located in a five-story medical office building at 1545 Divisadero Street, in the heart of San Francisco. Opened in December 2010, the building is located among numerous other medical offices on the UCSF/Mount Zion ambulatory campus, including the UCSF Osher Center for Integrative Medicine. These buildings also house a full array of medicine and non-internal medicine sub-specialty practices, laboratories and x-ray facilities.