2021-2022 Community Medicine Fellow
Laura E. Zavala, MD
The Kaiser Permanente Community Medicine and Urban Health fellowship based in San Francisco (CMUH- San Francisco) trains Internal Medicine or Family Medicine physicians to become leaders in treating the diverse needs of multicultural urban under-served patients.
- Work in San Francisco community clinics: including Mission Neighborhood Health Center, Clinic By the Bay, and HealthRight 360 clinics. Provide care to diverse patients, including the working uninsured, the LGBTQ community, as well as patients dealing with substance use, HIV, hepatitis infection, and homelessness.
- Teach urban healthcare to Kaiser San Francisco residents and medical students through didactics and precepting in clinic.
- Develop a community project at your clinical site, with the option to do clinical research within the Kaiser Permanente system.
- Travel internationally on an optional funded global health rotation.
- Participate in a 2-week health policy elective
During this 13-month fellowship (July 1 – July 31), fellows will provide Primary Care to the urban underserved.
- Fellows work at Clinic by the Bay (clinicbythebay.org) (a Volunteers in Medicine affiliated clinic), a 100% free clinic for the working uninsured in San Francisco’s Excelsior District. They help an all-volunteer staff of doctors, nurses, and support staff provide integrated medical treatment, primary care, preventative testing and screening, and ongoing counseling, education, and support. Services are offered in English, Spanish and Chinese.
- Fellows can also provide care at the Mission Neighborhood Health Center (mnhc.org) in San Francisco’s Mission District. This FQHC serves a predominantly LatinX patient population and serves the families of the surrounding community. Fellows can work in general medical clinics and in a women’s health clinic. Fellows work in a multidisciplinary team to help provide services to patients with Medi-Cal or no insurance. The clinic has on-site pharmacy, dental, laboratory facilities. It has grown from its founding in 1967 to now serve 13,000 patients a year.
- Fellows may also work at HealthRIGHT 360’s Integrated Care Center in San Francisco (healthright360.org). The ICC is primarily designed to treat low-income patients, and the harder-to-reach homeless individual. Clients are able to receive comprehensive treatment services under one roof: primary medical care, dentistry, mental health services, substance use disorder treatment, housing referral, employment opportunities, and adult education. There are also opportunities to work with the Women’s Community Clinic and Lyon Martin Clinic to provide primary medical care, sexual and reproductive health care, and mental health services for women, gender non-conforming people, and transgender people of all gender identities and sexual orientations.
- Fellows have opportunities to teach Kaiser Permanente residents, as well as medical students, at these sites and Kaiser Permanente clinics.
- CMUH-San Francisco Fellows can also participate in up to 4 weeks of Kaiser Permanente-sponsored international medical experiences at KP Global Health sites such as:
- Vietnam- Da Nang General Hospital
- Tibet- Tibetan Delek Hospital
- Honduras – ENLACE foundation
- Ecuador – Cacha Medical Spanish Institute
- Guatemala – Hospital de La Familia
- Kenya – The Matibabu/Tiba Foundations
Community Advocacy and Community Project
- The CMUH- San Francisco Fellow will complete a scholarly project in Community Health. They have protected time to meet and collaborate on a project. Options include: a Quality Improvement project at the clinic site, medical education, health policy, or Kaiser Permanente research.
- The fellow can also assist with local health fairs, and other community events or health advocacy.
- Fellows meet regularly with other Community Medicine fellows in the region for didactic learning.
- The Fellows will contribute to teaching the residents and medical students from Kaiser San Francisco, as well as take on a teaching role in the community clinic site.