Developing an in-depth understanding of community health and the care of vulnerable and underserved populations is at the heart of our residency training philosophy.
We understand that healthy communities are the key to reducing health care disparities and that working upstream, before a risk factor has the chance to cause disease, often yields the greatest impact. Our community-oriented approach recognizes the role of social determinants of health and the role environment plays in supporting or preventing wellness.
This philosophy, along side the desire to graduate top-notch family doctors who are prepared to serve in any practice setting, underpins the Community Medicine curriculum.
Our residents are integrated into community clinics and the community at large. Rotations and continuity experiences provide our residents with skills unique to practicing in under-resourced environments and public health while developing connections with community partners. Through a partnership with the Vallejo City Unified School District’s (VCUSD) “Full Service Community Schools,” our residents gain experience designing and implementing a real-world community intervention. Additional experiences can include school-based health clinics, mentoring, and teaching. Through teaching sessions, we explore topics related to healthcare disparities, social determinants of health, culturally competent care, domestic violence, and more. We also integrate hands-on didactics including workshops, community mapping exercises, and service-based group activities.
Read more about our current community outreach activities here:
Required Community Medicine
In addition to elective time, there is required curriculum in each year of training supported by several dedicated faculty members and our own Community Medicine Global Health fellows.
PGY-1 residents rotate at La Clinica de la Raza, a local Federally Qualified Health Center (FQHC) in place of their own continuity clinic for an afternoon every 6 weeks. Residents also spend a two week dedicated community medicine rotation in several different community-based sites.
PGY-2 residents continue to rotate at La Clinica de la Raza in place of their own continuity clinic for an afternoon every six weeks. Residents on the outpatient surgery rotation spend Wednesday afternoons in a procedure clinic at La Clinica de la Raza supervised by our own faculty.
PGY-3 residents continue to rotate at La Clinica de la Raza in place of their own continuity clinic for an afternoon every 6 weeks. Residents spend two weeks at a single site as an immersion experience either locally or abroad. Examples include La Clinica de la Raza, a Global Health site, Indian Health Services, or working with migrant farm workers. Sites are selected in consultation with mentor/advisors and subject to approval.
Longitudinal Community-Based Project: At the start of residency, each resident is assigned to a leadership role in one of six affiliated Vallejo Unified School District “Full Service Community Schools.” Over the course of the 3 years of residency training, the resident designs and conducts a school needs assessment, develops and implements an intervention to address the needs of the school, assesses impact, and reports results of the program.
This program provides formal and informal opportunities to mentor and teach disadvantaged students, as well as the medical students, allied health professionals, peers, and others with whom the resident collaborates on these novel projects. The residents provide the linchpin for youth development programs and curricular innovations that are culturally relevant, aligned with student interest, and responsive to the needs, strengths, and assets of the local community.
You can learn more about the Youth Development Leadership Forum here:
The leadership of Kaiser Permanente Napa-Solano Family Medicine Residency Program values cultural immersion opportunities which promote competence to work with diverse populations and to cultivate a non-judgmental approach as healers. Global Health is thus offered as an integral component of Community Medicine, with the belief that local is global and global is local. While not mandatory, we actively encourage participation in international health electives and ask residents to consider global health sites for the required third year community medicine rotation. Residents may also use elective time for global health work. Our program emphasizes care for indigenous populations that reflect the diverse cultural backgrounds of Napa Solano’s minority populations. Residents are further supported through Kaiser Permanente Northern California Regional Graduate Medical Education with travel stipends up to $3500 annually per approved international rotation.
Global Health sites include:
- ENLACE Foundation, Taulabe, Honduras
- Hospital de la Familia, Nuevo Progresso, Guatemala
- Cacha Medical Spanish Institute, Rio Bomba, Ecuador
- Da Nang Orthopedic & Rehabilitation Hospital, Da Nang, Vietnam
- Tibeten Delek Hospital, Dharamsala, India
- The Tiba Foundation (Matibabu Clinic), Ugenya, Kenya
- University Teaching Hospital, Lusaka, Zambia
Read about recent Global Health experiences from our residents, fellows and faculty here:
For more information, please visit our Global Health page.