Department of
Internal Medicine at Highland Hospital
A member of Alameda Health System

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, highly structured weeks which incorporate a variety of outpatient experiences.  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.  PGY3 residents also have a joint week, in addition to three largely independent PCI weeks during which they are encouraged to develop their own experiences, to work on areas they want to improve or gain special expertise in areas of primary care which in which they want to excel.  

R1: (2 weeks)

  • Training in Motivational Interviewing (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
  • Pedatrics transition clinic
  • Home visits with complex care team
  • Addicton medicine and opioid replacement therapy
  • 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 to Resident Patients with Faculty
    • Outpatient Procedure Intensive Workshop
    • Primary Care Joint Club
    • Community Clinic Tour
    • Structural Competency Traning

R3: (4 weeks)

Selective time for PC residents to;

Solidify career plans and interests
Gain more clinical experience in areas of interest
Further explore community safety-net medicine in the Bay Area

Examples:

  • Homeless outreach team
  • HIV medicine
  • Project with 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