The UCSF San Francisco General Hospital Family and Community Medicine residency program (UCSF/SFGH FCMRP) has been training physicians to practice systems-oriented medicine with a focus on urban underserved populations for 45 years. At its inception, the field of family medicine was conceived as a response to the extreme reductionism that dominated medical culture at the time. Medical science has a tendency to conceptually divide people into their constituent parts and divide them from their contexts, families, and communities. Family medicine was designed as a field to reconstitute the patient, and to explicitly consider the whole person, inclusive of their community, their history, their family, and other elements of context. In other words, the field is explicitly systems oriented. This orientation informs diagnostic and treatment decisions in family medicine, and requires that trainees become skilled at assessing and participating in complex family systems. Family physicians are expected not only to attend to their patients' biomedical issues, but to attend to psychological, psychiatric, and social issues as they relate to patients' health. For these reasons, a robust and integrated behavioral medicine curriculum is a critical element of family medicine education. Since 1972, the UCSF/SFGH FCMRP has developed and maintained such a behavioral medicine curriculum that is firmly grounded in a systemic and relational orientation to health and health care.
In addition, the UCSF/SFGH FCMRP trains residents specifically to work in an urban environment with communities whose resources and opportunities have been historically limited. The training occurs at the Family Health Center (FHC), a clinic that serves a diverse panel of over 11,000 patients, all of whom are all uninsured or publically insured. Over 50% of patients do not speak English as a first language and over 80% are of minority race or ethnicity. The burden of social stress, mental illness, and substance use disorder is high in the FHC population, and residents are expected to gain proficiency in using a strengths-based and culturally responsive approach to supporting, empowering, and partnering with patients in this clinic. In addition, residents train at Zuckerberg San Francisco General Hospital, a county hospital run by the San Francisco Department of Public Health. The patient population served on the Family Medicine service at ZSFG mirrors the population served in clinic, again highlighting the importance proficiency in assessing and addressing social determinants of health. Our residency has maintained its initial and current mission to train systemically-oriented family physicians to commit themselves to careers that will work towards social justice and reduce the health inequities that exist in the patients, families and communities we serve.
In this setting, the behavioral science faculty member will support our residents': • acquisition of systemic and relational therapeutic clinical skills to work effectively with individuals, couples and families in their continuity practice; and • professionalization by helping them identify and enact their own professional values and visions
Specific job duties
Resident observation sessions: The faculty member will provide live supervision for residents in clinic to guide learning of behavioral medicine and psychosocial skills in the context of their clinical practice, and to provide feedback and coaching
Resident clinical support: The faculty member will support residents with their patients' behavioral needs through consultation and coaching
Resident support and advising: The faculty member will meet with residents as needed to provide support and advising, and may support them with community engagement, advocacy, and clinical quality improvement projects
Teaching: The faculty member will engage in teaching sessions in the residency (seminars, didactics)
Clinical practice: The faculty member will see patients independently in the Family Health Center to provide family or individual therapy as needed
Administration: The faculty member will participate in various residency and departmental administrative duties (meetings with faculty, residents and Family Health Center staff; residency applicant selection; departmental and residency retreats; faculty development)
Scholarly activity: The faculty member will engage in scholarly activities (local, regional, national presentations; publications; quality improvement projects)
• Education: o Doctor of Philosophy (Ph.D.) or Psychology (Psy.D.) in Clinical Psychology or related field from an APA/CPA accredited program; OR o Master of Social Work, Community Mental Health, Marriage & Family Therapy, or equivalent graduate degree • Experience: o One (1) year of post-graduate experience in the area of Behavioral Health in medically underserved and culturally diverse settings; OR o One (1) year of clinical experience or two (2) years of post-doctoral experience in the area of Health Psychology in medically underserved and culturally diverse settings • Licenses & Certifications: Licensure as Psychologist – PSY in California; Possession of California Mental Health License (LPCC, LMFT, LCSW). • Required Skills, Knowledge, & Abilities: o Demonstrated cultural competence in working with vulnerable and culturally diverse urban populations o Ability to work with a diverse population and provide care trauma informed care including racial trauma o Demonstrated ability to work as a team member in an interdisciplinary environment o Previous experience with managed care o Demonstrated ability in teaching and clinical supervision o Demonstrated clinical, educational, and administrative skills with a strong commitment to an academic career as a clinician-educator o Breadth of training and experience to include emphasis on working with multi-ethnic and socio-economically diverse patient populations and evidence-based practice o Skill in providing mental health assessments as well as clinically appropriate treatment modalities o Clinical skills for a wide variety of DSM IV diagnoses, evaluations, and consultation o Ability to provide clinical service to a wide range of ages and to persons having any number of health -related issues, including chronic illness, traumatic injury, physical disability, mental illness, and end -of-life decision making o Knowledge of applicable laws and ethics pertaining to mental health o Eligible for listing in the National Register of Health Service Providers in Psychology
UC San Francisco seeks candidates whose experience, teaching, research, or community service that has prepared them to contribute to our commitment to diversity and excellence. The University of California is an Equal Opportunity/Affirmative Action Employer. All qualified applicants will receive consideration for employment without regard to race, color, religion, sex, sexual orientation, gender identity, national origin, disability, age or protected veteran status.