Training Discipline: Family Medicine; Type of Application: Expansion Applicant: Shasta Community Health Center; Address: 1035 Placer Street, Redding, CA 96001 Eligible Entity Type: Federally Qualified Heath Center, operating an AGCME accredited primary care residency program center as part of a GME consortium. Year Program Began Training Residents: 2013 Website: www.shastahealth.org Number of FTEs Requested to be Funded for All Years of Training: 3(1-1-1) Number of FTEs Requested for AY 2022-2023: 1(1-0-0) Amount of Grant Funds Requested: $1,120,000 Program Director: Debra Lupeika, MD, Program Director, C. Dean Germano, MHS, CEO Phone: SCHC Family Medicine Residency 530-246-5951, SCHC 530-246-5980 Email: firstname.lastname@example.org, email@example.com Shasta Community Health Center (SCHC) is the sponsoring institution of the SCHC Family Medicine Residency Program, which started as a 2-2-2 THCGME program in 2013. In 2018, we expanded through the Accreditation Council for Graduate Medical Education (ACGME) to a 9 (3-3-3) resident program. The three additional residents have been supported by non-federal funds. Our HRSA FTE letter for 2021 approves 6 FTEs in our program. We have requested another ACGME expansion for a 12 (4-4-4) program. We will provide this expansion approval letter to HRSA prior to the November 5, 2021, deadline. Our program works closely with the Mercy Redding Family Medicine Residency Program. Our 1st year residents work in Mercy's inpatient setting and spend much of their 2nd & 3rd year training outpatient at SCHC. All three continuity clinic years are spent in outpatient at SCHC. Our program is uniquely positioned to train family medicine residents due to the complex conditions routinely presented by our diverse patients facing social determinants of health. We are in the rural northeastern part of California, serving underserved patients in Redding and the surrounding area of Shasta County. The pri
mary care training location is the safety-net provider for this service area with a payer mix of 64% Medi-Cal, 17.4% Medicare, 12.29% Medi/Medi, and 9.96% uninsured. Relationships with acute care training facilities and a hospital-based family medicine residency provide inpatient and outpatient training to meet the standards of the ACGME and are positioned well to accept additional residents in our program rotations. Opportunities for training with special populations of the health center will offer unique primary care training experiences, including the local women’s shelter, mission, HOPE Mobile Clinic & Street Medicine for our homeless, SCHC Maternity Center, and Early Intervention Services for our HIV/AIDS patients. Our residents rotate at UC Davis Medical Center Pediatric Emergency Department. We have an advanced Life Support in Obstetrics (ALSO) certification course and point of care ultrasound. To address the opioid crisis and other addictive medicines all residents will receive Medication Assisted Therapy training and obtain X-waivers to prescribe buprenorphine (Suboxone). The support requested is $1,120,000 for the 3 FTEs over our 2021 baseline bringing our program to a 12 (4-4-4) configuration, starting with 1 FTE position in a 2-1-1 configuration for AY 2022-2023. We currently have 6 FTEs supported by THCGME funding and an additional three supported by state funding. Ideally, we want all our residents under the THCGME umbrella. This will reduce reporting burdens created by having multiple sources of unstable funding. This would require an additional $160,000 x 3 FTEs, over the 4-year grant period for a total of 1,920,000.