Team Based Care
During the Team-Based Care (TBC) rotation, residents are fully integrated into the Family Medicine Residency Practice (FMRP) healthcare team, managing their own continuity panel during several half-day clinics each week. This experience immerses residents in a high-functioning, inter-professional team and a collaborative learning environment, where they provide comprehensive, compassionate, culturally humble, and patient-centered primary care to individuals of all ages and backgrounds. The FMRP team is dedicated to advancing the Quadruple Aim of health reform: improving health outcomes, enhancing the patient experience, reducing healthcare costs, and supporting provider well-being.
The behavioral health curriculum is primarily embedded within the TBC rotation and designed to equip residents with the skills needed to support psychosocial well-being across the lifespan and to foster a deep understanding of the patient as a whole person. Key components during the intern year include individualized coaching in patient-centered communication, practical training in motivational interviewing, focused instruction in the diagnosis and psychosocial management of mental and behavioral health conditions, and guided development of physician identity. These goals are achieved through small-group behavioral health skills workshops (limited to two residents per session), direct observation of patient care encounters, and inter-professional consultations with Chaplain Residents and Psychology Trainees. Additionally, residents cross-train with behavioral health trainees during integrated visits and warm hand-offs, further enhancing their ability to deliver coordinated, team-based care.
Interns complete two TBC rotations during their first year—TBC-1 and TBC-2—each lasting six weeks. Beyond clinical sessions, residents also have opportunities for panel management and wound care training, gaining a well-rounded foundation in comprehensive family medicine.
Goals and Objectives:
- The resident will begin the development of their own patient continuity panel and their professional identity as a family physician.
- The resident will experience team based care as a model to sustain the family medicine principles of access, continuity, comprehensiveness, care coordination and patient-centeredness.
- The resident will progress in competence to provide broad spectrum primary care services to all age groups.
Location(s): Family Medicine Residency Practice
Distance from Family Medicine Residency Practice: 0.0 m
Team Based Care Sample Schedule, Education Experiences:
Monday | Tuesday | Wednesday | Thursday | Friday | |
---|---|---|---|---|---|
AM | Team Based Clinic | Team Based Clinic | Team Based Clinic | Geriatrics and Wound Care | Team Based Clinic |
PM | Behavioral Health Skills | Diagnostic Evaluations with Psychologist | Panel Management | Workshop | Panel Management |

Medical Assistants, A. Arteaga, R. Zamora and E. Ramirez run the morning Team-Based Care huddle with faculty, residents and all clinical staff.