Project Grant T9C49292

TEACHING HEALTH CENTER GRADUATE MEDICAL EDUCATION PROGRAM - PROJECT TITLE: NEMS TEACHING HEALTH CENTER GRADUATE MEDICAL EDUCATION PROGRAM APPLICANT NAME: NORTH EAST MEDICAL SERVICES MAIN CLINIC ADDRESS: 1520 STOCKTON ST, SAN FRANCISCO, CA 94133 ADMINISTRATIVE ADDRESS: 2171 JUNIPERO SERRA BLVD, DALY CITY, CA 94014 PROJECT DIRECTOR NAME: DIANA KAWASAKI-YEE CONTACT PHONE NUMBERS: VOICE: 415-391-9686; FAX: 415-433-4726 EMAIL ADDRESS: DIANA.KAWASAKI-YEE@NEMS.ORG WEBSITE ADDRESS: WWW.NEMS.ORG FUNDING AMOUNT REQUESTED: $800,000 FUNDING PREFERENCE: PRIORITY 1: HPSA AND PRIORITY 2: MUC TRAINING PROGRAM NAME: NEMS INTERNAL MEDICINE RESIDENCY PROGRAM RESIDENCY PROGRAM DISCIPLINE: INTERNAL MEDICINE TYPE OF APPLICATION: NEW ELIGIBLE ENTITY TYPE: FQHC; NEMS WILL OPERATE THE RESIDENCY PROGRAM ALONE YEAR PROGRAM TO BEGIN TRAINING RESIDENTS: 2023 NORTH EAST MEDICAL SERVICES (NEMS) IS A PRIVATE, NON-PROFIT COMMUNITY HEALTH CENTER SERVING MEDICALLY UNDERSERVED AREAS AND POPULATIONS IN THE SAN FRANCISCO BAY AREA, CALIFORNIA. NEMS IS REQUESTING $800,000 TO SUPPORT NEMS INTERNAL MEDICINE RESIDENCY PROGRAM THROUGH THE HRSA/BHW TEACHING HEALTH CENTER GRADUATE MEDICAL EDUCATION (THCGME) PROGRAM. FUNDING WILL BE USED TO TRAIN FIVE (5) RESIDENTS PER YEAR THROUGHOUT THE THREE-YEAR PROGRAM, FOR A TOTAL OF 15 (5-5-5) RESIDENT FTES. THE TOTAL RESIDENT FTE POSITIONS TO BE FUNDED UNDER THIS PROGRAM FOR ACADEMIC YEAR 2023-2024 IS 5 (5-0-0). NEMS PROVIDES HIGH QUALITY, PRIMARY AND PREVENTIVE HEALTH CARE SERVICES, INCLUDING MEDICAL, DENTAL, MENTAL HEALTH, LABORATORY, PHARMACY, ALTERNATIVE MEDICINE, SOCIAL SERVICES, AND SPECIALTY CARE. WE ARE A HRSA/BPHC HEALTH CENTER PROGRAM GRANTEE WITH OVER 50 YEARS OF EXPERIENCE SERVING A PREDOMINANTLY ASIAN POPULATION. IN 2021, NEMS CARED FOR OVER 67,000 PATIENTS THROUGH APPROXIMATELY 374,000 VISITS. AMONG THOSE SERVED, 89% WERE ASIAN, 92% WERE COVERED BY MEDI-CAL (MEDICAID OR DUALLY ELIGIBLE MEDICARE/MEDICAID), AND 80% WERE BETTER SERVED IN A LANGUAGE OTHER THAN ENGLISH. NEMS RECEIVED ACGME SPON SORING INSTITUTION ACCREDITATION IN JANUARY 2022 AND ACGME PROGRAM ACCREDITATION IN SEPTEMBER 2022. THE NEMS INTERNAL MEDICINE RESIDENCY PROGRAM IS BASED OUT OF THREE NEMS CLINICS/SERVICE DELIVERY SITES IN DESIGNATED MUAS AND/OR PCSAS IN SAN FRANCISCO - 1520 STOCKTON STREET CLINIC IN CHINATOWN (MUA #00351), 2574 SAN BRUNO AVENUE CLINIC IN PORTOLA/BAYVIEW (MUA #00353; MSSA ID 162F), AND 1443 OCEAN AVENUE CLINIC IN EXCELSIOR (MSSA ID 162D). OUR TARGET POPULATION INCLUDES ALL ASIANS AND THOSE WHO ARE UNINSURED OR COVERED BY MEDICAID, MEDICARE, OR PUBLIC INSURANCES. THE PRIMARY TEACHING SITE, STOCKTON CLINIC, HAS A DISPROPORTIONATELY HIGH NUMBER OF SENIORS AGES 65 AND OVER (28%) COMPARED TO COMPARABLE HEALTH CENTERS ACROSS CALIFORNIA. IT IS ALSO ONE OF THE MOST ECONOMICALLY DISADVANTAGED NEIGHBORHOODS IN THE CITY, WITH 39% OF RESIDENTS IN ZIP CODE TABULATION AREA (ZCTA) 94108 AND 33% OF RESIDENTS IN ZCTA 94133 LIVING BELOW 200% FPL. DURING TRAINING AT NEMS, RESIDENTS WILL GAIN A DEEPER UNDERSTANDING OF THE SOCIOECONOMIC, LANGUAGE, AND ACCESS BARRIERS THAT CONTRIBUTE TO THE HEALTH DISPARITIES EXPERIENCED IN THESE COMMUNITIES. TO COMPLEMENT THE COMMUNITY HEALTH EXPERIENCE AT NEMS AND NEMS PACE (PROGRAM FOR ALL-INCLUSIVE CARE FOR THE ELDERLY), ROTATIONS AT SETON MEDICAL CENTER, OUR HOSPITAL PARTNER IN DALY CITY, AND BICYCLE HEALTH, AN ADDICTION MEDICINE PROVIDER BASED IN REDWOOD CITY, WILL ALLOW RESIDENTS TO EXPERIENCE AN OPTIMAL BALANCE OF INPATIENT AND AMBULATORY MEDICINE IN COMPLIANCE WITH ACGME REQUIREMENTS. GIVEN THE DISTINCTIVE NEEDS AND CHALLENGES IN THE COMMUNITY, IT IS ESPECIALLY IMPORTANT FOR NEMS TO RECRUIT, TRAIN, AND RETAIN PRIMARY CARE PROVIDERS THAT ARE ATTUNED TO THE COMMUNITY'S UNIQUE NEEDS AND HEALTH DISPARITIES.