{"id":270745,"date":"2026-04-16T13:22:11","date_gmt":"2026-04-16T13:22:11","guid":{"rendered":"https:\/\/www.newsbeep.com\/us-ca\/270745\/"},"modified":"2026-04-16T13:22:11","modified_gmt":"2026-04-16T13:22:11","slug":"how-the-school-of-medicine-built-a-primary-care-pipeline-to-address-physician-shortages","status":"publish","type":"post","link":"https:\/\/www.newsbeep.com\/us-ca\/270745\/","title":{"rendered":"How the School of Medicine built a primary care pipeline to address physician shortages"},"content":{"rendered":"<p>(SACRAMENTO) <\/p>\n<p>America needs more primary care doctors. And UC Davis has built a model to help address the shortage.<\/p>\n<p>The successful effort was on full display last month at\u00a0<a href=\"https:\/\/health.ucdavis.edu\/news\/headlines\/match-day-reveals-life-changing-news-for-121-uc-davis-medical-students-\/2026\/03\" rel=\"nofollow noopener\" target=\"_blank\">Match Day<\/a>: Half of the School of Medicine\u2019s graduating class of 2026 will train in primary care residencies.<\/p>\n<p>Few other medical schools prepare a larger share of students for careers in primary care fields, which include family medicine, pediatrics and internal medicine.<\/p>\n<p>In fact, of the roughly 200 medical schools in the country, the\u00a0<a href=\"https:\/\/health.ucdavis.edu\/medical-school\/\" rel=\"nofollow noopener\" target=\"_blank\">UC Davis School of Medicine<\/a>\u00a0is grouped with 15 other institutions in the top tier ranking for primary care the past three years, based on\u00a0<a href=\"https:\/\/health.ucdavis.edu\/news\/headlines\/uc-davis-school-of-medicine-ranks-among-top-us-schools\/2026\/04\" rel=\"nofollow noopener\" target=\"_blank\">U.S. News &amp; World report<\/a>\u00a0data published last week. When U.S. News last reported individual school rankings in 2023, UC Davis was at the No. 6 spot for primary care.<\/p>\n<p>Students are often drawn to UC Davis because of its strong emphasis on primary care. One of those is Abigail Vidrio, a first-year medical student from Orange Cove, a majority Hispanic town of fewer than 10,000 residents southeast of Fresno.\u00a0<\/p>\n<p><img loading=\"lazy\" decoding=\"async\" src=\"https:\/\/www.newsbeep.com\/us-ca\/wp-content\/uploads\/2026\/04\/family-photo-of-parents-and-daughter450v.jpg\" width=\"450\" height=\"600\" class=\"img-right\" alt=\"Medical student Abigail Vidrio, wearing a white coat and stethoscope at her induction ceremony, surrounded by her parents. \"\/><br \/>\nAbigail Vidrio, center, surrounded by parents Maria and Miguel Vidrio, at her medical school induction ceremony. Vidrio aspires to become a family medicine physician in her native Fresno County.<\/p>\n<p>She remembers a childhood with long drives to see a doctor and encountering crowded clinics and cultural barriers to care. In her teenage years, she would wake up at 4 a.m. to prepare her grandfather for his dialysis regimen.<\/p>\n<p>\u201cAfter each appointment, it became more apparent that accessible, quality care was a luxury rather than a right in communities like mine,\u201d Vidrio recalled.<\/p>\n<p>\u201cMy goal is to return to Fresno County and work in rural communities and make health care a little bit more accessible to people in the community,\u201d she added.<\/p>\n<p>The primary care commitment goes back to the school\u2019s founding in the 1960s: The California Legislature created the medical school to help alleviate physician shortages in Northern California, especially outside major cities. Over the years, the school strengthened that purpose through mission-focused admissions policies. More recently, it developed unique programs and academic tracks centered on primary care that have gained national attention.<\/p>\n<p>\u201cOur founding mandate or mission is to train the physicians California needs; that\u2019s our goal,\u201d said\u00a0<a href=\"https:\/\/health.ucdavis.edu\/leadership\/bios\/servis\" rel=\"nofollow noopener\" target=\"_blank\">Mark Servis<\/a>, the vice dean for medical education. \u201cAnd if primary care is the greatest need, then we want to excel at it.\u201d<\/p>\n<p>A mission rooted in community need<\/p>\n<p>The rise of UC Davis as a primary care powerhouse is closely tied to the needs of the communities it serves. Located in Sacramento, the school serves vast rural regions and pockets with limited access to health care in the northern and central valley areas.<\/p>\n<p>Six decades ago, state officials recognized the location as key to serving patients in a 33-county area that other public medical schools couldn\u2019t reach. That commitment solidified even more in the late 1960s and early 1970s when the Sacramento County Hospital was part of UC Davis Health.<\/p>\n<p>\u201cAccess to physicians was a big issue back then, and the shortages were the most acute in primary care medicine,\u201d Servis said.<\/p>\n<p>\u201cThe feeling was that UCSF, UCLA, UC San Diego and UC Irvine were all doing a pretty good job of training specialists,\u201d he noted. \u201cThe hope was that UC Davis would get more primary care physicians into the interior of California.&#8221;<\/p>\n<p>From its inception, the UC Davis School of Medicine endeavored to deliver medical education with that focus. The school selects many applicants committed to primary care, exposes them to primary care mentors and emphasizes primary care experience in third-year clinical rotations, commonly known as clerkships.<\/p>\n<p>The significance of primary care medicine<\/p>\n<p>Primary care physicians are the linchpin of the health care delivery system.<\/p>\n<p>These doctors often serve as the first point of contact for patients. They build trusted, long-term relationships and coordinate care with specialty providers to ensure continuity. They also improve access for underserved populations. In addition, primary care physicians play a vital role in communicating medical information in a clear and supportive way, which helps patients stay on medications and follow prevention tips.<\/p>\n<p>Medical school graduates who go on to become primary care physicians are required to spend three years in a residency training program.<\/p>\n<p>Those who choose internal medicine, for example, will work in outpatient clinics, while others will become hospitalists rounding on patients in medical centers. Many others enter internal medicine residency as a springboard to subspecialty training, fulfilling requirements needed to then move into fields such as oncology, cardiology, and nephrology.<\/p>\n<p>Those who enter family medicine, however, are more likely to spend their careers practicing the full scope of primary care, including caring for children and adults and delivering babies.<\/p>\n<p>Their breadth and depth of practice is especially valuable in medically underserved communities that lack pediatricians and obstetrician-gynecologists.<\/p>\n<p>Family medicine: Caring for patients \u201cfrom cradle to grave\u201d<\/p>\n<p>\u201cWe hold patients&#8217; medical histories from cradle to grave and partner with them over their lifetimes to ensure good health,&#8221; said\u00a0<a href=\"https:\/\/health.ucdavis.edu\/medical-center\/team\/22158\/micaela-godzich---family-and-community-medicine-sacramento\/\" rel=\"nofollow noopener\" target=\"_blank\">Micaela Godzich<\/a>, a clinical professor in the UC Davis\u00a0<a href=\"https:\/\/health.ucdavis.edu\/family-medicine\/\" rel=\"nofollow noopener\" target=\"_blank\">Department of Family and Community Medicine<\/a>. She adds: \u201cWe&#8217;re often the first person to identify life-threatening conditions, we counsel them on preventive care, and we celebrate when they manage their chronic diseases effectively.\u201d<\/p>\n<p>Primary care doctors have proven to reduce health care costs by keeping patients healthy and minimizing the need for emergency and surgical care.<\/p>\n<p>Nearly all adults with regular primary care access receive cost-effective preventive services versus about 68% of those without regular access, according to a recent\u00a0<a href=\"https:\/\/www.healio.com\/news\/primary-care\/20260311\/national-scorecard-shows-the-power-of-primary-care-but-investment-remains-an-issue\" rel=\"nofollow noopener\" target=\"_blank\">report<\/a>. The work was co-funded by\u00a0<a href=\"https:\/\/physiciansfoundation.org\/\" rel=\"nofollow noopener\" target=\"_blank\">The Physicians Foundation<\/a>\u00a0and the\u00a0<a href=\"https:\/\/www.milbank.org\/\" rel=\"nofollow noopener\" target=\"_blank\">Milbank Memorial Fund<\/a>.<\/p>\n<p>The report, developed by researchers at the\u00a0<a href=\"https:\/\/www.graham-center.org\/home.html\" rel=\"nofollow noopener\" target=\"_blank\">American Academy of Family Physicians\u2019 Robert Graham Center<\/a>, also found primary care access was linked to 11% fewer emergency department visits and 20% lower odds of hospitalization.<\/p>\n<p>Unlike most medical schools, UC Davis requires students to complete a five-week clerkship in family medicine, in keeping with the school\u2019s mission, said\u00a0<a href=\"https:\/\/health.ucdavis.edu\/mdprogram\/specialty-advisors\/srinivasan.html\" rel=\"nofollow noopener\" target=\"_blank\">Kris Srinivasan<\/a>, clinical professor in the Department of Family and Community Medicine and director of its medical student education program.<\/p>\n<p>\u201cUC Davis is unique in that family medicine is generally held in pretty high regard here,\u201d Srinivasan said, \u201cwhich I don\u2019t think is necessarily true at a lot of other academic institutions.&#8221;<\/p>\n<p>Family medicine students can select from many clerkship experiences. Some will focus on reproductive health, others will be assigned mentors at the Sacramento County Health Center, which serves a large Medi-Cal population. Some students will learn about gender-affirming care in Sacramento while others will spend several weeks in far Northern California to treat patients in rural communities.<\/p>\n<p>UC Davis is home to ACE-PC, the only medical school program on the West Coast that allows students to graduate in three years to help fill the urgent need for primary care physicians in California.<\/p>\n<p>Medical education tailored to community needs<\/p>\n<p>UC Davis also stands out from most medical schools in how it offers academic options for students to practice where the need is greatest: among underserved communities which lack access to primary care.<\/p>\n<p>Nearly a third of students choose to join a pathway that trains them in how to care for specific populations. The learning starts in the classroom and extends into rural and urban underserved areas.<\/p>\n<p>\u201cWe are innovative, and the pathway programs we\u2019ve created are the most\u00a0expansive\u00a0in the country,\u201d said Vice Dean\u00a0Servis. \u201cIt\u2019s because of this programming that we\u2019re ranked so highly.\u201d\u00a0<\/p>\n<p>Most of the pathways were launched with seed money from the state and earmarked for a University of California initiative called\u00a0<a href=\"https:\/\/www.ucop.edu\/uc-health\/departments\/prime.html\" rel=\"nofollow noopener\" target=\"_blank\">Programs in Medical Education (PRIME).<\/a>\u00a0The pathways are meant to address specific needs among underserved communities determined by each campus. UC Davis has continued to add pathways and now offers seven.<\/p>\n<p>The school\u2019s\u00a0<a href=\"https:\/\/health.ucdavis.edu\/mdprogram\/community-health-scholars\/index.html\" rel=\"nofollow noopener\" target=\"_blank\">PRIME pathways<\/a>\u00a0focus medical education by region or population groups, including:<\/p>\n<p>In addition, UC Davis hosts the only program on the West Coast that allows medical students to complete their education in three years instead of four, so they can more urgently fill the need for primary care physicians.<\/p>\n<p><a href=\"https:\/\/health.ucdavis.edu\/mdprogram\/ACE-PC\/about.html\" rel=\"nofollow noopener\" target=\"_blank\">ACE-PC<\/a>, short for Accelerated Competency-based Education in Primary Care, was established in partnership with Kaiser Permanente in 2014.<\/p>\n<p>Its success led to the launch of a new pathway this year,\u00a0<a href=\"https:\/\/health.ucdavis.edu\/news\/headlines\/uc-davis-school-of-medicine-expands-program-to-train-rural-doctors-into-northern-california\/2025\/11\" rel=\"nofollow noopener\" target=\"_blank\">Rural ACE-PC<\/a>, which relies on community partnerships to host UC Davis students at clinical training sites in Shasta, Nevada and Humboldt counties. The end goal of the new track is to boost the local primary care and psychiatry workforce in places such as Redding, Grass Valley, Nevada City and Eureka.<\/p>\n<p>\u201cIt is deeply fulfilling to work at a school that places primary care at the heart of its mission and as a core expression of its values and responsibility to our communities,\u201d said\u00a0<a href=\"https:\/\/health.ucdavis.edu\/internal-medicine\/team\/11698\/alicia-gonzalez-flores-internal-medicine-sacramento-sacramento\" rel=\"nofollow noopener\" target=\"_blank\">Alicia Gonzalez-Flores<\/a>, the ACE-PC leader and an internal medicine physician.<\/p>\n<p>Despite the large share of UC Davis students choosing primary care residencies, national experts express concern that the number may soon drop due to economic pressures.<\/p>\n<p>For one, new <a href=\"https:\/\/students-residents.aamc.org\/premed-navigator\/preparing-upcoming-student-loan-changes-information-aspiring-medical-students\" rel=\"nofollow noopener\" target=\"_blank\">federal student loan limits<\/a> taking effect July 1 may increase financial strain on future medical students, pushing some toward higher-paying specialties to repay debt more quickly. In addition, recent reports from the <a href=\"https:\/\/www.chcf.org\/primary-care\/\" rel=\"nofollow noopener\" target=\"_blank\">California Health Care Foundation<\/a> and other organizations suggest health systems and insurers are <a href=\"https:\/\/health.ucdavis.edu\/family-medicine\/news-events\/optimizing-the-primary-care-spend-symposium\/\" rel=\"nofollow noopener\" target=\"_blank\">under-investing in primary care,<\/a> which also keeps salaries relatively low and ultimately limits primary care access to patient populations who need it most.<\/p>\n<p>A common thread links pathway students<\/p>\n<p>Many students who study primary care at UC Davis can relate to health inequities because they grew up in households with government insurance, or no insurance at all. Some\u00a0were expected to serve as interpreters for their parents at medical appointments.\u00a0<\/p>\n<p>Having experienced barriers to care is a motivating factor for wanting to provide care for underserved and vulnerable populations.<\/p>\n<p>\u201cIf you grew up on Medi-Cal, you understand how such patients struggle to access care because many primary care practices don\u2019t accept patients with Medi-Cal,\u201d said\u00a0<a href=\"https:\/\/health.ucdavis.edu\/leadership\/bios\/henderson\" rel=\"nofollow noopener\" target=\"_blank\">Mark Henderson<\/a>, the UC Davis dean of medical school admissions who also teaches hands-on doctoring skills to students and residents.<\/p>\n<p>Abigail Vidrio, in her first year at the UC Davis School of Medicine, is part of REACH, the pathway to boost the number of physicians in the Central Valley.<\/p>\n<p>She is eager to be the kind of barrier-breaking doctor she rarely saw while growing up.<\/p>\n<p>The aspiring family medicine physician wants to provide preventive care, health education and help patients manage their medical needs.<\/p>\n<p>\u201cThis is very important to me\u201d she said. \u201cEvery time I go back home and see the community I\u2019m going to help, it just reignites my passion and reminds me why I\u2019m doing this.\u201d<\/p>\n","protected":false},"excerpt":{"rendered":"(SACRAMENTO) America needs more primary care doctors. And UC Davis has built a model to help address the&hellip;\n","protected":false},"author":2,"featured_media":270746,"comment_status":"","ping_status":"","sticky":false,"template":"","format":"standard","meta":{"footnotes":""},"categories":[32],"tags":[121,123,122],"class_list":["post-270745","post","type-post","status-publish","format-standard","has-post-thumbnail","category-sacramento","tag-sacramento","tag-sacramento-headlines","tag-sacramento-news"],"_links":{"self":[{"href":"https:\/\/www.newsbeep.com\/us-ca\/wp-json\/wp\/v2\/posts\/270745","targetHints":{"allow":["GET"]}}],"collection":[{"href":"https:\/\/www.newsbeep.com\/us-ca\/wp-json\/wp\/v2\/posts"}],"about":[{"href":"https:\/\/www.newsbeep.com\/us-ca\/wp-json\/wp\/v2\/types\/post"}],"author":[{"embeddable":true,"href":"https:\/\/www.newsbeep.com\/us-ca\/wp-json\/wp\/v2\/users\/2"}],"replies":[{"embeddable":true,"href":"https:\/\/www.newsbeep.com\/us-ca\/wp-json\/wp\/v2\/comments?post=270745"}],"version-history":[{"count":0,"href":"https:\/\/www.newsbeep.com\/us-ca\/wp-json\/wp\/v2\/posts\/270745\/revisions"}],"wp:featuredmedia":[{"embeddable":true,"href":"https:\/\/www.newsbeep.com\/us-ca\/wp-json\/wp\/v2\/media\/270746"}],"wp:attachment":[{"href":"https:\/\/www.newsbeep.com\/us-ca\/wp-json\/wp\/v2\/media?parent=270745"}],"wp:term":[{"taxonomy":"category","embeddable":true,"href":"https:\/\/www.newsbeep.com\/us-ca\/wp-json\/wp\/v2\/categories?post=270745"},{"taxonomy":"post_tag","embeddable":true,"href":"https:\/\/www.newsbeep.com\/us-ca\/wp-json\/wp\/v2\/tags?post=270745"}],"curies":[{"name":"wp","href":"https:\/\/api.w.org\/{rel}","templated":true}]}}