"Residency teaching programs have two equally important missions: educating tomorrow's doctors and caring for today's patients. This report offers observations made in 23 family medicine, internal medicine, and pediatric resident teaching clinics around the United States. We found that several of those residency programs are demonstrating that good education for tomorrow's doctors requires excellent care for today's patients. Currently, clinics that train the nation's future primary care physicians face major challenges. Faculty physicians and resident learners often spend only one to two half-days per week in clinic, making it difficult to provide continuity of care and prompt access for patients, who are often from underserved communities. Moreover, a "training gap" exists between the inpatient focus of many residency programs and the reality that the majority of health care occurs in the outpatient setting. Residents and medical students are less likely to enter ambulatory primary care careers as a result of poor experiences in teaching clinics. The observations offered in this report are based on detailed site visits conducted from 2013 to 2015 by a team from the Center for Excellence in Primary Care (CEPC) at the University of California, San Francisco. The observations are organized according to the primary care improvement model--the Building Blocks of High-Performing Primary Care--which includes 10 features of good primary care"--Executive summary.

"16-142 (10/16)."

Executive summary --Introduction -- Conceptual model: the building blocks of high-performing primary care -- Building block 1: Engaged leadership -- Building block 2: Data-driven improvement -- Building block 3: Empanelment -- Building block 4: Team-based care -- Building block 5: Patient-team partnership -- Building block 6: Population management -- Building block 7: Continuity of care -- Building block 8: Prompt access to care -- Building blocks 7 and 8: Continuity of care and prompt access to care -- Building block 9: Comprehensiveness and care coordination -- Building block 10: Template of the future -- Resident building block 1: Resident scheduling -- Resident building block 2: Resident engagement -- Resident building block 3: Resident worklife -- Conclusion -- References.