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Message from the Chiefs

The Division of General Internal Medicine at UCSF

The origins of DGIM are in the Division of Ambulatory and Community Medicine (ACM), directed by Robert H. Crede, MD, before the Dean split ACM into two units – DGIM and a new Department of Family and Community Medicine.

The Division of General Internal Medicine’s (DGIM) "founding father" was Steve Schroeder, M.D. DGIM was established because the then Department of Medicine (DOM) Chairman, Dr. Holly Smith, was following the general internal medicine movement nationally and felt that University of California San Francisco (UCSF) could use such a division. Dr. Smith selected Dr. Schroeder to be Chief; planning began in 1979 and opened on July 1980. Subsequently, separate DGIM units were established at the San Francisco General Hospital under the leadership of Richard Haber, MD and at the San Francisco Veterans Administration Hospital under the leadership of Gerald Charles, MD. Currently, the Department of Medicine at UCSF houses three autonomous Divisions of General Internal Medicine at the Mount Zion/Parnassus campus of the UCSF Medical Center, the San Francisco Veterans Affairs Medical Center and the San Francisco General Hospital Medical Center. Each division is governed separately within the three medical centers housing robust research and creative scholarship programs, extensive clinical services in the ambulatory setting and are primarily responsible for the training in ambulatory general internal medicine for over 150 medicine residents each year.

Together, these three divisions make up about 25% of all salaried faculty within the Department of Medicine and have key leadership positions within the Department as associate chairs for ambulatory care and strategic planning and as associate directors of the residency program. The three DGIM units collaborate on multiple research projects, educational programs and Continuing Medical Education Courses.

Mt. Zion/Parnassus Division of General Internal Medicine

The Division of General Internal Medicine at Mt Zion/Parnassus was established in 1980 and has grown to include 71 faculty, 64 internal medicine residents (including 30 primary care residents), 56 campus and 73 practice staff. Our general medicine practice serves a diverse population of about 25,000 patients and is certified as a level 3 NCQA Patient Centered Medical Home. Research is an important component of the Division of General Internal Medicine. DGIM's research is focused on a broad spectrum of disease and population-based research including patient-doctor communication, tobacco control, geriatric care, informatics, genetic epidemiology, cancer control, health disparities, diabetes, and medical decision making. We also have a growing research area in implementation science in the clinical setting. Many of our faculty are well funded by federal research funding, and are nationally recognized in their areas of expertise. DGIM teaches outpatient general internal medicine to residents and students through continuity and urgent care experiences. One of the leading primary care residency programs, the UCSF Primary Care/General Internal Medicine Residency trains internists in both ambulatory and hospital care. Practice teams have facilitated efforts at quality improvement projects and teaching. The PISCES medical student continuity clinic experience has thrived in DGIM, becoming a core teaching program with 15 students every year. PISCES students are paired with a faculty mentor who engages them in patient care in the DGIM clinics. The culture of DGIM is based on humanism, integrity in science and patient care, commitment to social justice, value added in diversity and collective responsibilities and rewards.  

Mitchell D. Feldman, MD, MPhil, FACP
Professor of Medicine and Interim Chief, DGIM
Associate Vice Provost, Faculty Mentoring
Co-Editor in Chief, Journal of General Internal Medicine

San Francisco General Hospital Division of General Internal Medicine

Our goal is to be the best public hospital Division of General Internal Medicine in the country. We aim to deliver innovative, comprehensive and complex primary care to San Francisco’s vulnerable patients; carry out highly impactful translational research to improve the health of vulnerable populations; to engage in meaningful policy work focused on reducing health disparities and ensuring access to care for vulnerable populations; and to train the next generation of physician leaders in (a) the care of the underserved, (b) research and policy for the underserved, and (c) education regarding the care of the underserved.

Dean Schillinger, MD
UCSF Professor of Medicine in Residence
Chief, Division of General Internal Medicine
San Francisco General Hospital
University of California, San Francisco

Veterans Affairs Medical Center Division of General Internal Medicine

The Division of General Internal Medicine at the San Francisco Veterans Affairs Medical Center strives to provide outstanding and innovative service to our nation’s Veterans through excellence in our core missions of patient care, research and education. Our three primary care clinics – Medical Practice at SFVAMC, and the San Bruno and downtown San Francisco community-based outpatient clinics – have implemented a patient-centered medical home model that is integrated with ground-breaking, educational programs for learners from multiple disciplines. Our researchers are working to improve the future of healthcare for both Veterans and non-Veterans by investigating disease processes, designing novel treatment strategies, and by eliminating systematic barriers to optimal healthcare delivery.

Michael Shlipak, MD
UCSF Professor of Medicine in Residence
Chief, Division of General Internal Medicine
Veterans Affairs Medical Center
University of California, San Francisco