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History

Robert H. Crede, MD

Dr. Crede was born in Chicago August 11, 1915 and received his BA from the University of California, Berkeley in 1937 honored with Phi Beta Kappa. He received his MD at UCSF in 1941 and was awarded the Gold Headed Cane at graduation. After serving as an intern at San Francisco General Hospital (1941-1942), he entered the U.S. Army for three years as a member of the 30th General Hospital. Dr. Crede returned to UCSF as a resident in Medicine (1944-1946) and later chief resident (1946-1947). He married Marjorie Lorain on August 29, 1947 and they had three children. From 1947 to 1949 he was a Commonwealth fellow in psychosomatic medicine at the University of Cincinnati. The comprehensive, bio-psychosocial model approach to patients learned during that fellowship had a significant effect on his subsequent professional life. In 1949, Dr. Crede returned to UCSF on faculty in the Department of Medicine, served as assistant dean (1955-1960) and associate dean (1960-1973), and became a full professor in 1960. From 1980 to 1986, Dr. Crede served as associate dean for academic affairs. He elected emeritus status in 1986 but continued to be active in the school until 1989.

In 1965, Dr. Crede assumed responsibility for a major clinical service of the Department of Medicine when he became director of the Comprehensive Medical Clinics. In 1966 he established the Division of Ambulatory and Community Medicine and was the first Chief; he involved the four UCSF schools in this endeavor (Nursing, Dentistry, Pharmacy, Medicine). In collaboration with David Werdegar, H. Vandervoort,,Dace Mitchell, Mary Malloy, Donald Fink, Joseph Barbaccia, Nancy Byl, H.Chinn, H.Werdegar, and Barbara Resnik, they developed the first interdisciplinary, inter-school ambulatory clerkship for medical students, the first such in the U.S. In 1980 from this autonomous Division of Ambulatory and Community Medicine in the School of Medicine came the Division of General Internal Medicine and the Department of Family and Community Medicine. Again he employed a comprehensive solution in structuring the model academic unit and its educational programs, drawing on faculty and students from many disciplines. From its inception, the division of Ambulatory and Community Medicine (ACM) became a model care setting for the nation with its focus on primary medical care. Later, the division began a postdoctoral and post-residency fellowship in Ambulatory and Community Medicine. A series of bold new programs followed: a residency in Primary Care General Internal Medicine in 1974; a residency in General (primary care) Pediatrics in the Department of Pediatrics; and a residency in Family Practice at the San Francisco General Hospital. These training programs, developed under the leadership of Dr. Crede, were effectively husbanded by this dedicated, wise visionary in his capacity as honored and uncompromising academician, gentle, firm educator and careful, diplomatic statesman, but most of all a superb clinician and accessible and encouraging mentor.

In 1972, ambulatory clinical services moved into the new Ambulatory Care Center that Dr. Crede envisioned, planned, and helped set up. The building, renamed the Robert H. Crede Ambulatory Care Center in 1994 at the suggestion of Joseph Martin, chancellor of UCSF, stands today as a clinical service center and as a tribute to a man who gave so much to the campus from 1949, when he joined the faculty, until 1989, when he finally retired. Dr. Crede passed away on February 21, 1996. Marjorie Crede lives in Moraga, daughter Victoria lives in Fair oaks and Christina lives in the East Bay. His son Bill graduated from UCSF School of Medicine and went to Yale for internal medicine residency and remained there on the faculty.

Richard Haber, MD

Richard "Rick" Haber was the pioneering founder of San Francisco General Hospital's Division of General Internal Medicine and its primary care residency track of the UCSF internal medicine residency. For many years, Rick was the inspiration and force that made it all work. Thanks to his vision, energy and spirit, we continue to have a unique residency training program that attracts the best medical students in the country for outstanding clinical training for a career in caring for underserved and vulnerable patients.

Until the end, Rick was a passionate voice for medical education. He was a teacher among teachers and an advocate for this role even as the ever growing business model of medicine tried to squeeze the opportunities for reflection and learning out of our system. Rick loved to teach and he always did so in a way that made a learner feel more confident and less alone. He had a unique ability to calmly guide third year medical students during their first clinical experiences in medicine. Rick was also a cherished resource for the housestaff and faculty. His door was always open to whoever had a clinical question.

After consulting with Rick's family and with faculty at San Francisco General Hospital who knew him best, we have decided to establish a fund in Rick's name that would enable us to invite nationally recognized teachers of primary care to visit San Francisco General Hospital on an annual basis. The visiting professor would provide a Grand Rounds talk on primary care medical education and be available to meet with residents, students and faculty in the Division with the hope that through this event we could help to keep Rick's dream of support for medical education alive and meaningful for generations of primary care doctors to come.

DGIM Honorary Lectureships

The Crede Lectureship

The Crede Lectureship honors Robert H. Crede, MD, Professor of Medicine at UCSF (1949-1989), who was a national champion of primary care. Dr. Crede developed comprehensive ambulatory medical services at UCSF and also changed pre-doctoral and postdoctoral medical education to emphasize a comprehensive approach to all patient problems, especially in the ambulatory and home settings. The honor of hosting The Crede Lecture is shared and rotated by the Division of General Internal Medicine of the Department of Medicine, the Department of Family and Community Medicine and the Division of General Pediatrics of the Department of Pediatrics.

Haber Visiting Lectureship

Every year in the fall, the SFGH Division of General Internal Medicine invites a pre-eminent, national leader in primary care practice and education to visit UCSF/SFGH for the Richard J. Haber, MD Memorial Lectureship. Dr. Haber was a tireless teacher of primary care and clinical GIM, with a focus on both medical student and resident learners. After a stint in the Public Health Service, he dedicated his career to this work, teaching young people how to practice good medicine for the underserved. He passed away a few years ago and a lectureship was created both to honor his memory, as well as inspire sustained commitments to teaching primary care and to provide contact with leaders in primary care education and scholarship for aspiring UCSF faculty, fellows and house-staff and students.

The invited speaker gives a Grand Rounds Lecture that aligns thematically with Rick’s passions as well as attends residents' report and meets with key GIM / SFGH faculty and fellows from SFGH and the other UCSF campuses, all at SFGH. Four prior speakers have been Gordie Schiff (Cook County, now Brigham), Faith Fitzgerald (UC Davis), Jack Ende (U Penn), and Clarence Braddock (Stanford)