Position Description:

This program position will consist of clinical duties at RUHS (primarily outpatient through RUHS Community Health Centers, with the option for inpatient at RUHS Medical Center) and mentored responsibilities in social medicine through the Riverside County Office of Service Integration (Health & Human Services).

• A primary goal of the social medicine experience for the SM HEAL Fellow is immersion in community-based health services that impact social determinants of health with direct mentorship (i.e. street medicine, addiction medicine, academic programs through UME/GME).
• The majority of clinical duties occur in the outpatient setting and will consist of a combination of direct patient care (primary care clinic), indirect care (precepting/chiefing resident physicians), and administrative/teaching time.
• Inpatient duties consist of a rotating schedule of seven days with our family medicine teaching service; the patient census is primarily adults and newborn infants.

HEAL Program Role and Responsibility

• There will be an initial five-day training in July at the beginning of the fellowship with other California Regional Hubs, as well as our other international cohorts.
• A Zoom call 2x per month: A group of several fellows will have a call focused on well-being, project work, and work reflections.
• Monthly cohort workshops: fourth Monday of each month (2 hours), in-person
• Monthly 1-on-1s: second week of each month (1 hour), via Zoom

Clinical Duties (70%):

• Clinical hours per week: 30-40
• Administrative hours per week: 4 hours (one-half day/week)
• Any after-hours calls or weekends?: Yes, while on inpatient (up to five weeks per year)
• What is a typical clinical schedule on a given week
  • AM: 8a to 12p, PM: 1p to 5p
  • Monday: Precepting AM; HEAL Social Medicine PM
  • Tuesday: HEAL Social Medicine AM / PM
  • Wednesday: Precepting AM, Primary Clinic PM
  • Thursday: Precepting AM, Primary Clinic PM
  • Friday: Primary Clinic AM, Precepting PM
  • Saturday: Off (unless inpatient coverage)
  • Sunday: Off (unless inpatient coverage)
• Will fellows carry panels or will this be walk-ins/urgent care?
  • They will have a panel of patients but also be expected to see same-day visits as needed for access.
• Do fellows see any patients via telehealth?
  • Yes, both video and phone visits occur in our system.
• How does this compare to full-time site employees?
  • The fellow schedule is the same half-day template as full-time employees.

HEAL Social Medicine Time (30%)

Is there an expectation to participate in projects, committees, or other activities outside clinical duties?

• Yes. Every SM HEAL fellow will participate in ~30% of dedicated social medicine time, as listed in the schedule above. The Social Medicine work opportunities will be coordinated through the Office of Integrated Services (Health & Human Services), with several options, based on the interest of the fellowship, the timeline, and mentorship capacity.
  • Integrated Service Delivery Initiative (Riverside County)
  • Blue Zone locations (RUHS Pubilc Health)
  • Community-based participatory research with UC Riverside SOM faculty
  • Riverside Free Clinic / Coachella Valley Free Clinic / Inland Empire Street Medicine

Additional Details:

• Direct supervisor for clinical services: Family Medicine Residency Program Director or Pediatrics Associate Program Director
• Leads for the HEAL Program in the Inland Empire: HEAL Inland Empire Hub Leads
• Is there any formal or informal mentorship for new clinicians at this site?
  • HEAL Fellows will be connected to a physician and administrative staff in our clinic for formal mentorship.
• How are schedules made? Is there flexibility for shift or schedule requests?
  • Schedules are made approximately 90 days in advance. Time-off requests are expected before 90 days. The faculty physician group is able to accommodate shift swaps as needed for time-sensitive matters.
• Are there connections to the global work HEAL does
  • HEAL runs a global fellowship, as well as local leadership cohorts across Mexico, Navajo Nation, and East Africa. The California HEAL Program will overlap training with some of these global cohorts. There will likely be opportunities to participate in global training following the completion of the 1-year program.
• What happens after the year?
  • Opportunities may become available for full-time positions either within the County Health system (clinical or medical education), UC Riverside, or the public health department. Our goal is to help you find and create opportunities to continue having protected time for social medicine work. Through mentorship, you will be accompanied through discussions of what is next.

The HEAL Initiative:

HEAL is a global health organization that connects, trains, and mentors local healthcare professionals in resource-denied communities to strengthen care delivery and lay the foundation for enduring, systemic improvements in healthcare worker resilience and patient outcomes. HEAL believes health is a human right and works to increase access to quality healthcare around the world through centering equity, justice, and solidarity for vulnerable populations. Through global and local programs, HEAL empowers interdisciplinary healthcare professionals to address the needs of resource-denied communities globally, including California, Mexico, Southwest Indigenous communities, and East Africa.

Compensation and Benefits:

The compensation for the California Social Medicine HEAL Fellow is up to $160,000.
Fellows will be eligible for a comprehensive benefits package at low or no additional cost. These benefits include:

• Health, Dental, and Vision Insurance
• Retirement plan including a Pension plan
• Medical Malpractice Insurance
• Life, Accident, Disability Insurance
• Access to UCSF and UC faculty support
• Additional benefits and perks

Visit the UCSF Human Resources Page for detailed information on Benefits for Residents and Clinical Fellows.

Serving the Inland Empire:

Riverside County is a massive expanse of land that makes up one-half of the “Inland Empire” of southern California, stretching from Orange County to Arizona. As folks pass through our major highways to stargaze in Joshua Tree National Park or visit Palm Springs and Big Bear Lake, they cannot miss the thousands of warehouses that flood our region’s landscape. This recent proliferation of commerce distribution centers has earned us the unofficial title of “America’s Shopping Cart” and creates additional strain on the physical, economic, and social health of the people of our under-resourced communities; these families struggle to keep up with rising costs of limited housing and nutritious food.

As a Social Medicine HEAL Fellow, you will work directly with this diverse and dynamic population of Riverside County to identify creative solutions to these structural barriers through a partnership with Riverside University Health System (RUHS/UCR Family Medicine Residency Program), UC Riverside School of Medicine (Department of Family Medicine), and the County of Riverside (Office of Service Integration). The California HEAL Program will provide mentorship and a curriculum that aligns our core values with the community-based work in Riverside County.