Since 1975 the County has sponsored a nationally-recognized Family Medicine Residency Training Program which currently ranks in the top 10 of 490 such programs in the country (Doximity). Of the over 400 physicians who have trained in our program, fully one-third practiced or currently practice in Contra Costa County either with Contra Costa Health Services or in the local community.  
  
To meet the increasing demands of healthcare and remain competitive within our local community, the program has evolved and expanded significantly in size; expectations and costs have increased accordingly. Expected/required aspects of training which require outside facilities or support include but are not limited to the following:  
  

• a two-day annual all residency educational retreat off-site with associated expenses for accommodations and food;
• annual residency graduation dinner to recognize the achievements of the graduating physicians, teaching faculty and support staff;
• semi-annual one day residency faculty educational retreats, off-site;
• annual recruitment and interview season events for 150 residency applicants;
• annual new resident orientation events, including a two-day ultrasound training course for all entering residents;
• semi-annual training course for Advanced Life Support in Obstetrics (ALSO) for all first-year residents; and
• development of a prestigious family medicine point-of-care ultrasound (POCUS) curriculum, one of only a handful in the nation.

The Family Medicine Residency Program may not be able to provide specialized, required training to Residents.  

No impact.