University of Texas Health Science Center San Antonio Joe and Teresa Lozano Long School of Medicine Program

Program Identity & Fit

This is a large (45 total residents), university-affiliated Family Medicine program founded in 1972 with an explicit mission to serve the urban underserved population of San Antonio through a Community Oriented Primary Care (COPC) framework woven longitudinally through all three years. Residents train across a genuinely full-scope curriculum—inpatient hospitalist blocks at University Hospital, obstetrics/deliveries, ambulatory procedures (vasectomies, colposcopies, circumcisions), fellowship-trained geriatrics, and nursing home/sub-acute care—while maintaining early, high-volume continuity practice at the Family Health Center (PGY1s average 2-4 half-days/week). Research is structurally supported rather than central: the department runs its own Division of Research and the statewide Residency Research Network of Texas (RRNeT), and residents complete COPC scholarly projects with regular presentation opportunities, but this scaffolds full-spectrum community practice rather than defining the program's identity. The program explicitly states 70% of teaching is delivered by family physicians themselves and frames its philosophy around biopsychosocial care, community immersion, and physician wellness, indicating a preference for residents oriented toward full-scope, community-embedded primary care over subspecialization.