The Community-Based Family Medicine Residency Program, based in San Antonio, follows the Teaching Health Center model and allows for residents to train on the front line of health care, providing services to those with the greatest health care needs. This program will train residents to provide community-oriented, patient-focused, high-quality primary care. We focus on providing healthcare to underserved populations and improving access to medical treatment. We are adressing the needs of the community and see our model as part of the solution for improved community health - one patient at a time. This program is made possible through a partnership with CommuniCare Health Centers and The Center for Health Care Services.

The Community-Based Family Medicine Residency Program is a postgraduate training program accredited by the American Osteopathic Association and has achieved the status of "Initial Accreditation" with the Accreditation Council on Graduate Medical Education (ACGME).

Upon successful completion of the program, the physician will be prepared to provide comprehensive osteopathic primary care to diverse populations in multiple clinical settings. The program offers the resident with well-structured training in both cognitive and procedural domains, which will provide primary responsibility for patient care in the inpatient and outpatient settings. This training will offer a variety of didactic and clinical experiences as well as utilization of osteopathic principles and practices relating to family medicine. Graduates of the residency program will have multiple opportunities to begin their career at a South Texas FQHC with options for medical student loan repayment.

What is a Teaching Health Center?

Traditional residency programs are sponsored by hospitals and funded through Medicare payments to the hospitals. Hospital administrators are able to decide what residency positions to offer based on what will provide the greatest benefit for the hospital. As a result, there is in many regions, a shortage of primary care physicians and a surplus of specialty-trained dotors and no formal mechanism for the federal government to direct Medicare dollars to meet the healthcare needs of the community.

In 2010, the Teaching Health Center Graduate Medical Education (THCGME) program was established as a component of the Federal Patient Protection and Affordable Care Act (ACA). This program established a mechanism to fund primary care residency programs through Federally Qualified Healthcare Center and Rural Health Centers. These programs would focus on ambulatory primary care training for residents who would spend more of their time in the clinic setting providing services for underserved communities.

Residents still complete the required inpatient rotations at affiliated hospitals, but there is a primary focus on ambulatory care that is patient centered and community-based. Completion of a THCGME program prepares a resident for private practice or continued service to FQHCs where student loan repayment is often an attractive option.

The THCGME program was an unmitigated success. (See link to article below). Unfortunately, the federal appropriations for the program ran out in 2015 and congress is still debating how to continue funding this excellent program. In the mean-time, state and local funding sources have stepped up their efforts to continue funding residency training at Teaching Health Centers.

The TIGMER Community-Based Family Medicine Resisency Program is made possible through the Texas State GME Expansion Grant Program, a major grant from The Center for Health Care Services and support from CommuniCare and the University of the Incarnate Word School of Osteopathic Medicine.
TACHC Website
AATHC Website
AAFP Article
Academic Medicine Article

Block Schedules​​

PGY 1 Block Schedule
There are 12 blocks in an academic year with each rotation being 4 weeks in length (with the exception of Inpatient Medicine which is 3 months)

Rotations and Locations:
CommuniCare Health Centers
  • Family Medicine
  • Outpatient OB/GYN
  • Outpatient Pediatrics
  • FM Continuity Clinic

The Center for Health Care Services
  • Behavioral Medicine (Haven for Hope)

CHRISTUS Santa Rosa Health System
  • Emergency Medicine*

Methodist Metropolitan
  • Inpatient OB

Baptist Health System
  • CommuniCare OB deliveries
  • Inpatient Pediatrics
  • Inpatient Adult Medicine

Kerrville VA Hospital
  • Geriatrics and Palliative Care

The SA Orthopedic Group
  • ​Orthopedic Surgery
Continuity Clinic = 1 half day per week for PGY 1 residents

*denotes possible changes

PGY 2 Block Schedule
There are 12 blocks in an academic year with each rotation being 4 weeks in length (with the exception of Inpatient Medicine which is 3 months with one month of ICU)

CommuniCare Health Centers
  • Family Medicine
  • FM Continuity Clinic

The Center for Health Care Services
  • Behavioral Medicine (Josephine Recovery Center)

Baptist Health System
  • General Sugery
  • Inpatient Adult Medicine
  • Emergency Medicine 
  • ICU
  • ​CommuniCare OB deliveries

Audie L. Murphy San Antonio
  • Geriatrics and Palliative Care
  • Outpatient Clinic in Geri/Palli

Sports Medicine Assoc. of San Antonio
  • Sports Medicine

Continuity Clinic = 2 half days per week for PGY 2 residents

PGY 2 residents will have one block for an elective rotation in a specialty of their choosing.

*denotes possible changes

PGY 3 Block Schedule
There are 12 blocks in an academic year with each rotation being 4 weeks in length (with the exception of Inpatient Medicine which is 2 months)

CommuniCare Health Centers
  • Family Medicine
  • FM Continuity Clinic

The Center for Health Care Services
  • Behavioral Medicine (Crisis Center)

Baptist Health System
  • Pediatric Emergency Medicine
  • Inpatient Adult Medicine
  • ​CommuniCare OB deliveries

Audie L. Murphy San Antonio
  • ​Geriatrics and Palliative Care

Continuity Clinic = 4 half days per week for PGY 3 residents

PGY 3 residents will have 5 blocks available to complete electives in any specialty of their choosing.

Additionally, a PGY 3 resident will complete a rotation in Practice Management.

*denotes possible changes

Mission, Vision and Objectives


The mission of the CommuniCare Family Medicine Residency is to provide excellent clinical training while providing the highest quality health care to our patients.


The vision of the CommuniCare Family Medicine Residency is to become the best Osteopathic Family Medicine Residency Program in the Southwestern United States through excellent patient care, continuous quality improvement and outstanding graduate medical education.
General Objectives of the Residency Program:

  1. Train residents to provide quality clinical care in a wide range of clinical venues
  2. Expose trainees to the subspecialties medicine in order to obtain a broader understanding of the scope of patient care.
  3. Introduce trainees to ambulatory continuity of care medicine
  4. Create in trainees a proficiency level of excellence in medicine
  5. Develop an organized approach toward the diagnosis of disease.
  6. Apply the principles of evidence-based medicine to the care of patients
  7. Integrate osteopathic concepts in the diagnosis and treatment of patients.
  8. Develop an awareness of health care economics and practice cost containment
  9. Recognize the basis of and the need for humanistic values in clinical medicine
  10. Stimulate participation in the educational process of residents and students
  11. Develop a methodical; approach to reading, interpreting and applying the medical literature.
  12. Promote health well-being and preventative medicine
  13. Provide healthcare to the underserved population in South Texas.

Resident Benefits and Compensation

Compensation and Benefits, Stipends
Current information on compensation, benefits, and stipend amounts will be posted on the website annually once confirmed by Human Resources. (

PGY-1 year – 10 days paid vacation per contract period.  “Vacation” is defined as time off for a vacation or personal time.
Vacation Leave request require the Program Director’s approval.  Unused Vacation Leave does not accrue and expires at the end of the contract.

Sick Leave
5 days paid sick leave days total per contract period.  “Sick” leave is defined as time off for illness.  Sick Leave requests require the Program Director’s approval.  Unused Sick Leave does not accrue and expires at the end of the contract.

Family and Medical Leave
When it is anticipated that an extended leave is necessary for medical/personal reasons, the Resident must discuss with the Program Director.  The Resident may also be entitled to benefits under the Family Medical Leave Act (FMLA), and other federal statutes.  Other medical or personal unpaid leave may be granted with the approval of the Program Director, consistent with the AOA’s/ACGME regulations, as applicable, only after the Resident has exhausted all of his or her applicable leave benefits.  Makeup time and /or repeat of training is determined by the Program Director.

Counseling and Psychological Support Services
Employee Assistant Program (EAP)


Living in San Antonio

Nestled in the beautiful Hill Country of central Texas, San Antonio is a city full of history, culture, adventure and true Texas heritage.

San Antonio is home to the Alamo, famously known by the 13 day siege in 1836 led by the Mexican Army against the 200 brave Texan defenders, which included James Bowie, William Travis and Davy Crockett. The Alamo is a lasting symbol of Texas fight for independence and a source of pride for many Texans. In addition to the Alamo, San Antonio is the home of 4 other UNESCO World Heritage sites that include 5 historic Spanish missions: Concepcion, San Jose, San Juan and Espada. 

Visit San Antonio: The San Antonio Missions

To see all that San Antonio has to offer from recreation to nightlife, visit the "Visit San Antonio" website at  

If you're feeling up for a little get away, San Antonio is within a reasonable drive of some of the most popular destinations in Texas:
  • New Braunfels
    • Guadalupe River
    • Comal River
    • Schlitterbahn
    • Wurstfest (10 day German heritage festival (like Octoberfest))
  • Fredericksburg
    • Winery tours
    • B&B's
    • Enchanted Rock
    • Weekend fairs and farmer's markets
  • Wimberley 
    • Winery
    • Boutique shopping
    • Weekend fairs and farmer's markets
    • Blanco River
  • San Marcos 
    • Unique cuisine
    • Fun, "small town  feel" college town
    • San Marcos River
  • Austin 
    • Unique cuisine
    • "Weird" locals ("Keep Austin Weird")
    • Nature trails, hiking, recreation
    • Fun night life (check out the popular 6th Street)