University of California Irvine School of Medicine 1979 graduate Dr. Elaine A. Muchmore practices internal medicine at 402 Dickinson St #8425 on the UC San Diego Health Hillcrest campus, with joint clinical duties at the Jennifer Moreno Department of Veterans Affairs Medical Center. Muchmore's published work on internal medicine graduate medical education, physician burnout, and fellowship training standards appears in Academic Medicine and the American Journal of Medicine, feeding referrals through the broader UCSD Medical Center internal medicine faculty channels. Adult internal medicine at the Dickinson St office covers chronic-condition management, preventive screening, and geriatric care for patients affiliated with UCSD Health and the VA San Diego system. The office sits one block from the main Hillcrest Medical Center and operates inside the 40-physician UCSD internal medicine faculty practice spanning 18 specialty areas. Neuropsychological and cognitive assessment consults route to UCSD behavioral health faculty including Julie Gladsjo MD for patients requiring integrated mental-health and internal-medicine workup. Complex hematology-oncology cases with GME trainee involvement draw on Muchmore's hematology-oncology curriculum development work published through the American Society of Clinical Oncology milestones framework.