The PAMF is a large, community-based multispecialty ambulatory care system in Northern California, United States of America. The PAMF has 24 medical centers, more than 900 physicians, and more than 744,000 active patients. The PAMF patient population is racially and ethnically diverse, including non‐Hispanic Whites (59%) and Asian Americans (33%). Patients from the PAMF service areas (Alameda, San Mateo, and Santa Clara counties) represent all of the six major Asian American subgroups, in proportions similar to the surrounding catchment areas. Patient data is captured and stored as electronic medical records.

Recruitment is ongoing