The “Town Square”: A New Paradigm for Medical Education Buildings That Places Community at the Heart of the Experience

The “Town Square”: A New Paradigm for Medical Education Buildings That Places Community at the Heart of the Experience

Methodology May 12, 2025

To prepare students for today’s team-based, interprofessional health care delivery models, the best medical school buildings holistically leverage education, research, and clinical care to squarely sit at the intersection of data science and technology and human empathy and communication. They are welcoming environments designed to foster social interaction at varied scales from small groups to entire states. They serve as dynamic, interdisciplinary hubs that draw in diverse voices to spark innovation and promote collaboration—acting as catalysts for community among students, faculty, and researchers. They are the center of it all, like a “town square” where people want to be. 

The “town-square” approach to designing med-ed buildings involves the layering of key programmatic elements interwoven with welcoming informal spaces. As the “home base” for medical students, school of medicine buildings are most successful when they are healing environments which contribute to student well-being and teach them how to maintain professional and emotional resiliency. Biophilic design strategies such as open areas with access to daylight, natural materials, and the interplay of short- and long-views help alleviate student stress. The thoughtful interplay of quiet spaces and engaging public spaces that are the social heart of the school help teach balancing self-care with engagement. Amenities like interdisciplinary co-working spaces, study nooks, lounge-like areas, and cafés provide de-stressing benefits for students and increase opportunities for intellectual collisions. They can also be powerful career coaches, connecting students to continuing professional development via skills and simulation centers, or through strong visual and programmatic connection to biomedical research and innovation. 

Furthermore, designing buildings to feel inclusive and be reflective of their communities (land, people, and place) can give students a strong sense of belonging. This is particularly crucial for first-generation medical students, many of whom may come from far-flung rural communities—and who may return for a career of rural care and service. 

Embracing this holistic approach establishes a new paradigm for mixed-use medical education buildings by using architecture to create true “town square” hearts for academic medical campuses. ZGF’s place-based design approach can pair programmatic ambitions around interior atriums, outdoor courtyards, and/or pedestrian streets to create these vibrant hearts. By finding the right design approach for a medical school and its setting, it is possible to ignite collaboration and innovation while supporting student needs and the evolving needs of the profession—all the while strengthening the emotional and cultural connection between a medical school and the communities and it serves. 

“Medical education buildings have the potential to be a vortex of collaboration and a framework for the communities they serve.” - Braulio Baptista, ZGF Partner

Here we take a look at ZGF projects over the years:  

University of Colorado, Anschutz Health Sciences Building

Designed to reshape the future of healthcare through more impactful collaboration, discovery, and community, the Anschutz Health Sciences Building consolidates formerly dispersed departments into a collaborative hub for genomics-driven translational research, personalized medicine, education, and behavioral healthcare. The building’s seven-story atrium is its social heart and primary interior organizing element. Envisioned as the campus’s “living room”, the atrium is designed to ignite multi-disciplinary collaboration through extensive interior glazing that allows occupants to easily know what’s happening and where with a quick look around. The building’s sim center (the “CAPE”) anchors the middle-back of the atrium and is a highly visible training resource for the university, Colorado, and the rural Mountain West. The layout also promotes well-being and connectivity with efficient circulation, collaborative spaces, biophilic design, and a celebration of Colorado’s regional identity. The atrium, awash in beautiful diffuse light, connects and activates the campus’s ground level while drawing students up to the atrium’s top study lounge with a cozy fireplace, and long views of the Denver skyline and the majestic Rockies beyond.

UNIVERSITY OF CALIFORNIA MERCED, MEDICAL EDUCATION BUILDING

The University of California, Merced’s (UC Merced) new Medical Education Building will bring together the Departments of Medical Education, Psychological Sciences, and Public Health, along with the Health Sciences Research Institute, to create an interdisciplinary hub for medical education in the region and a supportive environment for students pursuing careers in healthcare. Servicing a predominantly first-generation student population, and charged with supporting healthcare for the Central Valley and the rural Sierras, the interior environment of the Medical Education Building at UC Merced is intentionally designed to support student success and foster a shared pride of place. Organized around a sheltered and landscaped central courtyard, the heart of the building makes for a welcoming campus refuge from the often strong central California sun. The courtyard is activated by a casual lounge area with a genius bar, a café, numerous terraces, and the school’s sim center—crafting an easy and welcoming home-away-from-home for medical students. Pride of place is further bolstered with thoughtful exterior color palettes, interior materials, and courtyard plants that reflect the surrounding agrarian landscape

Wexford Science + Technology / University of California, Davis, Aggie Square

Aggie Square transforms UC Davis Sacramento’s traditional academic medical campus into leading innovation district where industry and university converge in collaborative and flexible working and learning environments. The large-scale, multi-building development is home to state-of-the-art research facilities, flexible labs, classrooms, meeting rooms, co-working spaces, and maker spaces designed to address multiple student/user needs as they evolve over time. Organized around a common open air “main street”, the first two levels of both the 200 and 300 Aggie Square buildings are designed to be highly public and accessible with amenities including cafés, classrooms, and a variety of seating types and work areas. This main street connects directly back to the medical campus and is supported by internal circulation routes that reinforce the integration of interior programming (as well as adjacent parking structures) with the overall Aggie Square campus and adjacent Sacramento neighborhoods. Upstairs, research labs are designed with the best of academic and commercial approaches in flexible “neighborhoods” to accommodate different types of research and be shared by different teams.