Goals and Objectives
As a member of our residency program, you will learn to practice cost-effective, caring medicine – an approach indispensable to providing health care in all future medical settings.
Internal Medicine training occurs throughout the three-year residency. The first- and second-year rotations are approximately three months long. Under the supervision of attending general and subspecialty internists, both day and night, residents are responsible for admitting patients from the Emergency Department and outpatient facility, managing and following these patients in the hospital, and, as necessary, into and out of the ICU. Teaching rounds allow residents to get expert follow up, interpretation, and instruction on their hospitalized patients. All common and many uncommon medical conditions are represented in the admissions to the ward and ICU.
Residents also serve as the primary physicians on hospitalized patients, maximizing their patient management experience. Admission numbers are sufficient to ensure an optimum training experience. There are specific rotations in Critical Care/Pulmonary Medicine and Cardiology.
Numerous Riverside families rely on our Pediatrics Department for care. Training in Pediatrics occurs in all three years and includes the ambulatory, inpatient, and nursery settings – with a pediatrics only half day clinic in the FMC weekly.
There is a two-month general surgical rotation during the first year. The first-year rotation is inpatient and outpatient, with residents working up and admitting surgical patients both electively and urgently, following them into the operating room, where they act as first assistants, and then completing post-operative care.
Obstetrics and Gynecology
Two months in the first year are devoted to Ob/Gyn. Residents completely manage -through labor, delivery, and postpartum – large numbers of low- and high-risk obstetrical patients, with resident and attending supervision. The medical center has more than 275 deliveries a month.
Residents are exposed to all obstetrical procedures by the end of their first year, including placement of internal and external catheters; episiotomy and repair; use of Pitocin; interpretation of monitoring strips; and use of assisted-delivery. A mandatory 1 month Gynecology rotation occurs in the second year.
Both first- and second-year residents rotate through our Emergency Department for one month. Residents work staggered 10-hour shifts with at least 24 hours off per week. The case load is mixed, both in the types of patients seen and the severity of cases.
Lunch time teaching conferences are held nearly everyday of the week, including weekly Resident didactic lectures covering topics from different specialties and Family Medicine, Resident Journal Club and Tumor Board. Grand Rounds and Quality Management meetings occur monthly. Residents fully participate in the Quality Management meeting and case discussion.
In the Family Practice Center we hold 5 separate specialty clinics which provide intensive teaching in the areas of Dermatology, Orthopedics, Minor Surgery, Pediatrics, Behavorial Medicine and Joint and Soft Tissue Injection. These concentrated, higher volume clinics allow residents to learn from a large number of patients with direct instruction from a specialist. We have found this model to be enjoyable and profitable for all participants. A similar Resident Counseling Clinic is held in the Dept. of Mental Health.
In addition, many residents enhance their knowledge and experience by moonlighting in one of several departments (Urgent Care, Family Practice After-hours, OB/GYN, Internal medicine, Pediatrics, and subspecialties.)