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. First and second year residents have three months each year dedicated to inpatient hospital medicine. The third year consists of two months of inpatient medicine where they lead a multidisciplinary team. 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 facilities, 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 optimal training experience. There are specific rotations in Critical Care/Pulmonary Medicine, Cardiology, and various other specialty services.
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.
Two months of the first year are set at Kaiser Fontana for inpatient pediatrics, with a wide variety of exposure to common and uncommon cases. Second year rotations are based at Kaiser Riverside, focusing on newborn care in the Family Care Center and outpatient clinic. Third year rotations are focused on outpatient care in the pediatrics clinic.
Training in the first year has exposure to both outpatient care and the operating room, often acting as first assistants. Rotations in the second year are focused on inpatient post-operative management, and outpatient minor procedures.
Obstetrics and Gynecology
Obstetrics rotations are set as one month in the first year and one month in the second year or training. Residents will assist with the management of patients admitted through labor, delivery, and post-partum period. The medical center has more than 275 deliveries a month. Obstetrical procedures residents are exposed to include laceration repair, placement of internal and external catheters, interpretation of monitor strips, and assisted-delivery devices.
Gynecology rotations are set as two weeks in the first year and two weeks in the second year, with a focus on procedures, such as endometrial biopsies, Nexplanon placements and removals, and intrauterine device (IUD) placements and removals.
First year residents rotate through the Emergency Department for two weeks, and second year residents rotate through for one month. The case variety seen in the Emergency Department is broad, with our residents getting experience with acute critical conditions and fast-track urgent care type complaints.
Lunch time teaching conferences are held nearly every day of the week, including weekly Resident didactic lectures covering topics from different specialties and Family Medicine, Resident Journal Club, Morning Report, and Board Review. Grand Rounds occur monthly with a wide range of topics arranged by the hospital CME department. Quality Improvement meetings occur quarterly with residents fully participating in the meetings and case discussions.
In the Family Practice Center, we hold five separate specialty clinics which provide intensive teaching in the areas of Dermatology, Orthopedics, Minor Surgery, Pediatrics, Behavorial Medicine and Joint and Soft Tissue Injections. These concentrated, higher volume clinics allow residents to learn from many patients with direct instruction from specialists. We have found this model to be enjoyable and fulfilling for all participants. A similar Resident Counseling Clinic is held in the Department of Behavioral Medicine.
In addition, many residents enhance their knowledge and experience by moonlighting in either the Urgent Care department or the Family Medicine After-Hours Clinic.