Goals and Objectives

The Internal Medicine Training Program at Fontana is designed to provide broad-based clinical training with an emphasis on patient-centered team-based medicine.  The goal of our program is to assist residents in developing the knowledge, skills, and attitudes necessary to become outstanding comprehensive internists capable of managing diverse patients with a broad range of diseases.  This training is essential not only for those individuals who will pursue a career in general internal medicine, but also for those residents who are planning on further subspecialty training.

One of the unique features of the program is the health care delivery system (Kaiser Permanente Health Plan, Hospital, and Medical Group) and the state-of-the-art electronic medical record (EPIC) in which it is embedded. Residents enjoy an optimal balance of inpatient and ambulatory medicine. During their ambulatory rotations residents build skills in outpatient diagnosis and treatment while managing diverse continuity practices. Residents on inpatient rotations progress through graded responsibilities, with interns providing much of the direct patient care, and senior residents assuming increased responsibility for teaching, supervision and mastery of medical knowledge. As a tertiary care center for the Kaiser Permanente Southern California region, the medical center provides a large number of cases and broad spectrum of complex and routine diagnoses for resident learning.

Didactic Curriculum

Topic Lectures from our Subspecialty Faculty
Quality Improvement reviews of patient cases
Journal Club
Board Review
Morning Report
Ambulatory Small Group Curriculum
Code Blue simulation workshops
Grand Rounds with the Internal Medicine Department

Performance Improvement

Residents at Kaiser Permanente Fontana actively participate in at least one performance improvement project during their residency training.  This allows residents to develop lifelong skills in systems-based practice and learn within the successful quality improvement based system that Kaiser Permanente represents.

Clinical Experiences

Each of the postgraduate years is divided into 13 blocks of four weeks each. Residents rotate through each of the major subspecialties and have opportunities to spend time doing a research elective, learn sleep medicine, and perioperative care. Graduates will be well trained to progress to careers in ambulatory medical care, hospitalist work, or choose to pursue fellowship training. Medicine ward teams include a full complement of 2 interns, a senior resident, medical students, and the attending physician.

The workload supports an enabling environment for residents to study and attend conferences. All patients seen by the general medicine service are considered teaching cases. There are no private patients or private attendings on the ward teams.

Under faculty supervision, residents assume major responsibility for patient care. All clinical experiences take place at our Fontana Medical Center, with some opportunities to also rotate at Ontario Medical Center or affiliated Kaiser Permanente Campuses.

Sample Schedule of Experiences

PGY-1PGY-2PGY-3
Inpatient Medicine: 5 blocksInpatient Medicine: 3 blocksInpatient Medicine: 1½ blocks
Night Float: ½ blockNight Float: 1 blockNight Float: 1 block
ICU: 1 blockICU: 1 blockICU: 1 block
Ambulatory Medicine: 2 blocksAmbulatory Medicine:1 ½ blocksAmbulatory Med: 2 blocks
Infectious Disease:  1 blockCardiology: 1 blockPulmonary Clinic & Consults:
1 block
Rheumatology: 1 blockHematology/Oncology: 1 blockNeurology 1 block
Emergency Medicine: ½ blockEndocrinology: 1 blockInternal Medicine Consult service
½ block
Elective: 1 blockPeriop: ½ blockCCU: 1 block
Nephrology: 1 block

IM Procedures: ½ block

 

Elective:1 block
Elective: 2 blocks Gastroenterology:  1 block
Specialty Elective: ½ block Geriatrics/Palliative Medicine: 1 block
Emergency Medicine: ½ block
IM Procedures: ½ block

3 weeks vacation

1 week Educational time

3 weeks vacation

1 week Educational time

3 weeks vacation

1 week Educational time

(1 block=4 weeks)