Goals and Objectives
The Kaiser Permanente Southern California Internal Medicine Residency – Inland Empire 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 skills 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 system (EPIC) in which it is embedded. Residents enjoy an optimal balance of inpatient and ambulatory medicine. During their ambulatory rotation 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.
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
Bioethics
Performance Improvement
Residents of the program 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.
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. Clinical experiences span 3 major Kaiser Permanente medical centers: Fontana Medical Center, Riverside Medical Center, and Ontario Medical Center. Residents will also rotate through the Moreno Valley Internal Medicine Clinic site.
Sample Schedule of Experiences, 2022-2023 starting class
Categorical PGY-1 | PGY-2 | PGY-3 |
Ambulatory Medicine:1 block | Ambulatory Medicine:1 ½ blocks | Ambulatory Med: 1 ½ blocks |
Cardiology: ½ block | Cardiology: 1 block | Addiction Medicine: ½ block |
ER: 1 block | Endocrinology: 1 block | Cardiology: 1 block |
ICU: 1 block | Geriatric Medicine: 1 block | Gastroenterology: 1 block |
Inpatient Medicine: 5 blocks | Hematology/Oncology: 1 block | ICU:1 block |
Nephrology: 1 block | ICU: 1 block | IM Consult Service: ½ block |
Neurology: 1 block | IM Procedures: ½ block | IM Procedures: ½ block |
Night Float: ½ block | Infectious Disease: 1 block | Inpatient Medicine: 1 blocks |
Rheumatology: 1 block | Inpatient Medicine: 3 blocks | Night Float: 1 block |
Night Float: 1 block (divided into 2 wk blocks) | Peri-Op: ½ block | |
Preventive Medicine: 1 block | ||
Pulmonary: 1 block | ||
Ward Medicine Capstone: ½ block | ||
Elective: 1 block | Elective: 1 block | Elective: 2 blocks |
4 weeks vacation | 4 weeks vacation | 4 weeks vacation |
Preliminary PGY-1 |
Cardiology: 1 block |
ER: 1 block |
ICU: 2 blocks |
IM Sub-Spec Elective: 1 block |
Inpatient Medicine: 5 blocks |
Neurology: 1 block |
Elective: 2 blocks |
4 weeks vacation
|
(1 block=4 weeks)