Internal Medicine Inland Empire - Curriculum

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, 2023-2024 starting class

Categorical PGY-1PGY-2 PGY-3 
Ambulatory Medicine:1 blockAmbulatory Medicine: 2 blocksAmbulatory Med: 1 block
Cardiology: ½ blockCardiology: 1 blockCardiology: 1 block
ER: 1 blockEndocrinology: 1 blockGastroenterology: 1 block
ICU: 1 blockGeriatrics/Palliative: 1 blockICU: 1 block
Inpatient Medicine: 5 blocksHematology/Oncology: 1 blockIM Consult Service: ½ block
Nephrology: 1 blockICU: 1 blockIM Procedures: ½ block
Neurology: 1 blockIM Procedures: ½ blockInpatient Medicine: 2 blocks
Night Float: ½ blockInfectious Disease: 1 blockNight Float: ½ block
Rheumatology: 1 blockInpatient Medicine: 3 blocksAddiction/Pain Med ½ block
Night Float: 1/2 blockPeri-Op: ½ block
  Preventive Medicine: 1 block
  Pulmonary: 1 block
  IM Consult: ½ block
Elective: 1 blockElective: 1 blockElective: 2 blocks
   
4 weeks vacation4 weeks vacation4 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)