Graduate Medical Education

\\\Riverside GME Programs \\\

Frequently Asked Questions

What can interns expect the first year of the program?

We understand how stressful the first year of training in any residency can feel. At RCH/UCR we want our first year residents to work hard and grow, but to do so in a very supportive environment with help easily available when they need it. Our entire class of PGY1s will start in the ED for July where they can begin to build basic knowledge and confidence. They will then move on to the off-service rotations interspersed with ED months. Residents will have superb instruction in hospitalist medicine, obstetrics and gynecology, cardiology/CCU, trauma and acute care surgery, orthopedic surgery, and anesthesia. They will return to the ED as a class in June for advanced training prior to completing their first year of residency.

Are residents required to fly in helicopters or fixed wing aircraft?

No. While opportunities abound to partake in our region’s aeromedicine programs, residents are not required to fly.

Will the program assist in finding EM faculty jobs in California or elsewhere after graduation?

Absolutely. HCA is one of the largest healthcare organizations nationwide and owns 169 hospitals and numerous outpatient settings. CEP America staffs the emergency department at RCH and is a leading provider of acute care management with over 250 practices throughout the United States. We would be delighted to have qualified residents continue with HCA and CEP America after graduation.

How will residents build experience with pediatric patients?

Riverside Community Hospital sees over 26,000 pediatric patients a year, including critically ill and injured children. A busy NICU provides on-site neonatology attendings to assist with our littlest patients when needed. Residents will train with our core faculty, including Pediatric Emergency Medicine and Pediatric Intensive Care boarded attending physicians. Residents will rotate 6 weeks at the Pediatric ICU at Riverside University Health Systems - Medical Center, working directly with pediatric ICU attendings to manage critically ill and injured children.

How much procedural experience can I expect?

With 114,000 patients a year coming through our ED and relatively few learners we have an abundance of procedures from simple laceration repair, to joint reductions, procedural sedation, central lines, intubation, chest tube placement, and ED thoracotomy.

What is the advantage of training at a community hospital?

Community hospitals clearly differ from university hospitals in many ways. First, at Riverside Community Hospital our 114,000 ED patients benefit from impressive efficiencies not often found in other settings. Patients are seen by a provider in an average of 8 minutes from checking in. Radiology and laboratory studies are completed and resulted within 50 minutes. Our length of stay for discharged patients is under 3 hours, low acuity patients are discharged in under 90 minutes, and admitted patients leave the ED as an inpatient in under 5 hours. All this means residents can see more cases during a shift and better learn from a case because data needed for decisions returns rapidly. Residents will also benefit from learning how to run an efficient emergency department. Second, community hospitals also tend to be more collegial with less academic hierarchy and adversarial interactions. Our ED providers are highly regarded at our hospital (the chief of staff is one of our emergency physician) and the hospital functions as a team. You will find consultants are generally happy to help and appreciate the emergency department providers taking care of their patients. Third, the vast majority of emergency physicians will graduate residency and work in community hospitals. Understanding the community hospital background, policies, and protocols will allow for a smoother transition after graduation.

How will residents learn ED ultrasound?

ED Ultrasound is used extensively at Riverside Community Hospital and residents will use ultrasound from the first month of residency. Our fellowship trained ED ultrasound director will guide residents through the program from basic to advanced ultrasound skills. Ultrasound simulation and online education will help develop a robust understanding of this critical ED skill.

Does your program use simulations?

Yes! The University of California Riverside located only 10 minutes away has a fully developed simulation lab with high fidelity simulation that allows for interactive scenarios, procedures, team management training, and immediate feedback while reviewing audio video recordings of the simulation. Residents will rotate through the simulation center on a routine basis.

Does your program allow moonlighting?

Yes, with the residency program director’s written permission.