Internal Medicine Residency Program

\\\Riverside GME Program \\\

The Program

At a Glance:

  • Riverside Community Hospital/University of California, Riverside School of Medicine Internal Medicine Residency Program
  • 45 Categorical Internal Medicine Residents, 15 per year
  • 10 Preliminary Residents
  • Orientation Dates: Last 1-2 weeks in June.
  • Start Date: July 1st
  • Primary Training sites: Riverside Community Hospital (Inpatient), and Borrego Health (outpatient continuity clinic).
  • Academic affiliation with the most recently accredited medical school in California, the University of California, Riverside School of Medicine
  • Highly qualified faculty from both academic and community settings, providing a unique training experience in a variety of practice settings and patient payer mix
  • Rotations in Cardiology, Critical Care, Endocrinology, Gastroenterology, Geriatrics, Hematology, Oncology, Infectious Diseases, Nephrology, Neurology, Pulmonary Disease, Rheumatology, Psychiatry, Emergency Medicine
  • Night float structure limiting length of call
  • All rotation sites conveniently located in Riverside
  • Highly competitive resident salary, benefits and perks

Structure

Philosophy: The core competencies of ACGME (patient care, medical knowledge, professionalism, systems based practice, interpersonal and communication skills and practice based learning and improvement) are the cornerstones of our residency program. With these competencies in mind, we have established a curriculum that draws on clinical experiences and encompasses case-based discussions, web-based learning, simulation, and lectures. We are confident that with these tools, you will become excellent internists and lifelong self-directed learners to adjust to the constantly changing skyline for health care.

Education: The learning environment will include both inpatient and various outpatient venues, thus giving you a flavor of different practice styles and a diverse patient base. The designed curriculum puts emphasis on education over service and includes:

  • Hopkins Modules
  • Daily morning reports
  • Daily noon conferences
  • Monthly tumor board/morbidity and mortality conferences
  • Monthly journal clubs
  • Monthly on-going lecture series including specialty presentations
  • Friday school, a biweekly Internal Medicine Board review session.

We also encourage scholarly development through poster presentations, case reports, and case presentations at local, regional and national conferences. We have a focused subspecialty education curriculum. Resident update and feedback sessions, as well as career preparation and practice management sessions are held on a regular basis to complete your educational experience.

Rotations: You will rotate at Riverside Community Hospital (RCH) for your inpatient rotations and provide continuity of care in your outpatient clinic at Borrego Health. Within our program, we have instituted the “4+1” system. The year is divided into 10, five-week blocks. The first four weeks of your block are devoted to wards, electives or ICU/ER rotations. The last week (5th week or the +1 week) of the block is devoted solely to your outpatient/ambulatory continuity clinics. There are five teams in our program, and each team shifts blocks on a staggered basis. This means that one team will always be on their “+1 week”. The other four teams will be in their “4 week block rotations.” As one team rotates off of their “+1 week” another team rotates onto their “+1 week”. Please see below a sample rotation schedule.

The “4” week blocks
During the first four weeks of a block, you will do wards, electives, ER, ICU, etc. just like you would in most programs. The difference with our program is that there is NO CLINIC DURING THESE BLOCKS. Each day you will arrive on the rotation (wards, electives, etc.) and be able to truly focus on that rotation. Since neither you nor your resident will have clinic, you will have the focus you need to fully engage in the management of your patients.

The “+1” Week
During the fifth week of each block, you will rotate onto your “+1 clinic week.” It is during this time that your continuity clinics will occur. The ten half days of this week (mornings and afternoons, Monday - Friday) are divided in the following proportions: 5 to 6 half days devoted to your general medicine continuity clinics, 1 to 2 half-days devoted to a longitudinal subspecialty clinic of your choice, and two half days of devoted education/didactics, including one focused on Internal Medicine Board review.

As you can see we have devised our program keeping in mind our resident’s professional and academic goals. All residents will experience a very friendly and supportive environment where we balance academic needs with professional and personal achievements.

IM Categorical & Preliminary Rotation Schedule*

Preliminary Internal Medicine Residency Program

Our Preliminary Medicine residency program is available for residents seeking a yearlong training experience within Internal Medicine prior to pursuing other specialties. The Preliminary Medicine residency program is similar to the 1st year categorical residency program. Our preliminary residents will NOT rotate through outpatient continuity clinics (i.e. the + 1 week). In exchange for continuity clinic, our preliminary residents will have additional weeks of electives and inpatient medicine wards. Internal medicine preliminary residents act in the same capacity as categorical residents, and are also involved in teaching of medical students.

A sample preliminary resident schedule is outlined above.

NOTE: We strive to structure the Preliminary Medicine residents’ schedules in a way that allows adequate time to transition to their advanced programs.

In addition to clinical rotations, preliminary Medicine residents actively participate along with categorical residents in the educational activities listed above.