Presentation on theme: "UC Irvine Department of Medicine"— Presentation transcript:
1 UC Irvine Department of Medicine Internal Medicine Residency Training ProgramWelcomeBindu Swaroop, MDProgram Director
2 Internal Medicine Residency Training Program University of California, Irvine We are very pleased that you are considering our Internal Medicine residency, and we look forward to meeting you. In this presentation, we have highlighted the most salient information about our Program.More extensive information is available on our website:Please also feel free to me with questions atBindu Swaroop, MD, Program DirectorWelcome and IntroductionsPlease refer to the packet. This packet contains a number of important documents including our curriculum document, samples of our web site, information on our residents and our graduates, and information on our Research Pathway.One of the most important enclosures is a copy of the RRC Program Accreditation Requirements for Internal Medicine. I would suggest that you review this document because it sets forth the standards for Internal Medicine Residency training. As you work through your choices for residency programs, it would be important to have a knowledge of this document and understand its implications.
3 UCI Internal Medicine Residency Core Philosophy & Goals Our MissionTo provide outstanding training that is comprehensive, innovative and prepares residents to be exceptional providers and life-long learners. To foster a love of knowledge, altruism and the highest respect for intellectual integrity and curiosity.Our VisionTo continue as a premier Internal Medicine training program, enhance our pledge to academic training and foster the highest commitment to individual patients and our communityDepartment of Internal Medicine|
4 UCI Internal Medicine Core Philosophies & Goals By the end of training our residents will be:Clinically astuteAcademically rigorousCommitted to the highest professional standardsAble to access the broadest range of career optionsThe core training of the internist should prepare him or her for any of the possible internal medicine career tracks. Clinical skills and knowledge are key, but the internist must have a grasp of the precepts of research, population health, and professionalism. These areas enhance the spirit of intellectual inquiry and commitment which are core to the practice of internal medicine.In addition, we wish to foster those individuals who are committed to academic or research career tracks through our Research Pathway. We are offering the Research Pathway, however, not just to benefit the few who might participate directly but because we believe that these individuals will enhance the academic milieu of the entire program.
5 Defining Program Characteristics Diversity of Training ExperiencesOur residents train in diverse environments and with unique patient populations.Our hospitals include the primary teaching hospital of the University of California, Irvine; the Long Beach Veterans Health System Hospital; and Long Beach Memorial Medical CenterOur outpatient clinics range from indigent care sites to faculty private practice to our NCI-comprehensive Chao Cancer CenterWe believe now and have always believed that the core of an outstanding residency training program is outstanding house staff. We consistently recruit and matriculate these excellent individuals. Our residents generally come from the top 25% of their classes. But beyond class standing, we look most especially for individuals who are team players and who enjoy taking care of patients. We believe in the less than 80 hour work week. We believe in at least one day off per week because it is the right thing to do. We value resident input into policy and curriculum. When people do have problems, we believe in supporting them to the fullest and avoiding a punitive approach to Program Management.
6 Broad experiences at three hospitals UC Irvine Medical Center – 45% (diverse population)Long Beach VA Medical Center – 45% (“bread & butter”)Long Beach Memorial Medical Center – 10% (ICU)Internal Medicine Residency |
7 UCI Medical Center (UCIMC) University hospital with 400 active beds100 total IM BedsGeneral medicineHospitalist and consult team experienceICU/CCUOncologyAs the faculty’s and community’s hospital we attract a wide range of ethnicity, disease and social statusUniquely a student and resident hospital: No “private patients”UCIMC is an academic health center. About 70% of the patients are departmental patients and another 30% are private patients of the faculty. Faculty patients are cared for on the ward services in exactly the same way as departmental patients, and residents write the orders on all patients. Patients of the general medicine faculty and oncology division are cared for by single hospital-based physicians so that residents are not required to contact many different attendings.The patient population of UCIMC is diverse and interesting. Because we sit a a hub for many different ethnic groups, we regularly treat patients with diseases not generally seen outside of the third world: leprosy, tuberculosis, congenital or rheumatic heart disease, malaria.We have 24 hour access to translators for most of the major groups we care for.
8 Long Beach VA Healthcare System Recently updated and refurbishedGreat depth of common Internal Medicine illnessesExceptional academic faculty, full members of the Department of MedicineOutstanding clinical and basic science researchResident & student oriented health systemImportant resource in geriatrics trainingThe Long Beach VA is one of the largest institutions in the VA system. It serves an active inpatient and ambulatory patient population. Most common at the VA are diseases which would be common in the practices of most internists: cancer, heart disease, diabetes, COPD. Because of amount of pathology, it provides a great opportunity to treat patients with a the full spectrum of manifestations of each of these entities. The VA is clean, modern, recently renovated and fully staffed.
9 Long Beach Memorial Medical Center Outstanding facility with an IM Associate Program DirectorLong-standing commitment to teaching with programs including IM, Surgery, Pediatrics, Ob/Gyn, EM, PM&R, cardiology, pulmonary medicine and radiologyCardiology, Neurology, and ICU Teaching Services with dedicated, supervising teaching facultyExcellent practice-based ambulatory and subspecialty experiences in areas such as women’s health, cardiology, allergy, oncology, & emergency medicineOne of the top centers in the country for cardiac careLong Beach Memorial Medical Center is one of the premier community hospitals in California. Memorial provides another window into the world of “private” medicine and a more middle class working population. This 700 bed facility is perhaps best known for its cardiology and critical care services which are the 2 areas we currently take the most advantage of. We also have community-based rotations at LBMMC as well as some ancillary disciplines like Women’s Health and Sports Medicine.
10 Community-based Sites UCIMC Continuity Clinic with a unique practice modelVA Continuity Clinics with a novel team based approach to care (Patient Aligned Care Team- PACT)UCIMC Faculty Practice SitesContinuity clinic protected without back-up responsibilitiesDedicated ambulatory curriculum on clinic rotationsIn 1998, the NEJM reported on the workings of 5 of the most successful managed care medical groups in the country. One of those was Bristol Park Medical Group in Orange County. Each of our residents spends a block at Bristol Park, seeing patients in a managed environment and getting a first-hand view of the world of managed care medicine. We also have elective rotations which allow residents to work with Medical Group Medical Directors and to get an inside view of the medical managers world.
11 Defining Program Characteristics Diversity of Patient PopulationsWe serve an extraordinarily diverse patient population including long established and recently immigrated communities.We serve patients across the economic spectrum. More than 50% of our patients are economically disadvantaged.Neighborhoods in our area include persons from China, the Middle East, Southeast Asia, Latin America, Persia and many others.We care for patients with conditions like leprosy, TB, rheumatic heart disease and HIV as well as the breadth of diseases seen in the general US population.
12 Defining Program Characteristics We present unique, longitudinal curricula in clinical skills, EBM, Quality, and Palliative Care.Each house officer has at least 9 months of elective time for clinical, research, externship, or international experiences, with 2 elective blocks (6 weeks) in the first year.We are committed to our mission of education and measure service in the context of educational value.
13 Defining Program Characteristics Our flexible curriculum allows residents to tailor their experience to their career track.We encourage couples matching.We offer coordinated acceptance for IM & Occupational Medicine.We offer career pathways in research, hospitalist medicine and primary care.
14 Curriculum Development: Recent Innovations Doctoring Skills RotationFellowship & Career Mentoring from the first day of orientationThe Science of Decision Making ConferenceBusiness of Medicine and Career DevelopmentA longitudinal curriculum in Teaching Skills for all residentsAn experience in Palliative CareHospitalist and Consult Service CurriculumResident-Driven Process Improvement ProgramsA Curriculum in Life-Long Learning Skills to enhance commitment to knowledge and skills after graduationResident Morale Project to continuously identify ways to improve the well-being of our residentsAcademy of Internal Medicine
15 Doctoring Skills Rotation Patient-Centered, Learner-DrivenFocused on:History taking and communications skillsPhysical diagnosisReal patients and patient simulation technologyDecision-making skillsLife-long learning skillsClinical teaching skillsDirect Feedback from Specially Trained Teaching Faculty
16 The Academy of Internal Medicine Weekly protected 2.5 hour conferenceAll residents on elective or outpatient rotations are required to attendFocuses on:Clinical cases and unknownsBasic clinical science reviewBoard review
17 UCI Institutional Distinctions Among the School of Medicine’s distinctions:The University of California with all its programs and resourcesAn outstanding medical school with diverse and accomplished student bodyOne of a handful National Cancer Institute Comprehensive Cancer Centers in the USDiverse Centers of Excellence for research in basic clinical sciencesTop 20% of NIH Research dollars per Faculty MemberUCI Medical Center: A Leapfrog Group designated top hospital for quality, safety and outcomesOur curriculum defines our core competencies. You can see these in the curriculum document in your packets. You can look to this document to find what we feel is important and where we teach it. All residents participate in the core curriculum rotations and conferences. Where appropriate, we believe in innovation that enhances the learning experience.
18 Philosophy of Program Governance Our philosophy of governance is inclusive and progressive.Residents are included on the Curriculum Committee and on the ROC (policy committee). They have equal voting power with the faculty and Program Director.We regularly survey residents about every aspect of the Program including rotations, faculty, teaching, educational resources, and resident satisfaction.And as always, residents are a big part of the process.
19 Curriculum Development and Oversight The Curriculum Committee reviews every aspect of the curriculum on a regular basis: - clinical rotations - conferences - goals and materials Residents have creative input into the Committee, are members of the Committee and participate on a regular basis. Many enhancements emanate from residents’ suggestions or requests.
20 Curricular Elements: Conferences The Core Lecture Series is regularly updated and maintained in concert with subspecialties.Innovative Morning Report at the VA and Afternoon Report at UCITeaching Rounds on all inpatient rotations.Rotation-based, web-based curricular outlines are available on our website.Weekly Grand Rounds with more than 50% of speakers recruited from across the nation for their expertise and experience.Daily or twice daily conferences at all our sites.
25 Preliminary Intern Year- Curriculum Ward blocks*ICU/CCU 5 blocksElectives 5 blocksVacation 4 weeks ***Each block is 3 weeks long**Prelim interns are given 5 additional days off at the end of the academic year in order to help you end earlier and transition to your next program
26 Working Conditions & Duty Hours Our structures and schedules are fully compliant with ACGME regulations.Ward rotations do not have overnight coverage requirementsOur ward teams cap at 15 patientsWe admit patients through a drip protocol every 4th (VA) or 6th (UCI) day free of admissions.We have arranged our rotation schedules so that each time-intensive rotation like wards or ICU is followed by a much less intensive rotation like ambulatory clinic or an elective.
27 Team StructureA typical ward team consists of : 1 attending 1 senior resident 2 interns 2-3 medical students A typical day on Wards : 6:30AM –Arrival 8-9 AM – Morning report 9:30AM – Rounds 12 – 1 PM – Noon conference 6:30 PM – Sign-out to night float
28 Faculty 160 Full Time Faculty and several hundred active volunteers Representing the full range of subspecialties, including Epidemiology and Occupational MedicineAccomplished and distinguished ResearchersChosen for & committed to teachingAvailable to residents for clinical rotations, research and mentoring
29 Clearly our most important asset HousestaffClearly our most important assetExcellent Match performance, representing US Medical Schools from across the countrySupportive, collegial, accomplished, diverseExcellent Access to Fellowships, Primay Care & Hospitalist JobsWe have several parties per year, and we try to make the residents aware of each others interests so that friendships and collaborations can form.
30 Where our Residents Went- 2013 Chief Resident: 5 IM Fellowships: 14 Primary Care in CA: 3 Hospitalist in CA: 2
32 Detailed descriptions of our institutions Other Information on Our Website:Detailed descriptions of our institutionsLocationCollege of MedicineOur fellowship programsCore curriculumRotationsPolicies and ProceduresSalariesDepartment of Internal Medicine|
33 University of California Irvine Thank you for taking the time to review this presentation. Please feel free to contact us with further questions.Bindu Swaroop, MDProgram DirectorOur Program provides outstanding clinical training in an academic and supportive environment. We believe in a culture of participation and collegiality. We offer a diverse patient population, outstanding faculty, and most importantly, a committed, skilled, and engaging bunch of residents.If there are any burning questions, I can take a couple right now. However, you will have a chance a little later to sit down in small groups with one of the Program Directors who will answer all of your questions so you can save questions up for that forum if you prefer.