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    Internal Medicine Residency Program

    Clinical Activities

    Internal Medicine residents acquire patient care experience by rotating through inpatient and outpatient medical services and by acting as consultants on subspecialty services. Residents receive clinical training through bedside teaching, small group discussions and daily conferences. Ongoing supervision, feedback and evaluation come from full-time faculty, practicing physicians, Program Directors, fellows, residents and chief residents.

    Inpatient Care

    Categorical and Preliminary first-year residents have similar rotation schedules. They spend the majority of their time on inpatient services and have primary responsibility for a wide range of patients on general medicine, critical care, cardiology and subspecialty services.

    Inpatient teams usually consist of two R1s, an R2 or R3, and a teaching attending. Teams frequently have third year Dartmouth medical students, visiting students from UCSF, and/or other medical schools. The house staff assumes responsibility for most medical inpatients.

    Interns and residents do not work shifts longer than 16 hours in length.

    Consultative and Subspecialty Medicine

    Consultative skills are essential for the practicing internist. Our Internal Medicine program affords excellent inpatient and outpatient consultative opportunities.

    We offer a wide range of subspecialty electives. When a desired subspecialty rotation is not available at California Pacific, residents may elect to do rotations at UCSF, Alameda County Medical Center (Highland Hospital), Stanford University, other Bay Area hospitals or at community-based clinics.

    Outpatient Care

    Ambulatory Care Clinic
    A weekly outpatient clinic in the Family Health Center is assigned to residents in the three-year categorical program. Residents serve as their patients' primary care physician throughout the three years of training.

    Categorical interns have 1 month of ambulatory (divided into 2 week blocks, one pure ambulatory and one combined with palliative care) while second and third year residents have 2 months of ambulatory medicine (divided into 2 week blocks). During this time, they practice general medicine and develop competence in a variety of primary care skills including orthopedics, otolaryngology, geriatrics, HIV medicine, rheumatology, allergy, podiatry, travel medicine, etc. Including outpatient-based electives and clinic time during inpatient electives, approximately 33 percent of a resident's time is devoted to ambulatory care. Residents with a particular interest in primary care can use their elective time, their weekly continuity clinic, and scheduled rotations in ambulatory medicine to create an internal medicine three-year experience that is almost 40 percent ambulatory.

    Social Worker
    Our resident clinic has recently hired a dedicated social worker to help assist those patients with complex psychosocial and financial barriers to navigate an increasingly complex health care environment.

    Emergency Medicine
    A one-month rotation in Emergency Medicine at San Francisco General Hospital is required of all RI categorical residents and anesthesiology preliminary interns. Additional ER rotations can be done during elective months at San Francisco General or Alameda County (Highland) Hospitals.