UC Irvine Department of Medicine Internal Medicine Residency Training Program Welcome Bindu Swaroop, MD Program Director.

UC Irvine Department of Medicine Internal Medicine Residency Training Program

WelcomeBindu Swaroop, MD Program Director

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Internal Medicine Residency Training ProgramUniversity 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: www.medicine.uci.edu/intmed.

Please also feel free to e-mail me with questions at [email protected]

Bindu Swaroop, MD, Program Director

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UCI Internal Medicine ResidencyCore Philosophy & GoalsOur Mission

To 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 Vision

To continue as a premier Internal Medicine training program, enhance our pledge to academic training and foster the highest commitment to individual patients and our community

Department of Internal Medicine| 2013-2014

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UCI Internal Medicine Core Philosophies & Goals

By the end of training our residents will be:

•Clinically astute•Academically rigorous•Committed to the highest professional

standards•Able to access the broadest range of

career options

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Defining Program Characteristics

Diversity of Training Experiences

• Our 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 Center

• Our outpatient clinics range from indigent care sites to faculty private practice to our NCI-comprehensive Chao Cancer Center

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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 | 2013 - 2014

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UCI Medical Center (UCIMC)

University hospital with 400 active beds

100 total IM Beds• General medicine• Hospitalist and consult team experience• ICU/CCU• Oncology

As the faculty’s and community’s hospital we attract a wide range of ethnicity, disease and social status

Uniquely a student and resident hospital: No “private patients”

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Long Beach VA Healthcare System

• Recently updated and refurbished

• Great depth of common Internal Medicine illnesses

• Exceptional academic faculty, full members of the Department of Medicine

• Outstanding clinical and basic science research

• Resident & student oriented health system

• Important resource in geriatrics training

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Long Beach Memorial Medical Center

• Outstanding facility with an IM Associate Program Director

• Long-standing commitment to teaching with programs including IM, Surgery, Pediatrics, Ob/Gyn, EM, PM&R, cardiology, pulmonary medicine and radiology

• Cardiology, Neurology, and ICU Teaching Services with dedicated, supervising teaching faculty

• Excellent practice-based ambulatory and subspecialty experiences in areas such as women’s health, cardiology, allergy, oncology, & emergency medicine

• One of the top centers in the country for cardiac care

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Community-based Sites• UCIMC Continuity Clinic with a unique practice

model

• VA Continuity Clinics with a novel team based approach to care (Patient Aligned Care Team- PACT)

• UCIMC Faculty Practice Sites

• Continuity clinic protected without back-up responsibilities

• Dedicated ambulatory curriculum on clinic rotations

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Defining Program Characteristics

Diversity of Patient Populations• We 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.

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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.

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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.

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• Doctoring Skills Rotation

• Fellowship & Career Mentoring from the first day of orientation

• The Science of Decision Making Conference

• Business of Medicine and Career Development

• A longitudinal curriculum in Teaching Skills for all residents

• An experience in Palliative Care

• Hospitalist and Consult Service Curriculum

Curriculum Development: Recent Innovations• Resident-Driven Process

Improvement Programs

• A Curriculum in Life-Long Learning Skills to enhance commitment to knowledge and skills after graduation

• Resident Morale Project to continuously identify ways to improve the well-being of our residents

• Academy of Internal Medicine

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Doctoring Skills Rotation

Patient-Centered, Learner-Driven

Focused on:

• History taking and communications skills

• Physical diagnosis

• Real patients and patient simulation technology

• Decision-making skills

• Life-long learning skills

• Clinical teaching skills

• Direct Feedback from Specially Trained Teaching Faculty

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The Academy of Internal Medicine

Weekly protected 2.5 hour conference

All residents on elective or outpatient rotations are required to attend

Focuses on:

• Clinical cases and unknowns

• Basic clinical science review

• Board review

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UCI Institutional Distinctions

Among the School of Medicine’s distinctions:

• The University of California with all its programs and resources

• An outstanding medical school with diverse and accomplished student body

• One of a handful National Cancer Institute Comprehensive Cancer Centers in the US

• Diverse Centers of Excellence for research in basic clinical sciences

• Top 20% of NIH Research dollars per Faculty Member

• UCI Medical Center: A Leapfrog Group designated top hospital for quality, safety and outcomes

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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.

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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.

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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 UCI

• Teaching 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.

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Conferences- Sample ScheduleSite Monday Tuesday Wednesday Thursday Friday

UCIMC Core

Topics Conference

Grand Rounds

Core

Topics Conference

M & M

Academy of

Internal Medicine

--- Subspecialty

Clinical Conferences

Long Beach VA Medical

Center

Chiefs Rounds

-- Journal Club

Grand Rounds

Clinical

Pathologic Conference

Core

Conference --

Morgue Rounds

Core

Conference

Long Beach Memorial Medical Center

Core Topics Conference

-- Mock Code

Blue

Cases in

Infectious Disease

-- ECG Course

EB MICU

Journal Club

Medical Grand

Rounds --

Practice Based Learning

Pulmonary

Case Conference

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Curriculum: Rotations Year 1Ward 4 blocks

ICU/CCU 3 blocks

Doctoring Skills Rotation 1 block

Geriatrics 1 block

Electives 2 blocks

Women’s Health 1 block

Night Medicine 1 block

Vacation 4 weeks

Continuity/Ambulatory 2 blocks

Palliative Care 1 block

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Curriculum: Rotations Year 2

Wards 3 blocks

ICU/CCU 2 blocks

Neurology 1 block

Electives/Research 5 blocks

Vacation 4 weeks

Night Float/Medicine 2 blocks

Continuity Clinic/Ambulatory 2 blocks

Doctoring Skills Rotation-2 1 block

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Curriculum: Rotations Year 3Ward/ICU/CCU 5 blocks

Hospitalist/consult 2 blocks

Ambulatory Oncology 1 block

Emergency Medicine 1 block

Community-Based Clinic 1 block

Geriatrics 1 block

Night Float/Medicine 2 blocks

Electives 3 blocks

Vacation 4 weeks

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Preliminary Intern Year- Curriculum

Ward 6 blocks*

ICU/CCU 5 blocks

Electives 5 blocks

Vacation 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

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Working Conditions & Duty Hours

Our structures and schedules are fully compliant with ACGME regulations.

• Ward rotations do not have overnight coverage requirements

• Our ward teams cap at 15 patients

• We 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.

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Team StructureA typical ward team consists of : 1 attending1 senior resident2 interns2-3 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

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Faculty

• 160 Full Time Faculty and several hundred active volunteers

• Representing the full range of subspecialties, including Epidemiology and Occupational Medicine

• Accomplished and distinguished Researchers

• Chosen for & committed to teaching

• Available to residents for clinical rotations, research and mentoring

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Housestaff

• Clearly our most important asset

• Excellent Match performance, representing US Medical Schools from across the country

• Supportive, collegial, accomplished, diverse

• Excellent Access to Fellowships, Primay Care & Hospitalist Jobs

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Where our Residents Went- 2013

Chief Resident: 5

IM Fellowships: 14

Primary Care in CA: 3

Hospitalist in CA: 2

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Resident Positions & Salary

Number Level/Year Salary

23 Preliminary PGY1 $51,289

22 Categorical PGY1 $51,289

22 Categorical PGY2 $53,218

22 Categorical PGY3 $55,218

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• Core curriculum

• Rotations

• Policies and Procedures

• Salaries

Other Information on Our Website: http://www.medicine.uci.edu/residency/

• Detailed descriptions of our institutions

• Location

• College of Medicine

• Our fellowship programs

Department of Internal Medicine| 2013-2014

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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, MD

Program Director

e-mail: [email protected]