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Academic Half Day, Curriculum & Rotation Schedule

Our Curriculum

“2+2” block schedule
Academic Half Days—protected, team-based learning
Beautiful New state-of-the-art hospital!

We optimize your educational experience and believe in transforming each teaching opportunity into meaningful learning experiences. Through feedback sessions with the Program Director, surveys, and the residency curriculum committee, you will have a strong voice in shaping the program. In recent years, Kaiser Oakland has received national recognition for its Patient Safety and Bedside Ultrasound Curricula, a team of faculty and residents presented a workshop on Game-Based Learning in Medical Education at a national conference.

Our “2+2” block schedule for the R2 and R3 years consist of 26 two-week rotations in which continuity clinic is concentrated during outpatient, subspecialty, and elective blocks. Blocks can still be combined into 4-week rotation for those who desire this (e.g., for Global Health Rotations).

AHD group pic
Group breakout session at Academic Half Day

Other Learning Sessions: AHDs occur on Wednesdays. On other days of the week there is a resident noon conference which includes weekly Grand Rounds, Resident report cases, and the gamut of subspecialty and general medicine core talks. Specific curricula include:

  • Medicine in the News
  • Medical Humanities
  • High-Value Care
  • Clinical Problem-Solving Series
  • Critical Events simulation
  • Residents-as-Teachers curriculum
  • Experiential learning in Geriatrics

Vacation: 4 weeks in the R2 and R3 years, and 3 weeks in the R1 year

Categorical Intern Year
20 weeks – General Medicine Wards
8 weeks – ICU / Coronary Care Unit
2 weeks – Night Float
2 weeks – Continuity Clinic
4 weeks – Infectious Disease
4 weeks – Ambulatory & Endocrine (partially at SF General Hospital)
7 weeks – Elective Rotations
3 weeks – Vacation
(Categorical interns have a half-day per week of continuity clinic while on wards and ICU, and otherwise have one to two half days of continuity clinic per week)

Preliminary Intern Year
20 weeks – General Medicine Wards
8 weeks – ICU / Coronary Care Unit
4-5 weeks – Night Float
1 week – Urgent Care Clinic
14 weeks – Elective Rotations
3 weeks – Vacation
(Preliminary interns do not adopt a continuity clinic panel but do have one week of urgent care clinic during the year)

10 weeks – General Medicine Wards
5 weeks – ICU / Coronary Care Unit
5 weeks – Night Float
3 weeks – Continuity Clinic
12 weeks – Core Subspecialty Rotations (Cardiology, GI, Palliative Care, Renal)
½-1 day Continuity Clinic each week when not on inpatient service
2 weeks – Emergency Medicine
4 weeks – Ambulatory Medicine
2 weeks – Ambulatory Systems / Quality Improvement
5 weeks – Elective Rotations
4 weeks – Vacation
(Senior residents will not have continuity clinic while they are on wards, ICU or night float, but will otherwise have one to two half days of continuity clinic per week)

10 weeks – General Medicine Wards
5 weeks – ICU / Coronary Care Unit
1 week – Continuity Clinic
13 weeks – Core Subspecialty Rotations (Hematology / Oncology,
Pulmonary, Rheumatology, Neurology, Geriatrics, Medicine Consult, POM)
½-1 day Continuity Clinic each week when not on inpatient service
4 weeks – Community Health
2 weeks – Emergency Medicine
4 weeks – Ambulatory Medicine
9 weeks – Elective Rotations
4 weeks – Vacation
(Senior residents will not have continuity clinic while they are on wards or ICU, but will otherwise have one to two half days of continuity clinic per week)

*Core Subspecialty Rotations are split 50-50 overall between ambulatory and inpatient experiences.

Wards

On our inpatient ward medicine services, you will take care of everything under the sun. In addition to “bread and butter” medicine our recent cases include: CJD, paraneoplastic anti-GAD neuropathy, intestinal vasculitis, tuberculosis, sarcoidosis, syphilis, malaria, Dengue fever, babesiosis, and silicosis, to name a few.

Ward Team details:

  • 4 teams with 2 interns and 1 resident and medical student
  • team caps at 14 medicine patients, 7 per intern
  • incredibly diverse patient population and case mix

Our ward experiences prioritize:

  • resident autonomy
  • bedside rounds with a patient-centered focus
  • dedicated teaching faculty
  • physical diagnosis including bedside ultrasound curriculum>/li>

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Critical Care

ICU team consists of 3 interns and 2-3 upper-level residents, caring for up to 20 patients under the supervision of Intensivists who are present in the hospital 24 hours per day every day of the year!

The Critical Care rotation has been a pillar of team-based teaching and ICU faculty have been honored with many teaching awards over the years.

Ultrasound curriculum, Procedure Clinic and Simulation Room

  • Simulation training in thoracenteses, paracenteses, lumbar punctures, and central venous catheter placement
  • All interns rotate through Procedure Clinic
  • Training in critical events/ rapid response/ code blue scenarios using “Sim-man 3G” and other models
  • Bedside ultrasound curriculum for cardiopulmonary diagnosis, to guide procedures, and for ambulatory medicine

All residents rotate through the core internal medicine specialties including:

Cardiology
Palliative Medicine
Neurology
Gastroenterology
Hematology/Oncology
Infectious Disease
Rheumatology
Endocrinology
Pulmonology
Nephrology
Critical Care
Geriatrics

For example, R2 cardiology at Kaiser Oakland includes inpatient and outpatient consultations as well as cardiac catheterization lab, ECG, TEE, and TTE reading, cardiac MR interpretation, and cardiac stress test and CT coronary angiogram interpretation.

In 2015, we implemented a new rotation in Geriatrics & Community Medicine with our Oakland partner, Lifelong. Residents work alongside UCSF Geriatricians at their over-60 clinic, and manage patients with HIV, Chronic Hepatitis at their East Oakland site. Residents also lead group health education classes during this rotation.

Kaiser Oakland launched the first HIV and LGBTQ and Transgender clinics in northern California Kaiser decades ago, and we continue to take pride in optimizing the health of all of the incredibly diverse individuals who live in the East Bay.

Residents will rotate through outpatient clinics as part of their core Internal Medicine Subspecialty rotations in GI, Neurology, Hem-Onc, Palliative Care, Rheumatology, Endocrinology, etc.

Upper-level residents complete rotations at Community Clinics such as the Lifelong over-60 Geriatric block, Lifelong Ambulatory block (includes HIV, chronic Hepatitis, Chronic Conditions management with experiences leading group visits), and Malta Free Clinic of Oakland.

A dedicated Ambulatory Systems block in the PGY-2 year includes curricula in High-Vale Care and Ambulatory Systems Improvement

In addition, residents have several dedicated ambulatory blocks designed to provide experience in other aspects of outpatient medicine at Kaiser Oakland including:

  • Allergy & Immunology*
  • Chronic Pain
  • Community Clinics
  • Dermatology
  • Diabetes
  • General Medicine/Urgent Care
  • Geriatrics
  • Headache Clinic
  • HIV Clinic
  • Minor Injury Clinic
  • Occupational Medicine
  • Office Gynecology
  • Eating Disorders
  • Orthopedics
  • Physical Medicine & Rehabilitation
  • Podiatry
  • Psychiatry including: Addiction Medicine, Substance Abuse
  • LGBT & Transgender Health
  • Women’s Health
  • Young Adult Clinic

Residents pursuing careers in outpatient medicine may also receive additional training opportunities through  the KORE Pathway in Primary Care.

It is our goal to promote equity in health care for all individuals, and to eliminate disparities in health outcomes. Community engagement is important to our residents and to our program’s mission. After community health experiences during residency, graduates have become staff physicians at several local community sites such as the Clinica de la Raza and the Lifelong Clinics. Residents at Kaiser Oakland participate in the following:

  • Lifelong Over-60 and East Oakland community clinics
  • San Quentin prison medicine
  • Oakland’s Malta Free-Clinic for uninsured or underinsured patients
  • Endocrinology at San Francisco General Hospital/UCSF
  • Volunteer days at community fairs/projects supported by Kaiser
  • Funded International medical rotations
  • On-site Farmer’s Market (Kaiser Oakland was the first U.S. hospital to have an on-site farmer’s market featuring food grown by local farmers

All residents receive formal training in effective clinical teaching. There is a dedicated all-day offsite for this during the PGY-2 year, and during all 3 years residents can partake in the KORE Pathway to Distinction in Medical Education. Ask Dr. B or the residents about our home-grown Kaiser Oakland Residency “PASSPORT” includes a variety of Teaching Scripts or schema which prepare residents to deliver 10-15 minute talks for their teams on a variety of clinical topics (Antibiotic selection, evaluation of syncope, approach to weakness, acid-base and ABG interpretation, and the list goes on!)

To refine their teaching, residents will supervise medical students on many inpatient and subspecialty rotations. Kaiser Oakland was the first site UCSF expanded their Longitudinal Clerkship model to and we host 8 UCSF ‘KLIC’ students for their entire third year of medical school. In addition, we are the only approved extramural site for UCSF subinternships.  We host medical students from across the country for subinternships and have affiliations with UC Berkeley, UCSF and the UCSF Joint Medical Program, and Drexel University.

Residents can use their generous number of elective blocks to select additional experiences to meet their interests. These true electives are separate from the required subspecialty and ambulatory rotations. Elective options include the list below—but if you don’t see something, we take pride in sitting down one-on-one and creating electives with you:

  • Global Health
  • Research
  • Teaching & Medical Education
  • Other non-clinical electives: Medical Informatics; Design & Innovation

Clinical electives on campus or extramural: Complementary and Alternative Medicine, Allergy and Immunology, Radiology, Anesthesiology, Psychiatry, Gynecology and Women’s Health, Podiatry, Public Health Service, Lab Medicine & Pathology, Radiation Oncology, Interventional Radiology, For more information about La Salud Permanente elective and to apply, visit the webpage here.

The Kaiser Oakland Internal Medicine residency pays for:

    • Personal iPhone loaded with all the necessary apps to access the EMR (No, you don’t get to keep your phone after you graduate!)
    • Individual UptoDate account to be used both on campus and at home, including on your iPhone
    • Board Review materials: MKSAP books and digital account for all R2s and R3s; NEJM Knowledge-Plus on-line question bank and assessment tool
    • Funding for R3s to attend Board Review CME course
    • USMLE Step 3, California Medical License and DEA license for categorical residents
    • ACP Associate membership
    • Funding to prepare poster and to travel and present at scientific conferences

    Residents also receive discretionary education funds which can be used to purchase books, journals, software or for other educational purposes.

    We have an onsite hospital library with medical librarians at your disposal to help with research projects and presentations. The library includes free access to all major medical journals (including the New England Journal of Medicine, JAMA, etc.).



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