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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 Root Cause Analysis and Bedside Ultrasound Curriculum.

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 break out session at Academic Half Day

Other Learning Sessions:

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

Rotation Schedule – 2+2 in the R2 and R3 years!

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.

Academic Half-Days (AHD)

Key elements of AHDs are:

  • Protected time for education
  • Active, team-based learning:
    • Hands-on rhythm recognition using the code monitors
    • Physical Physical exam demonstration
    • Evidence-based Medicine “jigsaws” in teams
    • Case-based learning in small groups
    • Team competitions with apps
  • Every Wednesday from 10:30-1:30 all residents (except night float, ICU and short call resident) have their time protected to attend the AHD session
  • The 3 hours consist of:
    • “Echo”– key points from prior week
    • Program announcements and review of workflows, quality work
    • Traditional resident report case to develop clinical reasoning
    • Team-Based Learning (TBL) for 90 minutes or so
  • All other days there are daily lunch conferences

Inpatient Rotations

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.

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.

Cardiology

  • R2 cardiology at Kaiser Oakland: inpatient and outpatient consultations as well as cardiac catheterization lab, ECG, TEE, and TTE reading and cardiac stress test and CT angiogram interpretation

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

Subspecialty Rotations

All residents rotate through the core internal medicine specialties including:

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

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.

Ambulatory Medicine

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 ClinicMinor Injury Clinic
  • Occupational Medicine
  • Office Gynecology
  • Eating Disorders
  • Orthopedics
  • Physical Medicine & Rehabilitation
  • Podiatry
  • Psychiatry including: Addiction Medicine, Substance Abuse
  • LGBT Health
  • Women’s Health
  • Young Adult Clinic

Primary Care Electives

Our faculty mentors shepherd residents through their primary care training and many form a life-long mentorship/friendship with the residents as they enter clinical practice. For residents pursuing Primary Care, KORE Elective time in our Primary Care Pathway might include additional electives listed under the “Outpatient Experiences” section or electives such as:

  • Advanced Primary Care: the transition from residency to practice Ambulatory Quality improvement projects
  • Management of Chronic Conditions
  • Office Gynecology
  • Dermatology
  • Medical Genetics

Community Service

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
  • 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

International Rotations/Global Health

As the world we live in becomes “smaller” – there are an increasing number of career opportunities in International Health. In addition to working with programs that Kaiser Permanente has a strong affiliation with such as the Matibabu Clinic in Kenya and The University Teaching Hospital in Zambia, numerous opportunities exist to tailor international experiences to your interests. Our residents have recently worked in places as varied as Vietnam, South Korea, Columbia, Taiwan, Cambodia, Belize, Nicaragua, and China. You will have the opportunity to learn and teach fellow residents and faculty about various Global Health issues including, but not limited to, providing health care in low resource settings, the different disease burden outside of the developed world as well as how globalization affects health. Funding is available for international rotations.

Research and Other Electives

Our residents are supported in their research activities:

  • Assistant Program Director Dr. Joan Lo is an active researcher (70% time) at the Kaiser Division of Research
  • Protected elective time (up to 4 weeks per year) includes a curriculum in Designing Clinical Research
  • IRB and grant writing support
  • Data analyst and biostatistician support
  • Financial support and mentorship for poster preparation and meeting presentations

Teaching

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 Residents-as-Teachers curriculum. Our home-grown Kaiser Oakland Residency “PASSPORT” includes a variety of Teaching Scripts 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!

Other Electives

We have a number of true elective blocks. In addition to the core subspecialty consultation and ambulatory medicine blocks, each categorical resident has several months of elective time over their residency to further tailor the schedule to meet their needs. 5.5 blocks of truly elective/research time. These include but are not limited to: Allergy and Immunology, Radiology, Anesthesiology, Psychiatry, Gynecology and Women’s Health, Podiatry, Public Health Service,Lab Medicine & Pathology, Radiation Oncology, Interventional Radiology, Medical Informatics, Design & Innovation, Teaching and off-campus electives.

For more information about La Salud Permanente elective and to apply, visit the webpage here.

Educational Funds

The Kaiser Oakland Internal Medicine residency pays for:

  • Individual UptoDate account to be used both on campus and at home
  • ACP Associate membership
  • Subscription to Annals of Internal Medicine
  • MKSAP for Board Review for all R2s and R3s
  • USMLE Step 3, California Medical License and DEA license for categorical residents
  • Scientific American Weekly Curriculum and Board Vitals (on-line Boards prep resources

Other educational funds include resident book fund-books, journals, software and 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.).

Conferences

Teaching Conferences

  • Academic Half Day – see above
  • Daily Case Based Resident Report
  • Noon conferences including monthly Patient Safety Root Cause Analysis M&M Conference
  • Medicine in the News
  • Board Review (taught by the Program Director, Asst Program Directors and specialists)
  • Humanities and Narrative Medicine
  • High-value care curriculum
  • Outpatient Clinic Conference- The Yale Case-based electronic curriculum
  • Evidence-Based Medicine (taught by the Program Director, Dr Baudendistel)
  • Ward Teaching Rounds – electronic Professor-EBM curriculum



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