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CHOICE Primary Care

What does this program offer?

This program offers full training in internal medicine and meets all ACGME requirements for board eligibility in general internal medicine, both inpatient and outpatient. A significant reduction in inpatient responsibilities allows far greater proficiency in outpatient medicine than is possible in standard internal medicine residencies.

This program will develop expertise in the following core areas:

  • Chronic conditions management
  • Health maintenance & disease prevention
  • Outpatient subspecialization
  • Information technology
  • Community service
  • Executive skills

In addition, all CHOICE residents will choose an Area of Distinction based on their area of interest, and will graduate the program with additional skills and experience in this area.

Who is an ideal fit?

  • Residents who plan to practice primary care, and would like to develop a particular expertise in an area or areas within primary care.  This might include, among others, diabetes care, lipid management, asthma care, or musculoskeletal medicine.
  • Residents planning a leadership career within outpatient medicine.  These residents would be particularly poised to start and/or lead a chronic conditions management clinic, or to advise medical groups on methods for improving chronic conditions management.
  • Residents with an interest in working with underserved populations.
  • Residents with an interest in population management, public health policy, or medical informatics.
  • Residents who plan to practice any outpatient-based subspecialty, including but not limited to Rheumatology, Sports medicine, Allergy and Immunology, Endocrinology, and Geriatrics.

What does the schedule look like?

General principles

R1: R1 year is the same for categorical and choice residents. All R1 residents alternate 2 weeks inpatient with 2 weeks outpatient throughout the year.

R2: Residents have the same number of electives as categorical residents. They have approximately 10-12 additional weeks dedicated to underserved clinics and work towards Areas of Distinction.

R3: The R3 year is heavily outpatient-based. The curriculum is highly individualized and tailored specifically to the individual’s career goals and desired Area of Distinction. Approximately 13-14 weeks in addition to elective time are dedicated to underserved clinics and work towards the Area of Distinction.

What are Areas of Distinction?

CHOICE residents choose an area of outpatient medicine in which they would like to gain additional expertise. Residents engage in additional education in the area as well as clinical experiences, a performance improvement project, leadership role, and individual mentorship.

Some examples of Areas of Distinction that residents have chosen:

  • Lifestyle Medicine: Residents fulfill the requirements to become board certified in the American College of Lifestyle Medicine. Lifestyle medicine involves the improvement of
  • Diversity: Additional experience with underserved patients and/or patients of diverse background e.g. transgender.
  • Musculoskeletal Medicine: Residents develop focused expertise in sports medicine and orthopedics.
  • Leadership: Residents are paired with a mentor involved in Kaiser leadership. They attend meetings and engage in projects with their mentor as well as other leaders within the organization.
  • Health technology: Residents are paired with a technology lead within the organization to gain additional expertise in health care technology.

Comparison of Standard vs. Primary Care Schedules

Schedule below is an example of a typical schedule, actual schedules will vary. Schedules are subject to change.

PGY Standard Categorical CHOICE Schedule
R1 Wards: 16 weeks
ICU: 6-8 weeks
NF: 3 weeks
ED: 2 weeks
AC: 6 weeks
Elective: 13 weeks
Vacation: 3 weeks
Research: 1 week
Wards: 16 weeks
ICU: 6-8 weeks
NF: 3 weeks
ED: 2 weeks
AC: 6 weeks
Elective: 13 weeks
Vacation: 3 weeks
Research 1 week
R2 Wards: 17 weeks
ICU: 4 weeks
NF: 2 weeks
AC: 10 weeks
Elective: 17 weeks
Vacation: 4 weeks
Research: 1 week
Wards: 8 weeks
ICU: 2 weeks
NF: 2 weeks
AC: 6 weeks
CHOICE: 12 weeks
Elective: 17 weeks
Vacation: 4 weeks
Research: 1 week
R3 Wards: 16 weeks
ICU: 2 weeks
NF: 3 weeks
ED: 2 weeks
AC: 10 weeks
Elective: 14 weeks
Vacation: 4 weeks
Research: 1 week
Wards: 6 weeks
ICU: 2 weeks
NF: 2 weeks
ED: 2 weeks
AC: 6 weeks
CHOICE: 13 weeks
Elective: 16 weeks
Vacation: 4 weeks
Research: 1 week
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