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Internal Medicine San Francisco - Combined Internal Medicine/Preventive Medicine (IM/PM) Residency Track

Kaiser Permanente, San Francisco Internal Medicine Residency Program
UCSF Department of Epidemiology and Biostatistics
UC Berkeley School of Public Health

Highlights

  • A partnership between the Internal Medicine Residency Program at Kaiser Permanente San Francisco, the Public Health and General Preventive Medicine Residency in the UCSF Department of Epidemiology and Biostatistics, and the UC Berkeley School of Public Health.
  • A four-year program, with the PGY-3 year focused on earning a Master of Public Health degree from the UC Berkeley School of Public Health. Tuition expenses are covered while the resident receives a full PGY-3 salary.
  • IM/PM residents serve as chief residents during their PGY-4 year.
  • One of only six combined IM/PM programs in the country and the only one in the western United States.
  • Graduates are eligible for dual certification in both Internal Medicine and in Public Health and General Preventive Medicine, and pursue a wide range of career paths, including clinical practice, public health, health policy, clinical research, academic medicine, and private industry.

Components

  • The First and Second Years: The first two years are very similar to the categorical internal medicine track. Five months of the first two years incorporate aspects of public health. Each PGY-2 resident participates in the Training In Clinical Research training course at UCSF and designs a research project that can form the basis for their capstone projects (like a thesis) at UC Berkeley during their MPH year. Other rotations include infectious diseases, occupational medicine, and an introduction to preventive medicine, quality improvement, or if desired, a rotation at a public health agency.
  • The Third Year: During this academic year, residents pursue a Master of Public Health degree from the UC Berkeley School of Public Health and select one of four areas of study – epidemiology, environmental health sciences, health policy and management, or interdisciplinary. Residents gain hands-on experience at state and local health departments by spending a half-day per week at a public health department while maintaining their clinical skills through their weekly continuity clinic and two months of inpatient rotations.
  • The Fourth Year: During this practicum year, residents have a variety of experiences at UCSF-affiliated clinical and research institutes and state and local health departments. They complete their remaining requirements for dual board certification in internal medicine and in public health and general preventive medicine, including 3 months of inpatient rotations, 4-5 months of public health rotations, and 2-3 months of electives. Fourth-year residents also serve as IM/PM chief residents, and as mentors to junior IM/PM residents. They may also engage in clinical outcomes and translational research at the KP Division of Research.
  • IM/PM residents participate in a monthly Preventive Medicine Journal Club with California Department of Public Health (CDPH) residents. They also participate in twice-monthly Preventive Medicine Residency Seminars led by CDPH and UCSF faculty. Journal Club is required for third- and fourth-year residents. The Residency Seminar is required for fourth-year residents; other residents are encouraged to attend when available.
  • IM/PM residents have access to all UCSF programs and resources. Specifically, they are encouraged to individualize their residency experience with the UCSF Pathways to Discovery, which is offered during the PGY 4 year. The available tracks are Global Health, Health Professions Education, Health Equities, Health Systems and Leadership, and Clinical Research.

Skills Acquired

In addition to clinical skills acquired during their internal medicine training, IM/PM residents will learn how to:

  • Critically analyze and interpret study design and data in peer reviewed medical journals.
  • Independently conduct and lead clinical research and population-based research, including selection of appropriate study design, data collection and analysis.
  • Control and prevent infectious diseases, including outbreak investigation.
  • Improve health access for underserved groups and address key health disparities.
  • Implement innovative programs to reduce the exposure to risk factors for an illness or condition in a population.
  • Conduct policy analysis to assess its impact on the health of a population.
  • Design and operate a surveillance system to monitor health status of a community.
  • Select appropriate, evidence-based, clinical preventive services for individuals and populations.
  • Critically assess and respond to individual and population risks for common occupational and environmental disorders.
  • Plan and manage emergency preparedness programs.
  • Identify and characterize community health problems.
  • Design, implement, and evaluate public health programs, laws and regulations to protect health and ensure the safety of populations.

Is the IM/PM program a good fit for me?

The IM/PM program attracts a diverse cohort of residents with common interests in both patient care, public health practice, and population-level research on patterns and causes of disease. Residents in this program are expected to attain equal proficiency in both clinical internal medicine and public health and general preventive medicine. This program is ideal for residents who desire a career that combines the practice of clinical medicine and public health with an emphasis on the management of disease prevention and health promotion programs in populations.

Examples of IM/PM resident research and career interests include:

  • Global burden of disease, medical relief, and health care in developing countries.
  • Designing, leading, and analyzing clinical research using applied training in epidemiology and biostatistics.
  • Improving access to health care for underserved populations and addressing population-level determinants of health disparities.
  • Improving health care quality and delivery.
  • Health care reform and designing equitable health policy.
  • Control and prevention of infectious disease, including investigation of epidemics and outbreaks.
  • Health literacy, medical journalism, and mass communication of medical information in public health.
  • Resident safety and medical education.
  • Preventive health screening and prevention of chronic disease.
  • Providing clinical care in ambulatory or academic settings.
  • Application of preventive health principles in medical practice (as primary care physicians, fellows, and/or specialists).

Research

PM Bibliography

Faculty

Rosalyn Plotzker, MD, MPH
Program Director

George W. Rutherford, MD, MA
Associate Program Director

James Seward, MD, MPP, MMM
Core Faculty

Jeanna Goo, MD

Jeanna Goo, MD, MPH
Core Faculty

Current Residents

Ali Duffens, MD*
University of California, Irvine

Carmen Javier, MD*
Northeast Ohio Medical University

Tyler Martinson, MD*
Icahn School of Medicine at Mount Sinai

Zara Butte, MD
USF Health Morsani College of Medicine

Akhila Chilakala, MD*
CUNY School of Medicine

Katy Pham, MD*
University of Iowa, Carver College of Medicine

What are alumni doing now?

  • Asmi Panigrahi (2024): Addiction Medicine Fellowship, UCSF
  • James Xu (2024): Primary Care, Kaiser Permanente, San Francisco
  • Mia Kanzawa (2023): Co-founder, healthcare startup
  • Naissem Andemel (2023): Primary Care, Kaiser Permanente, Antioch
  • Asim Alam (2022): Pulmonary Critical Care Fellowship, California Pacific Medical Center
  • Jessica Watson (2022): Public Health Medical Officer, California Department of Public Health; Consultant, World Bank
  • Brandon Imp (2021): Special Population Team, California Correctional Health Care Services
  • Cameron Stainken (2021): Public Health Medical Officer, California Department of Public Health
  • Jocelyn Tseng (2020): Director, Government Programs, DaVita Kidney Care
  • Caterina Liu (2020): Public Health Medical Officer, Immunization Branch, California Department of Public Health
  • Ryan Guinness (2019): Primary Care, Kaiser Permanente, San Francisco
  • Eric Tang (2018): Public Health Medical Officer, STD Branch, California Department of Public Health
  • Derek Blechinger (2018): Primary Care, Kaiser Permanente, San Francisco
  • Christina Armatas (2017): Public Health Medical Officer, Occupational Health Branch, California Department of Public Health
  • Sohrab Sidhu (2017): Primary care, PlushCare and medical consulting, HelloWellness
  • Brian Cogburn (2016): Primary Care, One Medical, San Francisco
  • Monica Kaitz (2015): Occupational Medicine, UCSF/ZSFGH and Intel
  • Rosemary Ku (2014): Chief Medical Officer, UnitedAg
  • Latifat Apatira (2014): Occupational Medicine, Kaiser Permanente, South San Francisco
  • Benedict Ancock (2013): Cardiology, Marin General Hospital
  • Janani Krishnaswami (2012): Primary Care, Academic Medical Associates, Irving, TX.
  • Jeanna Goo (2012): Core faculty and Hospitalist, Kaiser Permanente, San Francisco Internal Medicine Residency Program

How to Apply

The IM/PM residency program accepts two residents per year. Interested students are invited to apply to the combined IM/PM program as a separate and unique program through the ERAS application website. Applicants will find the combined IM/PM program by selecting “Internal Medicine/Preventive Medicine” (as opposed to “Internal Medicine”) from the drop-down list of Specialties at the NRMP website. The specific ACGME ID number for the combined program is 751-05-44-011.

Applicants may apply to either or both the categorical Internal Medicine and the combined IM/PM programs offered at Kaiser Permanente San Francisco. Please note IM/PM applicants will interview with each program, one with the internal medicine program at Kaiser Permanente San Francisco, and another interview with the UCSF Public Health and General Preventive Medicine program. All interviews will be conducted via a virtual format for the upcoming interview season; there will be no in-person interviews. We will host a virtual evening mixer event dedicated to IM/PM track applicants.

Further details about specific program requirements are available at the American Board of Internal Medicine and The American Board of Preventive Medicine.

Training at Kaiser Permanente, San Francisco in the combined IM/PM program was the ideal balance of learning clinical internal medicine in a modern, integrated healthcare system while also experiencing the dynamic world of public health in the populous SF Bay Area. The field of preventive medicine is broad, incorporating concepts of clinical disease prevention and public health. Learning to practice internal medicine in a patient-centered medical home with a technology-forward values taught me how to use the power of population health management for a preventive approach to health. The coursework of the MPH was complemented by project engagement in both the local and state health departments which allowed me to actively utilize my learning. Upon completing my combined training, I was well-prepared to sit for both the Internal Medicine and Preventive Medicine board exams. The best part of this residency was the encouragement and support by the program leaders to explore my interests and allow for flexibility in crafting rotations and experiences that would prepare me best for a career of my choosing. It’s exciting that all our program graduates find unique ways to employ their combined training in their career paths. My training eventually led me to a position as a public health medical officer for the California Department of Public Health, where I work in occupational health and continue to practice some clinical internal medicine at Kaiser Permanente.
– Christina Armatas, MD, MPH, Class of 2017

The Kaiser Permanente San Francisco/UCSF combined IM/PM program’s unique combination of clinical internal medicine training, public health coursework, and public health rotation experiences helped me clarify my career goals and prepared me to succeed after residency. After graduating from residency early in the COVID-19 pandemic, I joined the California Department of Public Health (CDPH) as a medical officer and worked on the COVID-19 vaccine rollout. My residency training prepared me well to immediately contribute to such critical work. Today, I continue to work at CDPH and practice some hospital medicine at Kaiser Permanente San Francisco.
– Caterina Liu, MD, MPH, Class of 2020

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