Combined Internal Medicine – UCSF Preventive Medicine Residency Track (MPH)

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

Highlights

• A partnership between the Internal Medicine Residency Program at Kaiser San Francisco, the UCSF Department of Epidemiology and Biostatistics and the UC Berkeley School of Public Health.
• A four-year program, with the PGY-3 year dedicated to 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 salary.
• One of only five combined IM/PM programs in the country and the only one in the western United States.
• Graduates are eligible for dual certification in Internal Medicine and Preventive Medicine, and pursue a wide range of careers: clinical medicine (general internal medicine or fellowship training), public health, health policy, clinical research, and academic medicine.

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 population health. Preventive medicine elective options include rotations in local public health departments, occupational medicine, and research rotations. Each PGY-2 resident participates in a Training In Clinical Research training course at UCSF and designs a research project to be completed at UC Berkeley as part of their MPH degree requirements.
• The Third Year: During this academic year, residents pursue a Master of Public Health degree from the UC Berkeley School of Public Health. One can select from four areas of study – epidemiology, environmental health sciences, health policy and management, and interdisciplinary. Residents maintain clinical skills through weekly continuity clinic and two months of inpatient rotations.
• The Fourth Year: During this practicum year, residents are exposed to a variety of experiences through rotations at UCSF-affiliated research institutes and state/local health departments. They complete the remaining requirements for internal medicine board certification, including 3 months of inpatient rotations and 2-3 months of electives. Residents lead the Quality Improvement curriculum for the residency program and may also engage in clinical outcomes and translational research at the KP Division of 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, including selection of appropriate study design, data collection and analysis.
• Investigate a disease outbreak.
• 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 and population-level research on patterns of disease. Residents in this program are expected to attain equal proficiency in both clinical internal medicine and preventive medicine. This program is ideal for residents who desire a career that combines the practice of clinical medicine and public health with emphasis on the management of disease prevention and health promotion in populations.

Examples of IM/PM residents’ interests, research and career goals 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)
• Environmental and occupational medicine, toxicology

Faculty

Dr. George Rutherford, Program Director
Dr. Rutherford is the Salvatore Pablo Lucia Professor of Epidemiology, Preventive Medicine, Pediatrics and History and Director of the Residency Program in General Preventive Medicine and Public Health. He is also Head of the Division of Infectious Disease Epidemiology in the Department of Epidemiology and Biostatistics at the University of California, San Francisco, directs the Prevention and Public Health Group within UCSF’s Institute for Global Health Sciences, and Adjunct Professor of Epidemiology and Health Administration at the School of Public Health in Berkeley. Educated at Stanford University and Duke University School of Medicine, he is board certified in pediatrics and general preventive medicine and public health. He has worked primarily in public health, with an emphasis on the epidemiology and control of communicable diseases, both domestically and internationally.

Dr. James Seward, Associate Program Director
Dr. Seward is a Clinical Professor of Medicine at UCSF and Clinical Professor of Public Health at UC Berkeley. He is Associate Director of the UCSF-UCB Joint Residency Program in Preventive Medicine and Public Health. He is board certified in Internal Medicine and Occupational Medicine. A graduate of Harvard and UCSF, Dr. Seward teaches a course in occupational and environmental medicine at UCB, co-teaches the Preventive Medicine Seminar for residents, and directs a course in chronic diseases for the UCSF Global Health Sciences Program. Dr. Seward has an interest in environmental and occupational exposures, chronic disease prevention and health promotion.

Dr. Jeanna Goo, Core Faculty
Dr. Goo is a hospitalist at Kaiser San Francisco, core faculty in the residency program, and primary mentor for IM/PM residents during their internal medicine training. She leads the quality improvement curriculum for the internal medicine residency. Dr. Goo completed her residency training in the combined Kaiser San Francisco/UCSF Internal Medicine/Preventive Medicine program and is board-certified in both internal medicine and preventive medicine.

Current Residents

Click image to read more about our current residents.

What are alumni doing now?

• Ryan Guinness (2019): Primary Care, Kaiser Permanente, San Francisco
• Eric Tang (2018): California Department of Public Health
• Derek Blechinger (2018): Primary Care, Kaiser Permanente, San Francisco
• Christina Armatas (2017): California Department of Public Health
• Sohrab Sidhu (2017): Primary Care, Kaiser Permanente, Antioch
• Brian Cogburn (2016): Primary Care, One Medical
• Monica Kaitz (2015): Occupation Medicine, Concentra
• Rosemary Ku (2014): Chief Medical Officer, UnitedAg
• Latifat Apatira (2014): Occupational Medicine, Kaiser Permanente, San Francisco
• Benedict Ancock (2013): Cardiology, Marin General Hospital
• Janani Krishnaswami (2012): Program Director, Preventive Medicine Residency Program, University of Texas at Rio Grande Valley
• 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 San Francisco. Please note that the interview process is the same for either track; there is no separate interview for the IM/PM program.

Further details about specific program requirements are available at the American Board of Internal Medicine web site 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 of 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