R3 General Internal Medicine Training Goals
The general clinical training goals for Med-Peds PGY3s in Internal Medicine are similar to those for PGY2s, except in different settings. Med-Peds PGY3s rotate in the MICU and the inpatient wards at OVMC, which allows them to not only manage critically ill adult patients with general medical (not cardiac-specific) issues and patients hospitalized in a county hospital, but also supervise interns and medical students in this setting. Med-Peds PGY3 residents are also expected to have significant teaching responsibilities at the bedside and in formal conferences. In addition, in the third year, Med-Peds residents are expected to present a case report at a regional or national conference. Med-Peds PGY3s also rotate on geriatrics which provides experience with the care of the elderly, focusing not only on the clinical management of elderly patients with numerous complex medical issues, but also on a family-centered approach, end-of-life issues, and palliative care.
R3 General Pediatrics Training Goals
The primary goal of the third-year Pediatric curriculum for the Med-Peds PGY3s is to gain specialized knowledge in pediatric subspecialty fields. Supervision and teaching is still expected as they rotate through general pediatric inpatient wards. The third-year NICU experience is situated at the Santa Monica-UCLA Medical Center, which has no other categorical pediatric resident. The Med-Peds PGY3s are managing patients directly with attending and have much more autonomy than in previous NICU experiences. Finally, all Med-Peds PGY3s rotate on adolescent medicine, during which they gain both knowledge of adolescent-specific issues and high-risk behaviors and skills to interact with this particular population of patients.