R1 General Internal Medicine Training Goals
During the six months of Internal Medicine training in the intern year, Med-Peds residents begin to take primary responsibility for the care of adult patients with both common and complex medical issues. Rotations on the general inpatient ward services both at RRUMC and OVMC are the cornerstone for Med-Peds interns to gain experience in synthesizing clinical information, developing differential diagnoses, and formulating both diagnostic and therapeutic plans of care. Rotations in the MICU and CCU allow Med-Peds interns to care for critically ill patients and learn basic principles of intensive care management. A rotation in the Emergency Department gives Med-Peds interns experience with the first contact management of adult patients with a myriad of common and complex diagnoses. Med-Peds interns also learn some basic triage skills with patients from the ED as they begin to determine whether patients can be managed in the outpatient setting or must be admitted for inpatient care. Finally, a month of a Primary Care Medicine rounds out the Med-Peds intern experience in Internal Medicine. During the PCM I rotation, Med-Peds interns learn about community resources, effective communication strategies, community asset mapping, social determinants of health, and management of patients with substance use issues.
R1 General Pediatrics Training Goals
During the six months of Pediatrics training in the intern year, Med-Peds residents begin to learn how to evaluate children in order to begin to recognize signs of illness. Because children are a unique population who are often unable to relay symptoms or complaints, pattern recognition of common clinical scenarios is an important part of pediatric training. Evaluating children in multiple settings allows Med-Peds interns to begin to gain experience in the synthesis of clinical information, generation of differential diagnoses, and formulation of diagnostic and therapeutic plans of care for children. Although fewer than 5% of all children are ever hospitalized, general inpatient ward rotations still remain the cornerstone of Pediatric residency training, mainly because of the level of skill required to care for seriously ill children in the hospital. For the Med-Peds interns at UCLA, general inpatient ward rotations at both Cedars-Sinai Medical Center and Santa Monica-UCLA Medical Center provides an outstanding experience in common pediatric illnesses requiring hospitalization. The inpatient ward rotation at RRUMC gives Med-Peds interns experience with a sicker population of children, usually with chronic illnesses. Ambulatory urgent care patients are extremely common in pediatrics, especially in the winter months, and Med-Peds residents gain experience in rapidly assessing infants and children in the outpatient settings at UCLA and OVMC. Med-Peds residents also gain experience in the case of the newborn in two settings, the newborn nursery and the NICU. As part of the call experience for these two rotations, Med-Peds residents attend deliveries and perform newborn resuscitations as needed. These experiences give Med-Peds residents skills in lactation and communication with parents about basic newborn care, in addition to the medical care of newborns.