Family Medicine

Curriculum: PGY-1

Inpatient Rotations

  • Inpatient Family Medicine Service at UCLA-Santa Monica (2 months)
  • Inpatient Family Medicine Service Night Float at UCLA-Santa Monica (2 weeks)
  • Pediatrics at UCLA-Santa Monica (1 months)
  • Internal Medicine at Olive View-UCLA (1 month)
  • ICU at Olive View-UCLA (2 weeks)
  • Obstetrics at California Hospital (1 month)
  • Newborn Nursery at Olive-View UCLA (2 weeks)

 

Outpatient Rotations

  • Cardiology at UCLA-Santa Monica (3 weeks)
  • Point-of-Care Ultrasound (POCUS) at UCLA-Santa Monica (1 week)
  • Palliative Care at UCLA-Santa Monica (1 week)
  • Ambulatory Pediatrics at UCLA-Santa Monica (2 weeks)
  • Emergency Medicine at UCLA-Santa Monica (1 month)
  • Geriatrics at UCLA-Santa Monica and Olive View-UCLA (2 weeks)
  • Behavioral Science at the UCLA Family Health Center (2 weeks)
  • Quality Improvement at the UCLA Family Health Center (2 weeks)

Rotation Descriptions

  • Behavioral Science: UCLA Santa Monica (1 month)
    Emphasis on in depth didactics facilitated by staff psychologist, and social worker discussing psychiatric disorders and psychosocial issues commonly encountered with patients.
     
  • Cardiology: UCLA Santa Monica (1 month)
    We rotate through the UCLA Santa Monica Cardiology clinic working in tandem with cardiologist preceptors, familiarizing with rapid EKG recognition, outpatient treadmill stress tests, echocardiograms, nuclear perfusion scans, and shadowing inpatient cardiac catheterizations.
     
  • Emergency Medicine:  UCLA Santa Monica (1 month)
    At UCLA Santa Monica Emergency Department, we triage, diagnose, and manage patients in the fast track sections of ED, with an emphasis on large volume procedures, from intubations and lumbar punctures to laceration repair and I&Ds.  The schedule can be individualized to maximize procedure exposure and learning.
     
  • Geriatrics:  UCLA Santa Monica & Olive View (1 month)
    We rotate across geriatric opportunities including subspecialty clinics such as UCLA Santa Monica Urology, the UCLA Osteoporosis Center, and Memory Disorders Center at Olive View Medical Center, in addition to Santa Monica and Van Nuys continuity clinics.
     
  • ICU:  Olive View (2 weeks)
    Based at Olive View-UCLA County Hospital, we work alongside our Internal Medicine counterparts admitting and managing the two-wing ICU.  Critical care attendings and fellows review high yield topics of sepsis, DKA, respiratory failure, non invasive and invasive ventilatory management. Senior residents and fellows oversee intubations, central and arterial line placements. Schedule includes a mix of night and day call with an average of one day off every seven days.
     
  • Family Medicine Inpatient Service: UCLA Santa Monica (2.5 months)
    Our core family medicine inpatient rotation at UCLA Santa Monica Hospital. Team consists of two interns, two PGY-2s, and led by a senior PGY-3. The service is a combination of 1) continuity pediatric, OB, adult, and geriatric patients seen at our UCLA Family Health center that are admitted and staffed with a Family Medicine attending, and 2) internal medicine patients that have a UCLA primary care doctor and staffed with an Internal Medicine hospitalist attending. Rounds are usually sit down with opportunities for formal teaching and bedside rounds with physical exam review. ICU patients are co-managed with intensivists, who oversee bedside procedures such as chest tubes, arterial lines, and intubations. On night shift the team consists of one junior resident and one senior PGY-3 who both admit patient’s overnight and manage the list of teams list of patients. And finally, we serve as the primary Code Blue and rapid response team in the hospital. This is a 14-hour shift work schedule q4, and there is an average of one day off in every seven.
     
  • Internal Medicine: Olive View (1 month)Our county inpatient experience is at Olive View-UCLA Medical Center, providing a stark contrast to our time on Santa Monica Hospital’s Inpatient Family Medicine Service.  We work on teams with Internal Medicine residents admitting, diagnosing, and treating patients with common diagnoses ranging from COPD exacerbations and newly diagnosed cancer, to infectious diseases and myocardial infarctions within the confines of a resource strapped health care system. There is an average of one day off every seven days.
     
  • Nursery: Olive View (2 weeks)
    We work directly with pediatric hospitalists and neonatologists to run the newborn nursery at Olive View-UCLA Medical Center.  During this experience, we perform newborn exams and review pathology seen exclusively in the newborn period, such as hyperbilirubinemia, evaluation of murmurs, and congenital syndromes and infections.
     
  • Obstetrics: California Hospital (1 month)
    During this rotation, we work in teams with OB-GYN attending physicians on the Labor and Delivery floor at California Hospital, servicing the urban underserved population of Downtown Los Angeles.  We assess and triage patients, monitor labor progression, perform vaginal deliveries, assist in C-section deliveries, and run the postpartum service, facilitating discharge. After two months here completed over the course of PGY1 and PGY2 years, every resident surpasses the number of deliveries required by the Family Medicine Resident Review Committee, and will have the opportunity to perform AROM, IUPC, FSE, and foley balloon placements. This is a 13-hour shift-work rotation, including both day and night shifts, with an average of one day off in every seven days.
     
  • Pediatrics:  UCLA Santa Monica (1 month)
    We rotate through the UCLA Santa Monica Hospital’s dedicated pediatrics floor alongside UCLA Pediatric residents for two months of inpatient pediatrics.  Here we evaluate, admit, and manage pediatric patients with common diagnoses like croup, asthma exacerbations, and urosepsis to more complex disease processes such as multi drug resistant pneumonia in ventilator-dependent, MRCP children. Attendings and residents oversee procedures such as lumbar punctures for meningitis evaluation. Work days consist mostly of 12 hour shifts, which are broken into days and nights, with an average of one day off in every seven days.
     
  • Pediatric Ambulatory Elective (2 weeks)
    This two-week elective rotation provides each resident with the opportunity to individualize his or her outpatient pediatric training at a location of their choice with approval by the program director.  These are non-call rotations, and weekends are free.
     
  • Point of Care Ultrasound (2 weeks)
    This dedicated rotation includes one-to-one ultrasound scanning with core faculty that are certified in POCUS.  Scanning occurs at both continuity clinics as well as during procedure clinic.  Training includes hands on scanning, GUSI POCUS modules, POCUS workshops with licensed UCLA ultrasound technologists and radiologists, and POCUS labs in a simulated center.
     
  • Vacation (4 weeks)