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      Internal Medicine Residency Curriculum

      At CPMC, we have a long tradition of training outstanding and compassionate clinicians who are well-equipped for careers in primary care, hospital-based medicine, or further training in subspecialty medicine. 

       

      Being in one of the largest quaternary referral hospital in Northern California, we get to serve a diverse patient population with a multiple complex medical conditions.

       

      Below is the current rotation breakdown, though it may change from year to year and from resident to resident.

      Resident Year I – Categorical

      • Inpatient Medicine Wards – 4 months
      • Cardiology – 1 month
      • Hem/Onc –  2 weeks
      • ICU – 1 to 2 months
      • Night Rotations (Admitting, Crosscover) –  1 to 2 months
      • Emergency Medicine at Zuckerberg San Francisco General Hospital – 1 month
      • Outpatient Primary Care Medicine – 1 month
      • Elective/Selective – 1.5 months
      • Vacation – 1 month (one 2-week and two 1-week blocks)

      Resident Year I – Preliminary

      • Inpatient Medicine Wards – 4 to 5 months
      • Cardiology – 1 month
      • Hem/Onc – 2 weeks
      • ICU – 1 to 2 months
      • Night Rotations (Admitting, Crosscover) – 1 to 2 months
      • Emergency Medicine at Zuckerberg San Francisco General Hospital– 1 month (only for anesthesia prelims)
      • Outpatient Primary Care Medicine – none
      • Elective – 2.5 months (CPMC Ophthalmology prelims do ophthalmology during some of these elective months)
      • Vacation – 1 month (one 2-week and two 1-week blocks)

      Resident Year II

      • Inpatient Medicine Wards – 3 months​
      • Cardiology – 1 month​
      • ICU – 1 month​
      • Hem/Onc- 1 month​
      • Night Float –  1 month​
      • Outpatient Primary Care Medicine – 2 month​s
      • Elective/Selective - 3 to 4 months​
      • Vacation – 1 month (two 2-week blocks)

      Resident Year III

      • Inpatient Medicine Wards – 1 to 2 months
      • Cardiology – 1 month
      • ICU – 1 to 2 months
      • Hem/Onc- 1 month
      • Night Float –  1 to 2 months
      • Outpatient Primary Care Medicine – 2 months
      • Elective/Selective - 3 to 4 months
      • Vacation – 1 month (two 2-week blocks)

      Ambulatory Primary Care curriculum

      We offer an outpatient curriculum where categorical residents follow their own patient panel from day 1 of internship. Our clinic is located in the heart of the Pacific Heights neighborhood in San Francisco. It serves a diverse patient population covered through Medicare, Medi-Cal, Private insurers, and North East Medical Services (NEMS) (a local non-profit insurance providing insurance to underserved populations of the Bay Area).

      The Ambulatory Primary Care rotation provides a good balance between clinical medicine and didactics. Here is an example of a resident's schedule:

       

        MONDAY TUESDAY WEDNESDAY THURSDAY FRIDAY
      AM

      HIV Medicine

      8:00 -10:00 am: Core Curriculum

      ADMIN TIME

      8:30-9:30 am: Ambulatory Morning Report

      Continuity Clinic

      Continuity Clinic

      8:00 - 10:00 am: Evidence-Based Medicine

      Continuity Clinic

      PM Cardiology Clinic

      Continuity Clinic

      Continuity Clinic

      1:00 - 2:00 pm: Communication

      SF Free Clinic

      ADMIN TIME

      Didactics on Ambulatory Primary Care:

      • Tuesday Core Curriculum – 2 hour didactic on a core Ambulatory topic
      • Wednesday Ambulatory Morning report – Resident-led presentations coupled with Chief-led discussions related to outpatient clinical cases
      • Thursday Communication – A time to reflect and debrief difficult situations in small groups with residents and attendings
      • Friday Evidence-Based Medicine – This is an attending-led weekly small group session where we learn how to analyze journal articles, review biostatistics, and critique study design.
      • We also have a "Pre-Clinic Talk" daily from 1-1:30 PM on core ambulatory topics based on the Yale Outpatient Curriculum

      Selectives and Electives

      • Selectives are rotations that we require our categorical residents to complete prior to graduating and include Geriatrics, Inpatient Infectious Disease, Outpatient Hepatology, Stroke Neurology, Inpatient and Outpatient Palliative Care, Endocrinology, and Inpatient Nephrology.

      • We offer a wide array of electives to meet the interest of our residents including:

        • Ambulatory Medicine Electives such as Allergy Medicine, HIV Medicine, San Francisco Free Clinic, Sports Medicine and Orthopedics
        • Inpatient and Outpatient Cardiology, including Electrophysiology, Advanced Heart Failure, Echocardiogram
        • Inpatient and Outpatient Endocrinology
        • Inpatient and Outpatient Gastroenterology including Hepatology and GI motility
        • Inpatient and Outpatient Neurology including Stroke and Neuromuscular
        • Inpatient and Outpatient Pulmonary Medicine
        • Outpatient Hematology/Oncology
        • Inpatient Procedure Elective
        • Medical Informatics
        • Radiology
        • Pathology
        • Anesthesiology
        • Ethics
        • Quality Improvement and Research Electives

      Quick Links

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      Salary and Benefits

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      How To Apply

      Contact Us

      Program Coordinator
      Lori Wong
      MedEd@sutterhealth.org

       

      Program Director
      Maggie So, M.D. 
      MedEd@sutterhealth.org

       

      Follow us on Instagram @cpmcimresidency

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