Dear Internal Medicine Applicants,

Welcome back to the UCLA Internal Medicine Residency Program Web Site! This page is designed to give you an overview of the exciting new changes that will be happening at UCLA for the new Ronald Reagan Hospital that will open on May 4th. In conjunction with our move into this exciting state-of-the-art hospital, we have the opportunity to re-organize our inpatient services to better accommodate our anticipated patient population. Our current housestaff have begun touring the new hospital, learning the new layout and contributing to how we will operate on a day-to-day basis in the new space. It truly is an exciting time here at UCLA, and we would love for you to be part of it.

The inpatient training at UCLA will continue to span multiple training sites. The rotations at our affiliates (Harbor-UCLA, Olive View-UCLA, and the West Los Angeles VA) will remain the same. Below are descriptions of the inpatient services that will take effect when the new hospital opens. The hospital location is noted in parentheses (RR - Ronald Reagan UCLA Hospital, SM - UCLA-Santa Monica Medical Center) followed by the block schedule for the 3 years of training:

Each UCLA ward team is made up of an attending, junior or senior resident and two interns. Teams often include third or fourth year medical students. Ward residents provide care of a diverse population of acutely medically ill patients. Presenting complaints include both common and rare diseases, reflecting the whole of the hospital as both a community hospital and an international referral center.

Work rounds occur daily at 7:30 and allow residents an opportunity to supervise interns in the formulation of a daily treatment plan. Attending rounds are at 10:00, with a focus on scholarly discussion issues raised by patients’ illnesses.

• 5 medicine ward teams
• Overnight Call Q5 until 5 a.m. (5 patients/intern; 10 patients/resident)
• Short Call Q5 (3 patients/intern (interns will alternate admitting); 3 patients/resident)
• 4 days off per month
• Weekly continuity clinic

A day float resident is scheduled to assist the post-call team to ensure they leave the hospital in under 30 consecutive hours everyday. The overnight call team does not cross-cover patients from other teams. Instead, a night float resident covers those patients. Here is a sample schedule:

The MICU rotation provides housestaff exposure to state-of-the-art management of critically ill patients. There are two MICU teams, each consisting of an attending, fellow, two second or third year residents, and two interns. In addition to daily work rounds, the teams meet daily for a core lecture series taught by the medical intensivists and anesthesiologists.

• Intern Overnight Call Q4
• Resident Overnight Call Q4
• 4 days off per month
• No clinic responsibilities

The CCU team focuses on diagnosis and treatment of acute cardiac disease. The team includes an attending, a cardiology fellow, four second and third year residents, and five interns. Housestaff care for acute cardiac patients in a 10-bed Cardiac Care Unit (CCU) and 16-bed intermediate care Cardiac Observation Unit (COU). UCLA operates a 24 hour direct cardiac catheterization laboratory. A separate observation team manages low-risk patients. Patients admitted for strictly peri-procedural observation are typically admitted to a non-teaching service and do not require resident input.

• Intern Overnight Call Q5
• Intern Short Call 1 (until 2 p.m.) and Short Call 2 (until 4 p.m.)
• Resident Overnight Call Q4
• 4 days off per month
• No clinic responsibilities

The view from the CCU call room

The J medicine team cares primarily for patients with hematologic malignancies, including leukemia, lymphoma, and multiple myeloma. Patients are housed on the oncology floor and the 24-bed Leukemia/Bone Marrow Transplant Unit. The J team includes an attending, two fellows, two interns, and two nurse practitioners.

• Intern Overnight Call Q7 (no admitting responsibilities after 5 p.m.)
• 4 days off per month
• Weekly continuity clinic

The new Ronald Reagan hospital has a 13-bed dedicated Observation Unit. This unit will take care of medicine admissions requiring short stays, including chest pain, syncope, electrolyte replacement, gastroenteritis, transfusions, cellulitis, etc. It is staffed by a dedicated Hospitalist attending who will teach a new curriculum focused on short-stay admissions and procedures.

• 12-hour shifts for residents for 2 weeks
• Intern(s) work(s) daily shifts during the week for 2 weeks
• 4 days off per month
• Weekly continuity clinic

All residents complete a four week inpatient nephrology rotation and a two week inpatient infectious disease consult block. These popular rotations expose residents to busy services that provide specialty consultation to medicine and surgery services at RR.

The solid oncology service provides care for patients with solid tumors. The team is comprised of an attending, one oncology fellow, and two second or third year residents. The patient care is divided between the 1 fellow and 2 residents in a hospitalist-like model. All call is taken from home. Housestaff focus primarily on understanding common malignancies and managing medical problems associated with cancer and its treatment.

• Q4 Overnight Home Call (A floating fellow covers the 4th night)
• 4 days off per month
• Weekly continuity clinic

The Geriatrics rotation offers exposure to a multidisciplinary geriatrics ward in a community hospital setting. The are two teams each led by a geriatric faculty member and consists of two second or third year residents. An objective of the rotation is to offer senior residents an opportunity to function at the level of junior attendings. Another is to provide evidence-based training in geriatric medicine. All call is taken from home.

• Q4 Overnight Home Call 5 p.m.-7 a.m. (starting at noon on weekends and holidays)
• Q4 Short Call 7 a.m.-5 p.m. (till noon on weekends and holidays)
• 4 days off per month
• Weekly continuity clinic

The Hospitalist rotation provides second and third year residents exposure to a hospitalist practice model. This innovative rotation incorporates residents into a busy hospitalist practice as "junior attendings." Residents share call with faculty and enjoy a collegial style of supervision. The rotation provides seniors an opportunity to function independently as community physicians while receiving individualized support and supervision from faculty. All call is taken from home.

• Q4 Overnight Home Call 5 p.m.-8 a.m. (starting at noon on weekends and holidays)
• Q4 Short Call (only when holdovers present, maximum of 2 patients)
• 4 days off per month
• Weekly continuity clinic

*Note that in the PGY-2 and PGY-3 year, the schedule is designed to give you 2 blocks of outpatient experience (which includes vacation) alternating with 2 blocks of inpatient experience.

Cafeteria

Main Auditorium

The glass staircase from the lobby to the lower level