Curriculum

The St Mary Medical Center-UCLA Internal Medicine Residency Training Program is designed to provide our graduates with broad-based clinical training and skills needed to deliver excellent patient care.  Please check out our Frequently Asked Questions section, too.   For Categoricals and Primary Care tracks, we are on a 4+1 schedule — 4 weeks of an inpatient or consult service (or combo) then one week of continuity clinic in the Family Clinic of Long Beach.   Starting in the 2022 – 2023 academic year, none of our residents do continuous overnight call (no 24 hr clinical call). 

The PGY-1 year offers a balanced clinical experience by rotating through the Medicine Wards, ICU, selective/elective service(s), and Harbor-UCLA Medicine Wards.  Blocks are generally 3-4 weeks long. The typical intern schedule includes the following rotations:

Categorical PGY-1

  • 16- 18 weeks Medicine Wards at St Mary Medical Center
  • 2-4 weeks night float Medicine Wards at St Mary Medical Center
  • 3-4 weeks Medicine Wards rotation at Harbor-UCLA
  • 6-8 weeks ICU (day and night)
  • 10-11 weeks general medicine outpatient clinic (4+1 schedule)
  • 14 weeks consult services
  • 4 weeks vacation

Preliminary PGY-1

  • 16- 18 weeks day Medicine Wards at St Mary Medical Center
  • 2-4 weeks night float Medicine Wards at St Mary Medical Center
  • 6-8 weeks ICU (day and night)
  • Up to 24 weeks consult services
  • 4 weeks vacation

On Medicine Wards, interns take call every 4th day 6:30am – 6:30 pm. No overnight long call for any residents starting July 2022.

Both categorical and preliminary interns rotate on ICU and Medicine night float for 1-2 weeks at a time, working from 6:30 pm-6:30 am with Friday or Saturday off, and return on Sunday night at 6:30 pm.

Interns on the elective ER, and clinic rotations are scheduled for 1-2 night cross-cover calls, from 6:30pm-6:30am a month.

The PGY-2 and PGY-3 years are designed to alternate amongst 3-4 weeks of ambulatory and inpatient blocks.  Each ambulatory block has a subspecialty focus to allow ample opportunity for the residents to explore their individual interests and prepare themselves for individual career paths.

During the inpatient blocks, senior residents assume a supervisory role over their junior colleagues while under the guidance of the teaching faculty. Our medicine ward team(s) are comprised of one senior resident and one intern. Our ICU team is comprised of one senior resident and one intern.

Residents have their own panel of continuity clinic patients that they serve and build over the course of the three year program.

Categorical PGY-2/PGY-3

  • 2-3 blocks Medicine Wards each year
  • 3 blocks ICU distributed during the 2 years
  • continuity clinic on the 4+1 schedule throughouteach year
  • 1 block of SMMC Cardiology
  • 2-4 weeks of night float each year
  • Consults service elective rotations include Cardiology, EM, Endocrine, Gastroenterology, Geriatrics, Hematology/Oncology, Infectious Disease, Nephrology, Neurology, Procedures,  Pulmonary Disease, and Rheumatology (at St. Mary or at Harbor-UCLA and some can be done at both sites)
  • 1-2 research elective blocks during the 2 years
  • 4 weeks vacation each year

The Primary Care Internal Medicine Program (PCIM) is a track within the St. Mary Medical Center Internal Medicine Residency Training Program, incepted in June 2011. The goal of the program is to train physicians to provide comprehensive internal medicine primary care, including inpatient and especially outpatient services. As expected, in the PGY-3 year, the PCIM resident can do other ambulatory rotations (eg St Mary HIV clinic or additional outpatient rotations offered at Harbor-UCLA).

Applicants to this track must verify that their intent is to practice or teach primary care internal medicine when they first graduate from residency.

Over the PGY-2 and PGY-3 years, the PCIM and Categorical residents spend approximately 1/3 of their time on outpatient rotations, 1/3 on electives or consult services and the other 1/3 on traditional internal medicine rotations, including Internal Medicine Wards, ICU, night float, and consultative specialty inpatient rotations.