Our clinical training experience is based at MLK Community Hospital, where residents will rotate through core rotations such as Medicine Wards and Critical Care as well as subspecialties including Endocrinology, Pulmonary Diseases, Cardiology, and Infectious Diseases. Additionally, we have partnered with local academic centers for certain specialty rotations (see below). We believe this hybrid model of community-based and tertiary/quaternary training environments will provide our residents with the necessary breadth of clinical experience and exposure to cutting edge and advanced therapies to excel in their clinical practice.
The Program
Our goal is to provide compassionate, collaborative, quality care, and improve the health of our community.
Educational Experience
4+1 Block Schedule
Each 4-week block is followed by a week of Ambulatory Care which includes the residents’ Continuity Clinic, Telemedicine, Urgent Care and, beginning in 2024, Street Medicine. Trainees have protected time during their ambulatory week to pursue scholarly activity including quality improvement and research projects.
Partner Institutions and Rotations:
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Cedars-Sinai: Hematology/Oncology, Gastroenterology, Palliative and Hospice Medicine
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Harbor-UCLA: Coronary Care Unit, Neurology and General Internal Medicine Wards
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UCLA: Neurology
Sample Schedule
| PGY1 | PGY2 | PGY3 |
|---|---|---|
| Wards: 16 weeks | Wards: 16 weeks | Wards: 8 weeks |
| Cardiology: 4 weeks | Continuity Clinic: 10 weeks | Continuity Clinic: 10 weeks |
| Pulmonary: 4 weeks | Geriatric: 4 weeks | MICU: 8 weeks |
| Continuity Clinic: 10 weeks | Gastroenterology: 4 weeks | Rheumatology: 4 weeks |
| Hematology: 4 weeks | Night Float: 4 weeks | Infectious Disease: 4 weeks |
| Night Float: 4 weeks | MICU: 8 weeks | Night Float: 4 weeks |
| Neurology: 4 weeks | Elective: 6 weeks | Elective: 6 weeks |
| MICU: 8 weeks | Nephrology: 4 weeks | |
| Elective: 2 weeks | Emergency Medicine: 4 weeks | |
| Endocrinology: 4 weeks |
Curriculum
Multidisciplinary Bedside Rounds – Under the guidance of our faculty, residents will learn to lead daily bedside teaching rounds and hone their clinical skills, diagnostic reasoning, knowledge of pathophysiology, professionalism and compassion.
Continuity and specialty clinics – Residents will assist/engage directly with attending’s on specialty care needs relevant to internal medicine, including cardiology, endocrinology, pulmonology and more.
Community-based care – Work on data-driven, community-based population health initiatives.
| Didactic Session | Frequency/Day |
|---|---|
| Morning Report | Weekly |
| Noon Conference | Weekly |
| Morbidity and Mortality Conferences/Patient Care Quality Conferences | Monthly |
| Journal Club (Switch off in and out of the hospital) | Monthly |
| Quality Improvement Projects | Monthly |
| Grand Rounds | Monthly, every 4th Thursday |
| Board Review | Monthly |
| Ultrasound and Procedure Workshop | Quarterly |
| Problem-Based and Team-Based Learning Activities | Quarterly |
| Social Medicine Didactics | Monthly |
| Role Playing and Simulation Training | Semiannually |
| Bedside Physical Examination Rounds | Monthly |
| EKG Conference | Monthly or Every Other Month |
| High Value Care Conference | Monthly | Ambulatory Case Conference | Monthly |
| Other Conferences: | |
|---|---|
| Resident Forum | Monthly |
| Resident Wellness | Quarterly |
Social Medicine
Social medicine is an essential part of the MLKCH residency experience. Residents will engage in a range of topics related to health equity, including:
- The social determinants of health
- Health inequities
- The intricacies of race and poverty
- The social meanings of disease
- Explanations for the disparities in treatment access and health outcomes
- Strategies for increasing value in health care
- Analysis of institutional, economic, and cultural dynamics that shape social and medical responses to disease
- Ambulatory experience
- Street Medicine
By understanding the social determinants of health and its relationship to clinical care, our residents will be able to practice in a comprehensive manner that addresses the root cause of disease and illness and better advocate for the social inequities that have existed for generations.
Dr. Sharp: IMRP Faculty, Chair, Acute Care Services Committee; Chair, Bioethics Committee