Curriculum
The Combined Internal Medicine + Pediatric Residency is a four-year program designed to prepare the resident for certification by both the American Board of Pediatrics and the American Board of Internal Medicine.
Number of Positions:
There are six resident positions for each of the four years.
Rotation Schedule:
Our residents rotate between medicine and pediatrics every four weeks for all four years of training. Switching every month on average allows for residents to have less time apart from each department, strengthening overall cohesion with categorical residents, and decreasing the sense of discomfort that is known to happen with “the switch.” The feedback from this format of switching every month on average has been very positive.
Our Medicine Schedule for most rotations is 3+1 (3 weeks of rotation and 1 week of ambulatory). Our Pediatric schedule is transitioning into a 3+1 mode.
Intern year lasts 12 months at our program
Call Schedule:
Medicine: Does not implement call, night float system
Pediatrics: Does not implement call, night float system
Clinics:
To see the different clinics that residents rotate through, click here.
Sample four-year schedule for a med-peds resident at LAC+USC
DUTY HOURS
Residents must not be scheduled for more than 80 hours of duty per week, averaged over a four-week period.
Residents must be provided one day in seven free from all patient care responsibilities, averaged over a four-week period.
Call must be no more frequently than every third night averaged over a four-week period.
There must be a 24-hour limit on on-call duty, with an added period of up to 6 hours for continuity and transfer of care, educational debriefing and didactic activities; no new patients may be assigned after 24 hours.
An 8-hour minimum rest period should be provided between duty periods.
When residents take call from home and are called into the hospital, the time spent in the hospital will be counted toward the weekly hour limit.