Clinical Curriculum

Clinical Curriculum

We are a four year training program, fully accredited by the ACGME, offering training in the Los Angeles county system. Our training involves rotating through a mix of county, academic, and community learning environments for a more diversified experience.

Primary Clinical Training: Harbor-UCLA Medical Center,
a Los Angeles County public hospital (Torrance, CA)

Associated Academic Institutions:

  • West Los Angeles VA Medical Center: Medical ICU (Los Angeles, CA)
  • Cedars-Sinai Medical Center: Medical ICU (Beverly Hills/Los Angeles, CA)

Community Training Sites:

  • St. Mary Medical Center: ED (Long Beach, CA)
  • Long Beach Memorial Hospital: ED (Long Beach, CA)
  • White Memorial Adventist Health: NICU (East Los Angeles, CA)

Overall Curriculum:

PGY-1

The PGY-1 year (intern year) is aimed at obtaining a broad-based training in areas essential to the practice of Emergency Medicine. All of your rotations will be at Harbor-UCLA with the exception of Anesthesia (Martin Luther King Hospital). Rotations include 3 1/2 months of work in various intensive care units (medical, cardiac, and surgical), Anesthesia at MLK, Orthopedics, OB/GYN, Psychiatry, Emergency Ultrasound, and (of course) both Adult and Pediatric Emergency Medicine.

Additional Perks:

Your intern year starts with a 2 week orientation to the Emergency Department. This time includes dedicated Adult and Pediatric ED shifts, procedure labs, computer training, and class bonding time to get you oriented and prepared for your time at Harbor.

  • Intern orientation: 2 weeks
  • Adult ED: 10 weeks
  • Pediatric ED: 6 weeks
  • Psychiatric ED: 2 weeks
  • ED Ultrasound: 2 weeks
  • MLK Anesthesia: 2 weeks
  • Medical ICU: 6 weeks
  • Cardiac Care Unit: 4 weeks
  • Surgical ICU: 4 weeks
  • Orthopedics: 6 weeks
  • OB/Gyn: 4 weeks
  • Vacation: 4 weeks

PGY-2

The PGY-2 year (junior year) is a transition period into becoming an advanced and effective emergency care provider. The vast majority of the year is spent at home in the busy, high-acuity Harbor-UCLA Emergency Department to hone your skills and prepare you for a supervisory role as a future senior resident. As opposed to your intern year where Adult and Pediatrics are divided into separate blocks, your second year will consist of a combined schedule of both Adult and Pediatric shifts, with pediatrics accounting for approximately 15-20% of your shifts. As a junior resident you are responsible for leading all adult and pediatric lower level (ED) and mid-acuity (level 2) traumas in the department. It’s a year of high-acuity and procedures, with your first introduction to community based Emergency Medicine at St. Mary Medical Center (STEMI heart attack receiving center and level II trauma center in Long Beach, CA), and making critical decisions independently as a senior resident in the West-LA VA Medical ICU. You'll also be introduced to our Emergency Medical Services system so you can learn more about the care of our patients prior to hospital arrival. This will also be your first year participating in “Jeopardy” - our on-call rotation system for sick call for residents. You’ll spend most of this time on an elective or selective track, remaining within 2 hours of Harbor-UCLA with your phone on just in case of a call out.

Additional Perks:

Your second year begins with a 2 week dedicated time period to optimize your effectiveness as a new junior resident. Your R2 orientation is spent in simulation, didactics, and skills labs with time devoted to ATLS and PALS certification. Class bonding is a bonus! Also, in addition to the Department Retreat each Fall, you will have a “Class Weekend” to help your class stay united during this busy year. R2s also spend a day of dedicated time as a class learning to become base hospital physicians.

  • ED Orientation: 2 weeks
  • Harbor-UCLA Adult & Peds ED: 34 weeks
  • West LA VA Medical ICU: 3 weeks
  • St. Mary's Medical Center: 3 weeks
  • Harbor-UCLA Trauma Call: 2 weeks
  • EMS/Jeopardy: 2 weeks
  • Elective/Jeopardy: 2 weeks 
  • Vacation: 4 weeks   

PGY-3

The PGY-3 year is a year of refining your clinical skills and learning to run an entire emergency department in addition to providing patient care. Key goals for the PGY-3 year include improving efficiency, patient flow, and further honing clinical skills, supervisory and educational roles, as well as exploring the community Emergency Departments to get a feel for future career goals. Again, your Harbor-UCLA Emergency Department block will include both adult and pediatrics shifts, with pediatrics accounting for 25% of your shifts.

As a senior resident you are now responsible for running rounds at the beginning of each shift, running all adult and pediatric level 1 traumas and traumatic full arrests, all trauma airways, and mid-week airway call for inpatients. You will be doing on-shift teaching with medical students and interns and generally running the department.

Our third year curriculum not only allows you to hone your skills in our department, but also broadens your knowledge of community based Emergency Medicine at another community site. Long Beach Memorial Medical Center is a STEMI Receiving Center, Comprehensive Stroke Center and adult and pediatric Level II Trauma Center, with approximately 100,000 ED visits per year. You will also continue to hone your critical care skills through a rotation at Cedars-Sinai MICU. In addition, you have 6 weeks of combined elective and selective time to continue to find your niche in Emergency Medicine and explore your interests.

Additional Perks

In addition to the Department Retreat each Fall, you will also have a “Class Weekend” to help your class stay united during this busy year, as well as a day dedicated for your entire class to become certified through the Neonatal Resuscitation Program (NRP).

  • Harbor-UCLA Adult & Peds ED: 36 weeks
  • Cedars-Sinai MICU: 3 weeks
  • Long Beach Memorial ED: 3 weeks
  • Elective/Jeopardy: 2 weeks
  • Selective (with jeopardy): 4 weeks
  • Vacation: 4 weeks

 

 

 

 

PGY-4

The PGY-4 year is intended to allow residents to transition to independent practitioners who can see patients efficiently, perform all procedures seamlessly, and supervise and educate junior residents, nurse practitioners, and medical students. With your senior role duties unchanged from your third year, you’ll spend your time at Harbor-UCLA rotating between adult and pediatrics, with pediatrics accounting for 30% of your shifts. In addition, you’ll be seeing patients on Fast Track while supervising a junior resident and nurse practitioners, and independently discharging your own patients. This year you will gain critical care skills in caring for our littlest and most fragile patients at White Memorial Neonatal ICU. Your time spent in the NICU will be focused on neonatal intubations, resuscitations, and umbilical line placement. A rotation in administration will help you learn the “behind the scenes” aspects of running the Emergency Department and allow you some time to work on quality improvement projects. You will also spend time leading and continuing development in our many social EM projects. Lastly, there are six weeks of jeopardy call-free selective time to explore whatever facets of emergency medicine in which you have an interest or want additional exposure.

Additional Perks

In addition to the Department Retreat each Fall, the entire class will attend ACEP Fall Conference together while the second and third years cover the department. It's a great time for learning, networking, bonding, and socializing!

  • Harbor-UCLA Adult & Peds ED: 31 weeks
  • ACEP: 1 week
  • Long Beach Memorial ED: 3 weeks
  • White Memorial Neonatal ICU: 3 weeks
  • Social Emergency Medicine: 2 weeks
  • Administration/Jeopardy: 2 weeks
  • Selective (no jeopardy): 6 weeks
  • Vacation: 4 weeks