Internal Medicine Residency Training Program - Clinical Training

Cedars-Sinai Medical Center is an approximately 900-bed tertiary referral hospital. All interns rotate on inpatient and ambulatory services, the majority of which are based out of the main medical center campus. Residents will also have the opportunity to rotate through different outpatient community clinics, and categorical interns and residents have a continuity clinic where they will see patients over a one-week block that occurs at the end of every four-week cycle (4+1 model). 

 

Inpatient Training

There are six types of inpatient services that residents will rotate on at Cedars-Sinai:

  • General medicine wards
  • Advanced heart failure/heart transplant wards
  • Medical intensive care unit
  • Cardiac intensive care unit
  • Bone marrow transplant (hematology/oncology) wards
  • Consultation services

General Medicine Wards

This service admits a wide variety of patients with medical problems that range from the common to the esoteric. The majority of patients are uninsured or have Medi-Cal and have no primary care physician. Attending rounds occur daily with a full-time faculty member.

Advanced Heart Failure/Heart Transplant Wards

This 54-bed unit serves as a step-down unit for monitoring of patients with advanced heart failure who do not require intensive care. Patients admitted to this unit may be pre-cardiac transplant, or post-transplant with nonsurgical issues, as well as non-transplant candidates with advanced heart failure. The medical team consists of two Interns and three residents, as well as a combination of general cardiology fellows and advanced heart failure fellows. Rounds with an attending specializing in heart failure occur daily.

Medical Intensive Care Unit (ICU)

This 24-bed intensive care unit is staffed by two day teams each composed of two residents and two interns, and one night team composed of three residents. Pulmonary fellows help supervise the unit around-the-clock. A separate attending staffs each day team.

Cardiac Intensive Care Unit (ICU)

This 12-bed intensive care unit is staffed by two day teams, each composed of one resident and one intern, and one night team. Cardiology fellows are actively involved in the management of the patients as well as in teaching on bedside rounds and in didactic sessions. Each day team is staffed by a separate attending.

Bone Marrow Transplant Wards

This approximately 32-bed unit is staffed by three interns, one resident, as well as nurse practitioners. Patient care is supervised by a fellow and attending hematologist/oncologist. Patients on this unit generally are admitted to receive bone marrow transplants for underlying hematologic malignancies or are admitted for management of complications.  

Consultation Services

All internal medicine subspecialty services have residents and fellows performing subspecialty consultations on both hospitalized and ambulatory patients.

Our consultation services include:

  • Cardiology
  • Endocrinology
  • Gastroenterology
  • Hematology/oncology
  • Hospice and Palliative care
  • Infectious diseases
  • Nephrology
  • Neurology
  • Pulmonary
  • Rheumatology

Each of these subspecialty rotations differs slightly in its structure, but all include formal didactic sessions and a defined educational curriculum. Fellows and attendings are responsible for teaching rounds and didactic sessions.

 

Ambulatory Training

Continuity Ambulatory Experience

Categorical residents will have a continuity clinic where they will see patients in a one-week block that occurs at the end of every four-week rotation (4+1 model). Residents will be able to choose to do their continuity experience at one of three different sites, allowing them to pick a site that most closely aligns with their career interests.

  • Cedars-Sinai's Ambulatory Care Center: Residents manage a predominantly underfunded, immigrant patient population in a traditional hospital-based ambulatory setting.
  • Cedars-Sinai Medical Group: Residents work with primary care physicians and care for insured patients in a managed care practice.
  • The Saban Community Clinic (formerly named the Saban Free Clinic and the Los Angeles Free Clinic): Residents care for indigent patients through a public-private program supported by federal and local resources.

Other Ambulatory Experiences

Residents may do multiple other ambulatory experiences on a two- to four-week block basis. In addition to continuity at their own site, residents will have the ability to work at the other continuity sites practicing at both ambulatory care and ambulatory subspecialty clinics. Residents also have the opportunity to work at the Venice Family Clinic, the Korean Health Education Information & Research Center Clinic or the Los Angeles Christian Health Center in Downtown Los Angeles, where they work with underserved patient populations.