College of Medicine - Charles Drew University of Medicine and Science

RESIDENCY PROGRAM

Goals and Objectives

Goals
To maintain a good balance between service, education, and research through a comprehensive, coordinated, and patient centered primary care model. To train physicians in the context of ACGME competencies: Patient care, Medical Knowledge, Professionalism, Interpersonal and Communication skills, Practice Based Learning and Improvement and Systems Based Practice.

Objectives

Education & Training :

To increase the supply of competent, culturally sensitive and patient centered family physicians committed to work in the underserved communities
To increase the availability of appropriately trained mid-level personnel through a training program for primary care physician's assistants and nurse practitioners.
To participate and encourage a primary care model in the undergraduate curriculum for training medical students.

Service:

To develop patient centered health care delivery models in order to provide competent, culturally sensitive and evidence based medicine services to our urban underserved population.
To advocate patient care in a larger health care system and utilize the available resources to optimize the health care delivery through a team approach.
To provide comprehensive, continuous, compassionate care that covers medical, psychosocial and cultural needs of our population.

Research:

	To further our understanding of healthcare disparities, health care needs, and health care delivery to underserved populations To encourage clinical research in primary care setting and incorporate practice of evidence based medicine Explore answers to healthcare disparities among our urban medically underserved population Primary Care Advocacy:
	To play a strong advocacy role in the development and support of health care programs appropriate to the needs of medically underserved populations. To increase access to primary care for basic health care needs and preventive services

Application Information

Program Description

Our Residency Training Program has been designed to maintain a good balance between service, education, and research. The training curriculum has been developed to meet not only the ACGME requirements of training in Family Medicine but also the unique needs of our community. Although well structured, our curriculum is dynamic enough to adapt new and emerging aspects of the rapidly changing health care environment such as managed care and medical informatics. While in the program, residents will have the opportunity to participate in unique aspects of training including Geriatric Medicine, Adolescent Medicine, Community Medicine, Behavioral Medicine, Procedures and Research.

Residents in our training program learn how to efficiently manage a wide variety of medical and surgical conditions at different stages. They also learn how to practice preventive medicine and they participate in providing comprehensive care for individuals and families in a variety of settings including community based clinic, teaching hospitals, mobile medical units, school clinics, patients' homes and nursing homes.

Our residents are taught and supervised by a highly motivated and committed faculty who are certified and credentialed in their respective fields. Residents receive timely feedback and regular evaluations from our supportive faculty who are eager to ensure the highest quality of residency training. The program also conducts review courses to prepare residents for the ABFM yearly In-Training Examinations and Specialty Board Certification Examination at the conclusion of training.

It is with great pride that I express our commitment to providing the highest quality of training and support that we can, making your years of training an exciting and worthwhile experience for our residents who will learn both the art and science of being fine family physicians.

Our program is well structured, academically rich and residents friendly training program. We provide comprehensive, up-to-date and culturally competent training. Our goal is to train academically well prepared, clinically competent and culturally sensitive physicians to serve the underserved and indigent patient population.

The philosophy of the Department

Centers on a belief that interdisciplinary service and community-oriented training is the best approach to meeting the complex needs of persons living in underserved urban areas. It assumes that the delivery of primary care will be enhanced where:

a comprehensive, coordinated, and continuous model of primary care is used;

health and well being are viewed as a product of medical, psycho-social, educational, vocational, mental health, and social service needs;

interventions are socially, culturally, and developmentally appropriate individual health plans are family-centered.

Facilities

Interns, residents, and students see patients, attend conferences, and conduct research in the following settings:

Martin Luther King, Jr./Drew Medical Center is a five-story acute care facility offers a full range of medical services and has one of the busiest emergency trauma centers in the city. Other facilities include a 76-bed psychiatric facility, a 216-room, Interns and Residents building, a paramedic base station, and an emergency heliport.

Family Practice Center at Hubert H. Humphrey Comprehensive Health Center is a two-story, comprehensive primary care clinic. The department of Family Medicine has 18 exam rooms. This facility has served as the primary residency training site for the Department since October 2002. The facility also houses Women and Children's Health, Pediatrics, Internal Medicine, OB/GYN, Physical Therapy, HIV clinic, Public Health Department, Pharmacy and a Laboratory.

Application requirements

Applicants with one of the following qualifications are eligible for appointment to the Family Medicine Residency Program:

Graduates of medical schools in the United States and Canada accredited by the Liaison Committee on Medical Education (LCME).

Graduates of colleges of osteopathic medicine in the United States accredited by the American Osteopathic Association (AOA).

Graduates of medical schools outside of the United States and Canada who meet requirements of the Medical Board of California for residency training (a valid Post graduation Training Authorization Letter by the Medical Board of California is required) and meet one of the following qualifications:
Current valid certificate from the Educational Commission for Foreign Medical Graduates prior to appointment or Full and unrestricted license to practice medicine in a U.S. licensing jurisdiction in which they are in training.

Graduates of medical schools outside of the United States who have completed a Fifth Pathway*program, provided by a LCME-accredited medical school, before they can start a residency program.

The residency program participates in the Electronic Residency Application Service (ERAS) program. For graduates of accredited U.S. Allopathic and Osteopathic Medical Schools, all application materials should be sent electronically through ERAS. Graduates of U.S. Allopathic and Osteopathic programs should contact their Dean's Office for additional information about ERAS. Graduates of non-U.S., international programs should contact ECFMG for computer disks which will be used to transmit the application through ERAS to our program. No applications should be submitted directly to this program, unless requested to do so.
Applicants are personally responsible for contacting the Residency Training Program office to obtain supplemental materials and additional information for completing applications. Contact the Department in writing or by calling our Residency Training Office at (323) 846-4503 to request a brochure, required supplemental materials, and/or additional information. The deadline for receiving application materials is December, 15 th for the following academic year, beginning July 1. If you have any other questions, want to find out more about the program, or are interested in arranging a pre-interview visit, contact the Residency Training Office.
All applicants are required to take and pass USMLE Steps 1 and 2 before they will be included in the Program's rank list. International medical graduates are required, in addition, to have a letter of authorization from the Medical Board of California to start training in California.

The complete application must have the following documents:

Summary sheet
Curriculum Vitae
Personal Statement
Letters of Recommendation (at least 3)
Dean's letter** (Applicants may be invited for interviews without Dean’s letter)
Medical School Transcripts
USMLE step I and II Report and NOT more than 2 failures on USMLE step I, II as specified by the GMEC
US Citizenship, Permanent Alien or Work Authorization Document
The Medical Board of California Letter of Authorization (only for IMGs)

Directions to Hubert Humphrey Clinic

The Family Medicine clinic is located approximately 7 miles away from King/Drew Medical Center at Hubert H. Humphrey Comprehensive Health Center. A map is provided below and directions from Charles Drew University are as follows:

Start at 1621E120TH ST, LOS ANGELES going toward COMPTON AVE

Turn R on SCENTRALAVE
Turn L onto I-105WEST
Take the I-110 exit toward LOSANGELES
Take the SLAUSONAVE exit onto OLIVEST
Turn R on WSLAUSONAVE
Turn R on SMAINST
Arrive at 5850SMAINST,LOSANGELES, on the L

Interns’ and Residents’ Housing

Life in Los Angeles

Los Angeles is one of the most culturally diverse and ethnically varied cities in the nation. This city and its county is also home to many attractions such as museums, parks, beaches, foothills & mountain areas for camping & skiing, the desert and rivers, amusement parks, Hollywood, a vast array of shops and even more restaurants. The weather is pleasant all year around.

Curriculum

The curriculum is designed to provide the best training to our residents and is available on request to the applicants.

The first year of training begins with an orientation period of four weeks that introduces residents to the philosophy and organization of the Department and the University and to the health care system.

Curriculum Block Diagram Rotations

YEAR 1	YEAR 2	YEAR 3
Orientation 4 wk General Surgery 8 wks Pediatrics/Outpatient Clinic 4 wks Obstetrics 6 wks Gynecology 2 wks Internal Medicine 8 wks MICU 4 wks CCU 4 wks Vacation 4 wks Nursery 4 wks Pediatric. In-Patient 4 wks	Adult Medicine IPS 8 wks Night Float FM-IPS 8 wks Obstetrics 4 wks Gynecology 4 wks Orthopedic Surgery 4 wks Emergency Medicine 8 wks Cardiology 4 wks Vacation 4 wks Urology/Radiology 2 weeks each Women Health 4 weeks	Family Medicine 8 wks Block Rotation Resident Clinic Director- MHS 4 wks Dermatology 4 wks Psychiatry 4 wks ENT 2 wks Ophthalmology 2 wks Ortho/Sports Medicine 4 wks Geriatrics 4 weeks Adolescent Meds 4 wks Electives 12 wks Vacation 4 wks

Longitudinal Experiences

Continuity Clinic Days:

Year 1 - one, half day/week
Year 2 - two, half days/week
Year 3 - three, half days/week

Other Longitudinal Experiences

Behavioral Science

HIV-AIDS Clinic

Clinical Pharmacy

Geriatrics

Adolescent Medicine

Public Health

School visits

Research
Community Medicine
Medical Ethics
Practice Management/Quality Improvement
Home and Nursing Home Visits
Occupational Medicine
Urgent care
Abnormal labs
Colposcopies
Flexible sigmoidoscopies
Minor procedures
Family Oriented Comprehensive Care

Calls

The call schedule varies from rotation to rotation. More calls in PGY I & PGY II usually every three to four nights and only 8 Sunday calls in PGY III.

Lectures/Teaching sessions:

Wednesday Resident Lecture Series
Psycho-Social Conferences
Journal Club