Tulare Internal Medicine Residency

Curriculum

Our Internal Medicine Residency program is 36 months block rotation and follows a 6+2 model. The residents spend 6 weeks on inpatient rotations and electives, followed by 2 weeks in the ambulatory setting. This ensures residents receive the highest-quality education in every setting.

Rotation sites

  • Adventist Health Tulare: 26 minutes, 23 miles from Adventist Health Medical Office – Hanford (residency clinic)
  • Adventist Health Hanford: 26 minutes, 24 miles from Adventist Health Tulare
  • Adventist Health Medical Office – Hanford (residency clinic): 26 minutes, 23 miles from Adventist Health Tulare
  • Adventist Health Medical Office – Fowler: 31 minutes, 33 miles from Adventist Health Medical Office – Hanford (residency clinic)
  • Adventist Health Medical Office – Selma Central: 18 miles, 26 minutes from Adventist Health Medical Office – Hanford (residency clinic)
  • Adventist Health Medical Office – Kingsburg: 26 minutes, 24 miles from Adventist Health Tulare
  • Adventist Health Medical Office – Dinuba: 36 minutes, 26 miles from Adventist Health Tulare
  • Adventist Health Medical Office – Selma: 32 minutes, 30 miles from Adventist Health Tulare

Internal medicine residency curriculum

I. PGY-1 Year (Internship)

The first year is centered on building a strong foundation in differential diagnosis and clinical problem-solving skills.

  • PGY-1 residents hone their skills in history-taking, physical exams, and patient management in inpatient and outpatient settings
  • They gain proficiency in basic procedural techniques and care for a wide range of patients
  • By the end of the year, residents are prepared to oversee patient care independently
  • Protected time is provided for participation in scholarly projects
  • Introduction to ultrasound begins during this year
  • Rotations: General medical wards, ICU, night float, electives, and ambulatory care (6+2 model)

II. PGY-2 and PGY-3 Years (Senior Residency)

The focus in the second and third years shifts toward advanced training in internal  medicine, outpatient care, subspecialties, medical consultation, and procedural mastery.

  • Residents have a broad array of elective options across all medical specialties
  • Senior residents may opt for an elective rotation at an external institution during their second or third year
  • The program allows flexibility in designing a curriculum tailored to career goals, whether in primary care or a chosen subspecialty
  • Rotations: General medicine wards, ICU, consult service, admitting resident, night float, electives, and ambulatory care (6+2 model)

III. Conferences

  • Daily morning reports
  • Patient safety conference
  • Noon conference
  • Medical Grand Rounds
  • Journal Club
  • Ambulatory academic half-day
  • Clinicopathologic conferences
  • Board review sessions

IV. Resources

  • POCUS (Point-of-Care Ultrasound) training
  • Yale Ambulatory Curriculum
  • MKSAP access
  • NEJM subscription
  • UpToDate subscription
  • UWorld access for board preparation
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