Facts and Figures
There are seven categorical Internal Medicine Residents for each of the R1, R2, and R3 years; there is no pyramid nor is there competition for future positions among the residents. In addition, there are four preliminary-year residents who are treated equally with the categorical R1s. There are no fellows in Internal Medicine subspecialties.
Each ward team manages both private and non-private patients. About 15% of the inpatients are private; their care is supervised by the private attending. The remainder of the service consists of County patients, whose care is supervised by Drs. Bookspan, Hosea and Bordofsky. Critically ill patients are manage by a separate, multidisciplinary ICU team under the direction of Dr. Jeffrey Fried.
First-year residents have approximately five of 13 rotations without on-call duties during the year. While on the wards, in-hospital call is every sixth night, with arrangements made for late arrival on call days and early departure the next day.
R2s and R3s
We have a very efficient and effective night float schedule for R2s and R3s. The residents on the wards each rotation have no overnight call during that rotation. Other senior residents cover from 9:00 p.m. to 8:00 a.m. for one-week blocks, with no daytime responsibilities. Each R2 and R3 has four one-week blocks of night float per year.
The Internal Medicine Residency Program is affiliated with the Department of Medicine at the University of Southern California (USC) School of Medicine. Although medical residents do not rotate between hospitals, senior students from USC undertake subinternships at Santa Barbara Cottage Hospital.
The hospital has comprehensive 24-hour support services; the residents unequivocally do not perform 'scut' work.
Internal Medicine Boards
The pass rate for graduating residents (first-time takers) on the Internal Medicine Board has been excellent. Thirteen of 14 graduates in 2010 and 2011 have passed on first attempt and the 14th passed on second attempt.