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Internal Medicine at Oakland

Frequently Asked Questions


1. Why are our residents happy?


2. How frequently are residents on call? Is there a night float system?

3. How much vacation time do I get? Do I get days off?

4. Can I get into a fellowship after residency at Oakland Kaiser?

5. Is there a difference between the categorical and preliminary intern programs?

6. What core subspecialty rotations are available?

7. Can I do off campus rotations or more subspecialty, hospital, primary care or research blocks?

8. What are the salaries and benefits for our residents?

9. How many interns and residents are in our program?

10. What are the team caps and how many patients do interns care for?

11. Do our residents have primary responsibility for patient care?

12. What is Oakland Kaiser’s ABIM Board Pass Rate?

13. What is the Clinical Teaching Program at Oakland Kaiser?

14. What ancillary services are available to residents?

15. How has the program done on the recent ACGME/Residency Review Committee visit?

16. What IT/computer services are available?

17 What sorts of research opportunities are available?

18. Are off campus elective rotations allowed?

19. How successful have our recent graduates been in finding jobs?

20 . Do we have a University affiliation?


21. Are there medical students at the Oakland Kaiser campus? Are student clerkships available?


22. Can I afford to live in Oakland?

23. Is Kaiser Permanente different from other HMO’s?

24. Are there restrictions on ordering tests?


25. How do I apply to Oakland Kaiser? How can I contact the Program Director or Chief Residents?


1. Why are our residents happy?
Our residents appreciate the friendly and supportive atmosphere at our community-based academic training program. They enjoy each other’s company both in and outside of the hospital. During your interview day you will have plenty of time to ask the residents yourself.

2. How frequently are residents on call? Is there a night float system?
We have eliminated overnight "call" on all of our inpatient rotations to allow residents to maximize their daytime education goals and ensure the highest level of quality patient care. It also provides ample time to enjoy life outside of work. The night float intern/resident team provides cross-coverage and admits patients from 8pm to 7am each day.

3. How much vacation do I get? Will I get days off?
Residents have 3 weeks of vacation each year. There is an additional one-week of unpaid time off between the R1 and R2 year. During inpatient rotations, all residents are off one day out of seven when averaged over 4 weeks. Residents have most weekend days off on outpatient, subspecialty and elective blocks.

4. Can I get into a fellowship after residency at Oakland Kaiser?
You can see from our list that our residents have been very successful in going onto fellowship training in the field and location of their choice (see our Fellowship/Research page for more details). As more medicine residents are choosing subspecialty training, we have created a flexible curriculum to optimize their fellowship preparation.

5. Is there a difference between the categorical and preliminary intern programs?
Both our categorical and preliminary interns average 7-8 inpatient blocks including general medicine, critical care/coronary care unit, and night float. The preliminary interns have an additional elective block as the categoricals do a combined block of outpatient cardiology plus physical medicine and rehabilitation. The amount of night float, admitting days and weekend coverage is comparable.

6. What core subspecialty rotations are available?
You can do four-week rotations in cardiology, pulmonary, neurology, gastroenterology, infectious disease, endocrinology, rheumatology, hematology/oncology, nephrology and palliative medicine. The 5 elective blocks are in addition to these rotations.

7. Can I do off campus rotations or more subspecialty, hospital, primary care or research blocks?
Yes! Our 5 electives blocks allow for incredible flexibility for each individual resident. There is extra time to do off campus rotations for further fellowship preparation and up to four weeks each year can be used for research or case report/poster presentation preparation. We also have specific elective pathways if you choose to practice in either the hospital or the primary care setting.

8. What are the salaries and benefits for our residents?
Intern Salary for July 2007 is $50,100 and parking is 100% subsidized!

All interns and residents are given an individual UptoDate account to be used both on campus and at home. ACP Associate membership including subscription to Annals of Internal Medicine is provided to all categorical interns and residents. We also buy the MKSAP for Board review for all R3’s. All of our categorical residents are given both an Outpatient and Hospital Medicine textbook. Other educational funds include $500/year for R1’s and R2’s and $750/year for R3’s. (to be used for books, software and other educational purposes).

We financially support our residents presenting at regional and national meetings.
We also cover the cost of USMLE Step 3 ($655), California Medical License ($900) and DEA license ($551) for all categorical residents.

See benefits section for other included benefits

9. How many interns and residents are in our program?
We have 33 categorical residents (11 in each year) and 6 preliminary interns.

10. What are the team caps and how many patients do interns care for?
The ward team cap is a total of 16 general medicine patients. Each intern cares for a maximum of 8 patients.

11. Do our residents have primary responsibility for patient care?
Our campus has been training residents for over 60 years. We respect that residents learn by having primary responsibility and value resident autonomy. We protect the “first touch” experience so our residents see fresh (i.e. not previously worked-up by medicine or ER attending) cases often.

12. What is our ABIM board pass rate?
100%! We have always had an excellent board pass rate and it has been 100% for the past four years (2003-2006).

13. What is the Clinical Teaching Program at Oakland Kaiser?
We offer an evidence-based educational teaching course to all of our residents. It consists of seven two-hour sessions which focus on effective teaching skills for the resident-teacher. See our webpage for more information.

14. What ancillary services are available to residents?
There are virtually no “scut” duties done by our residents. Our hospital provides 24-hour a day coverage for phlebotomy, patient transport, clerical support, EKG’s, respiratory therapy and other ancillary services.

15. How has the program done on the recent ACGME/Residency Review Committee visit?
Thanks to our excellent educational program, high resident satisfaction, our committed faculty and our superb administrative support we received a full 5-year accreditation in 2006! (Five years is the maximum length of accreditation) We are compliant with the duty hours for our residents.

16. What IT/computer services are available?
Our campus uses computers extensively in the outpatient and inpatient settings. We have a fully integrated computerized medical record called ”‘Healthconnect” in the outpatient setting (including notes, lab, pharmacy records, radiology films and ECG tracings and results available for viewing).

We provide individual UptoDate subscriptions for all of our residents for use both on campus and at home. Our large on campus library is available 24 hours/day with extensive paper and online journal subscriptions. The resident’s lounge and resident’s clinic have their own smaller library as well as many computers with rapid Internet search capabilities.

17. What sorts of research opportunities are available?
A variety of research is available at the Oakland campus. Each resident can spend four weeks each year on pursuing this interest. Residents complete a research project/case report or other scholarly project. These projects include case reports as well as research with other residents and faculty investigators. Our residents are financially supported to present at conferences. Oakland Kaiser is closely located to the Kaiser Permanente Division of Research. http://www.dor.kaiser.org/

18. Are off campus elective rotations allowed?
Absolutely! We encourage off campus electives for all residents and especially for residents seeking fellowship training. These rotations can be taken at UCSF, Stanford or other accredited programs.

19. How successful have our recent graduates been in finding jobs?
Completely successful! Our recent graduates are practicing as specialists, hospitalists and primary care physicians throughout the Bay Area and beyond at the locations of their choice. Frequently our residents return to Kaiser Permanente after completing their fellowship. Please see our Life After Residency section.

20. Do we have a University affiliation?
We are affiliated with UC San Francisco School of Medicine.

21. Are there medical students at the Oakland Kaiser campus? Are student clerkships available?
Yes. We have a very active clerkship program and include medical students in every aspect of their patient's care. We have 4th year students on general medicine wards, cardiology, critical care, pulmonology, rheumatology, hematology/oncology, nephrology, infectious diseases, gastroenterology and neurology. Medical students have lively small group sessions each week with our program director, Dr. Michael Clement< and our chief residents. Our resdients enjoy the additional teaching opportunity and camaraderie the students add to the team. Please see our clerkship section to apply, or contact our Program Coordinator Joy Gundersen (medicine.oakmeded@kp.org) for more information.

22. Can I afford to live in Oakland?
The East Bay and Oakland have some of the most affordable housing in the Bay area. The Bay Area is exciting and one of the most desirable places to live in the US. Most of our residents live in Berkeley, Oakland or San Francisco. Remember, our program also pays for high-ticket items such as licensing, UptoDate subscriptions, ACP dues and conference costs for presenters.

Useful links to help you find a place to live include:
Craigslist
Metro-Rent

23. Is Oakland Kaiser different from other HMO’s?
Yes. We are non-profit and the Oakland site includes a tertiary-care hospital, three clinic buildings and a multi-specialty group practice. Our resident and staff physicians are not required to get “pre-approval” or “pre-authorization” for tests, procedures or subspecialty consults. Kaiser Permanente is the patient care quality leader in California for 8 years running. Click here:
http://www.permanente.net/homepage/awards/publicrecognition.html

24. Are there restrictions on ordering tests?
No. Our resident and staff physicians are able to order any tests, x-rays or subspecialty consults they deem necessary without restriction or “pre-approval” forms.

25. How do I apply to Oakland Kaiser? How can I contact the Program Director or Chief Residents?
Contact Joy Gundersen, our Residency Coordinator for Internal Medicine by e-mail (medicine.oakmeded@kp.org) or by phone (510) 752-6126 with any questions. For the past two academic years we have matched only US Medical Graduates into our program, although we did interview and rank IMGs both years. Please click here for application requirements.

 

 



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