Curriculum

Transitional Year

Rotation Sites

Rotations for the Transitional Year Residency Program will take place at the following sites:

Our sponsoring institution, UHS Southern California Medical Education Consortium, comprises five acute care hospitals recognized for quality of care and patient safety. The Transitional Year Program takes place at 4 of these facilities— TVH, IVMC, RSMC, and CRMC.  Over the course of their training, residents will provide care for patients across these sites.

The primary clinical site, Temecula Valley Hospital, was built in 2013 and offers a comprehensive range of services similar to hospitals in large metropolitan areas. The hospital offers specialty services including Interventional Cardiology, Cardiothoracic Surgery, and Neuro-interventional services. TVH is also designated as a STEMI Receiving Center and Stroke Center with Thrombectomy capabilities. The Joint Commission has designated the hospital as an Advanced Primary Stroke Center. In addition to ED shifts at TVH, residents will also complete a two-week rotation dedicated to ED Ultrasound, as well as rotations in Orthopedics.

Other outpatient rotation experiences include Community Medicine, Palliative Care, Cardiology, Pediatrics, Geriatric Medicine, Orthopedics, Sports Medicine, Women’s Health, Dermatology, Addiction Medicine, Pain Management, Otolaryngology, Urology, Ophthalmology, Practice Management, and other medical and surgical subspecialties.

Rotation Schedule

Below is an example block schedule of clinical rotations for the Transitional Year:

Block Weeks Site Rotation Name Fundamental Clinical Skills RotationElective/Required% Outpatient% ResearchVacation Permitted
1 4 weeks TVH Adult Inpatient Medicine - IM Y Req 0% 0% N
2 4 weeks TVH Adult Inpatient Medicine - IM Y Req 0% 0% N
3 4 weeks TVH/IVMC Adult Inpatient Medicine - IM Y Req 0% 0% N
4 4 weeks TVH Cardiology - IM N Req 20% 0% Y
5 4 weeks TVH EM - FM Y Req 100% 0% Y
6 4 weeks TVH/CRMC ICU - IM N Req 0% 0% N
7 4 weeks (Varies) Elective - FM or IM N Elective Variable 20% Y
8 4 weeks (Varies) Elective - FM or IM N Elective Variable 20% Y
9 4 weeks TVH Orthopedics - FM N Req 20% 0% Y
10 4 weeks RSMC OB/GYN - FM Y Req 50% 0% Y
11 4 weeks ICC Pediatrics - FM Y Req 100% 0% Y
12 4 weeks MVSA/IVMC General Surgery - FM Y Req 20% 0% Y
13 4 weeks TVH/TNC Neurology - FM N Req 80% 0% Y

CRMC: Corona Regional Medical Center; ICC: Inscriptions Children’s Clinic; IVMC: Inland Valley Medical Center; MVSA: Murrieta Valley Surgery Associates; RSMC: Rancho Springs Medical Center; TNC: The Neuron Clinic; TVH: Temecula Valley Hospital

Electives:  Residents may select electives in any of the specialties or subspecialties listed in the block schedule, as well as:  Adult Neurology, Adult Gastroenterology, Adult Nephrology, Anesthesiology, Peds Subspecialties (Ortho, ENT, Allergy, Dermatology, Cardiology, Endocrinology, GI and Rheumatology), Neurology, Sleep Medicine.  In addition, residents may select an elective month to participate in non-clinical patient care experience, such as a research dedicated, administrative or clinical informatics month (4 weeks).

Notes
  • Paid Time Off (PTO): Residents are allowed four weeks (20 days) per academic year during outpatient rotations and are allowed five days per block. See Salary & Benefits for more information.
  • Potential Electives include:
    • Internal Medicine Subspecialities
      • Cardiology
      • Gastroenterology
      • Pulmonary
      • Infectious Disease
      • Nephrology
      • Hematology/Oncology
    • Surgical Specialties
      • Trauma Surgery
      • General surgery
      • Orthopedics
      • Vascular surgery
    • Anesthesiology
    • Pathology
    • Diagnostic and Interventional Radiology

Didactics

Didactics are very robust and broadly encompassing.  All TY residents will attend didactics with categorical residents while on respective rotations. For instance, when on Internal Medicine Wards, TY residents will attend IM noon conference.  This didactic curriculum is composed of core lecture topics, board review, journal club, Grand Rounds, and M&M’s. 

They will also have special rotation-specific didactic lectures provided by faculty on a weekly basis.  For example, while on Pediatrics rotation, they will have pediatric specific didactic lectures each week.

Research and Scholarly Activity

Our program seeks to advance our residents’ knowledge of basic principles of research, including how research is conducted, evaluated, explained to patients and applied to patient care. Residents will develop their research abilities through various activities including Journal Club, Population Health didactics, and Clinical Case Conference didactic sessions.

Residents are assigned faculty mentors to advise and guide them with their research and scholarly activities. Because of its importance, residents will be allotted time during non-call rotations for scholarly activity as well as the ability to request elective time for scholarly pursuits.

All residents are expected to participate in scholarly activity. Residents are to complete at least two Scholarly Activity Projects over the course of their training, one of which must be a quality improvement project. Residents will participate in hospital performance improvement committees and be exposed to ongoing activities taking place at the hospital such as patient safety efforts and quality improvement.

Residents will present their Scholarly Activity Projects during didactic sessions and are encouraged to submit their projects for presentation and/or publication at professional local, regional or national meetings or in peer-reviewed journals.