Internal Medicine Residency Program

We offer an outstanding, highly academic and internationally recognized residency training program in internal medicine. As a large, community based, university affiliated medical center, our internal medicine residents receive comprehensive, cutting edge training in all aspects of general medicine and its subspecialties.

“Before starting residency, I was in search of a program that would offer a diverse patient population, a pleasant environment to learn in, as well as autonomy. The internal medicine residency program at Huntington Hospital did just that. It provided the academic curriculum necessary to make me a confident physician, while still being able to enjoy my family and social life in beautiful Southern California. Our residency program offers plenty of one-on-one contact with faculty, and research opportunities as well. I was fortunate enough to travel with the Phil Simon Clinic to Tanzania and collect data for my research project there”.

Wafaa Alrashid, MD

Program overview

The curriculum is a balanced core of clinical medicine, outpatient ambulatory medicine and research experiences. Innovative programs such as a global medicine rotation in Tanzania, hospitalist programs, and palliative medicine make Huntington Hospital a unique and desirable place to train.

Internal Medicine Residency Curriculum

During your training, you will develop the skills necessary to become internal medicine specialists capable of managing diverse patients with a broad range of disease. Your training at Huntington Hospital will allow you to pursue a career in general internal medicine, hospital medicine or go on to sub-specialty training.

Grand Rounds: Monthly didactic conferences presented by subject matter experts.

Morbidity and Mortality: Systems-based approach to reviewing M&M that occurred on resident related patient cases. Our conference was recognized nationally by the Institute for Healthcare Improvement and the Society for Hospital Medicine.

Morning Report: Daily didactics for all residents focused on a patient case. Moderated by chief resident and faculty.

Journal Club: Monthly session led by faculty and focused on teaching residents how to interpret and critique evidence based literature.

Board Review: Follows ACP curriculum designed to provide residents with high-yield content to prepare for the ABIM exam. Includes MKSAP questions and videos.

Quality Improvement Conferences: Patient Safety and Quality Improvement are a focus in the residency program. Lectures, workshops and small-group sessions are part of the curriculum and centered around a resident-driven project to improve an aspect of our hospital’s system.

Noon Conference: Daily series of ongoing and repeating didactic lectures covering a wide range of internal medicine topics.

Attending Rounds: Bedside teaching rounds are held on all inpatient services seven days per week. The emphasis is on developing fundamental clinical skills, diagnostic reasoning, pathophysiology, and professionalism. Emphasis is on evidence-based medicine and creating an environment that optimizes learning and patient care.

Residency Skills Lab: Residents receive training in procedures on state-of-the-art simulation models, participate in code scenarios and patient scenarios to improve competency and patient communication.

Medical Case Conference: Weekly formal case presentation by resident team focused on a patient case seen during the month. Attended by faculty, medical staff and is a CME sponsored event.

Rotation Objectives

Each rotation will have common and specific goals and objectives. Please review each one prior to starting that rotation. The objectives will not be the only things you will learn on each rotation but they are what you will be measured by.

Program expectations of medicine residents:

1. Recognize that you are ultimately accountable for your own patient care and education and this requires continuous effort. You understand the connection between effort and results.

2. Seek feedback and be willing to improve performance if needed. You understand that feedback is sometimes difficult to accept but studies show that resistance to feedback often predict poor performance.

3. Self-reflect to foster personal growth. You will develop strategies for self-assessment

4. Help your teammates if they are struggling and if unable seek help on their behalf. You will support your team.

5. Attend at least 80% of all educational conferences if you are able. You will organize your day to prioritize education sessions and help your colleagues do the same.

6. Be on time and be prepared. You will demonstrate respect for your instructors and colleagues by being on time and doing any assigned reading and work.

7. Develop and commit to a reading plan. You will read something substantial almost every day.

8. Provide feedback to the program to optimize your experience and your colleagues. Your feedback is one of the most important ways the program can improve.

9. Embody the core values of honesty, integrity, caring, compassion, empathy, respect and trustworthiness. You will remember that you represent your profession and your institution.

Supervision

You will be supervised by an attending physician for all patients you encounter either by:

1. Direct Supervision – The supervising physician will be physically present with you and your patient

2. Indirect Supervision – the supervising physician is not physically present within the hospital or other site of patient care but is immediately available by telephone and/or other electronic modalities and is available to provide Direct Supervision

For some aspects of patient care, the supervising physician may be a more senior resident or fellow.

Evaluation

You will be evaluated during residency via multiple sources. Each rotation will use a combination of the methods below:

1. Direct observation by attending physicians

2. Multisource feedback by interprofessional team members (e.g. nurses, case managers, social workers, pharmacist, etc.) as well as peers and students

3. Self-evaluation

4. Clinical quality data evaluation (patient census, clinical metrics, etc.)

5. Chart review

6. Research Projects and Scholarly activities

7. Knowledge Testing (Board Review Questions)

8. Participation level (case conferences, morning report)

Evaluation Scale for each skill (Patient Care, Medical Knowledge, Communication, Systems-based Practice, Practice-based learning, Professionalism)

1. Remedial: You cannot achieve goal even with assistance

2. Emerging Skills: You may act under proactive, ongoing full supervision

3. Nearly Competent: You may act under reactive supervision (i.e. supervision is readily available upon request)

4. Competent: You may act independently

5. Outstanding: You may act as a supervisor/instructor

Most interns will start with 2 and progress to 3 on most measures by the end of the year. Most PGY2/3 residents will start with 3 and progress on most measures to 4 by the end of the residency.

The goal of the residency training program is to achieve the level of competency where the resident is able to act independently and be ready for unsupervised practice.

Rotation-Specific Goals and Objectives

Cardiology

Critical Care – PGY1

Critical Care – PGY 2+3

Dispensary Rotation

Emergency Medicine

Gastroenterology

Hematology-Oncology

Internal Medicine – PGY 1

Internal Medicine – PGY 2+3

Nephrology

Neurology

Outpatient Dermatology

Outpatient Liver

Outpatient Ophthalmology

Outpatient Orthopedics

Outpatient Otolaryngology (Ear, Nose & Throat)

Primary Care Continuity Clinic – PGY 1

Primary Care Continuity Clinic – PGY 2+3

PGY 1

  • Inpatient Internal Medicine Service (Night Float Included)
  • Pulmonary/Critical Care
  • Cardiology
  • Gastroenterology
  • Nephrology
  • ER
  • Vacation

PGY 2

  • Inpatient Internal Medicine Service (Night Float Included)
  • Pulmonary/Critical Care
  • Cardiology
  • Hematology/Oncology
  • Oupatient Dispensary Clinic
  • Neurology
  • LAC+USC (Resident will be assigned service from the following options: Hematology, Infectious Disease, Endocrinology or Rheumatology).
  • Electives (Resident may select three half-month rotations from the following options: Dermatology, Orthopedics, Otolaryngology, Ophthalmology, Hepatology, Gynecology, Outpatient Medicine, Palliative Care, Outpatient Cardiology or individually arranged elective)
  • Vacation

PGY 3

  • Inpatient Internal Medicine Service (Night Float Included)
  • Pulmonary/Critical Care
  • Geriatrics
  • Outpatient Dispensary Clinics
  • LAC+USC (Resident will be assigned service from the following options: Hematology, Infectious Disease, Endocrinology or Rheumatology).
  • Electives (Resident may select three half-month rotations from the following options: Dermatology, Orthopedics, Otolaryngology, Ophthalmology, Hepatology, Gynecology, Outpatient Medicine, Palliative Care, Outpatient Cardiology or individually arranged elective)
  • Vacation

Categorical residents will complete the three-year curriculum.
Preliminary Residents will complete the PGY1 curriculum.

Internal Medicine residents are encouraged in their pursuit of scholarly activity throughout their residency. Residents are required to complete a research project during their second year and present it at the Annual Resident Research Poster Presentation. Funding is available for residents to present their research at national and regional conferences.

Our faculty continues to pursue activities in basic science and clinical research. Projects cross over a wide expanse of specialties including cardiology, critical care, infectious disease and global medicine. Ambulatory care and quality management projects are also part of faculty and resident scholarly development.

Our faculty

Our faculty are professors of clinical medicine at USC Keck School of Medicine and are actively involved in bedside teaching, the core lecture program, and cutting edge research. Internal medicine residents from Huntington Hospital show excellent performance on board exams, have a very high rate of competitive fellowship acceptance, and place well in private, group and academic medical positions.

Placeholder for faculty gallery

Internal Medicine Current Residents

Paul K. Lee, MD, MPH
University of Illinois
College of Medicine

Talar Kavafyan, MD
Loma Linda University
School of Medicine

Lara Kose, MD, MS
Drexel University
College of Medicine

Neal Maler, MD
University of California, Irvine
School of Medicine

Michael H. Nguyen, MD
Virginia Commonwealth University
School of Medicine

Alberto Russell, MD
Quinnipiac University
Frank H. Netter
School of Medicine

Jason S. Chen, MD
University of Southern California
Keck School of Medicine

Robert Eshbaugh, MD
University of California, Davis
School of Medicine

Victoria Gevorgyan, MD
Northeast Ohio
Medical University

Francisco A. Halili, Jr., MD
University of Miami
Leonard M. Miller
School of Medicine

David Maas, MD
Creighton University
School of Medicine

Subodh Mishra, MD
University of Hawaii
John A. Burns School of Medicine

Philip Montana, MD
Geisel School of Medicine
at Dartmouth

Dennis Tsang, MD
University of Southern California
Keck School of Medicine

Lina Acopians, DO, MS
Touro College of Osteopathic Medicine
– Middletown

Kyle Basical, MD
Loma Linda University
School of Medicine

Dominic De Marco, MD
University of North Carolina
at Chapel Hill
School of Medicine

Ivy Ewald, MD, MSc
University of California, Irvine
School of Medicine

Paul Hanona, MD
Michigan State University
College of Human Medicine – Southeast

Nikhila Janakiram, MD
George Washington University
School of Medicine
and Health

Paul Z. Lang, MD
University of Southern California
Keck School of Medicine

Vadim Lincoln, MD
University of Southern California
Keck School of Medicine

Eva Ma, MD
Oakland University
William Beaumont
School of Medicine

Adrienne Quinn, MD, MPH
University of Southern California
Keck School of Medicine

Riana D. Sanyal, MD, MSCR
Icahn School of Medicine
at Mount Sinai

Sona N. Shah, MD
University of Southern California
Keck School of Medicine

Director’s message

Dear Friends,

Welcome to the Internal Medicine Residency section of Huntington Memorial Hospital’s website. I hope you will review the information here, and learn more about our program and educational philosophy.

The goal of our program is to develop outstanding internists through superior training for careers in primary care or hospital medicine, or for subsequent fellowship training in a variety of sub-specialties. The program’s learning environment allows each resident to acquire not only the requisite clinical skills and medical knowledge, but also the professional attitudes and behaviors, effective communication techniques and self-assessment tools that are essential to the successful practice of medicine.

We accept only 25 residents at any one time, helping to maintain a high-quality, hands-on experience for all participants. Experienced and dedicated medical faculty members provide one-on-one teaching and supervision.

First-year residents rotate through a variety of disciplines including pulmonary-critical care, cardiology, hospital medicine, gastroenterology, hematology-oncology, neurology and emergency medicine. Our second and third year residents also rotate at Los Angeles County + University of Southern California Medical Center, in various specialties including rheumatology, endocrinology, hematology and infectious diseases. As a result, participants gain experience across a full spectrum of medical-care settings caring for patients in our own outpatient clinics and large community-based hospital as well as in a university medical center.

While we are extremely proud of our program, our faculty and our administration believe the most important component of our program is the residents themselves. They are drawn from some of the most respected medical schools and each has a demonstrated record of academic excellence.

Again, please take the time to explore our website. We recruit the most dedicated and hard-working physicians, and provide them with significant opportunities — from delivering direct patient care to leading interdisciplinary care teams — to deepen their knowledge and improve their practice.

If you believe you have what it takes to meet the challenge, I invite you to apply to our program. I look forward to hearing from you.

Sincerely,

Stratos Christianakis, MD
Program Director

Contact Information

Check out our Frequently Asked Questions, or reach out to Program Manager Tracy Hetherington to obtain more information about the Internal Medicine Residency Program.

Tracy Hetherington

Phone: (626) 397-5188 / Fax: (626) 397-2914 or email her here.

Huntington Hospital
Graduate Medical Education
100 W. California Blvd.
Pasadena, CA. 91105

Internal Medicine Frequently Asked Questions

Huntington provides the best of both academic and community medicine. Huntington residents work in a beautiful, state of the art, 626 bed hospital, and are taught by faculty who also hold appointments at the University of Southern California Keck School of Medicine. Our Internal Medicine Residency Program maintains continuous accreditation from the ACGME.

Each resident has the opportunity to rotate at the LAC+USC Medical Center for three months in various subspecialties. Away rotations can also be arranged at other academic centers.

Huntington has an excellent match rate for fellowships. In fact, over the last 5 years 100% of resident that have applied have successfully matched in the fellowship of their choice.

We see patients with a variety of diagnoses and socioeconomic backgrounds. About 70% of the patients that our residents care for are indigent, uninsured or Medi-Cal (Medicaid). Huntington residents see pathology, rare complications of common diseases, and rare diseases as often as do residents in university-based programs. The remaining 30% of patients seen by our residents have insurance. The care that both of these groups of patients receive, and the autonomy that the residents have in giving that care, is identical. Residents exercise 100% of the control over management of all of their patients.

The call schedule is every 8th night when on the medicine service, and averages every 12th night on other services. Adjustments to the 2011 ACGME Duty Hour requirements have been made by adding a float service with a 4 days on, 4 days off schedule. Most residents find our call schedule very reasonable which affords them excellent work-life balance.

The on-call team consists of a resident, an intern, and a medical student. In addition to admissions, the residents also cover all codes in the hospital, providing them extensive experience in procedures including central lines and intubations.

Residents can do clinical research with Huntington faculty, at the Huntington Medical Research Institute, or with other private clinical research programs locally. Residents interested in bench research can collaborate with researchers at neighboring Cal Tech, or at USC. Each resident is expected to complete a publishable research project as a graduation requirement. Please see Resident Research for more information.

The Huntington Outpatient Clinic (“The Dispensary”) was created 100 years ago to provide primary and sub-specialty care to the medically underserved members of our community. Residents have a weekly half-day medicine clinic in which they serve as the primary care doctors for a panel of patients that they will care for throughout their three years of residency. Each resident also has two one month Dispensary rotations during which the resident covers many of the sub-specialty clinics. Residents have the opportunity to rotate with Huntington Hospital where they will gain experience in a typical private practice setting.

Residents have an opportunity to participate in Huntington’s Phil Simon Clinic Tanzania Project in which medical volunteers travel to Arusha, Tanzania to provide medical care to adults and children with HIV and other illnesses.

Current and former residents list the exceptional faculty, and the close relationships that residents form with them, as Huntington’s best feature. The beautiful working environment and friendly, supportive staff is also another favorite feature.

Residents enjoy the comfort of having their own call room for their entire residency.

See House Staff Stipends and Benefits.

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