The curriculum has been designed to satisfy all requirements to qualify graduates for the American Board of Family Practice exam. Most of our graduates have successfully passed the board exam.
Areas of Study
Specialty Clinics at the Family Medicine Center
Average in-house night calls for PGY1 residents is every 4th night for the Family Medicine Service Rotations (3 months); every 5th night at Children's Hospital for Inpatient Peds Rotation (1 month); every 3rd for OB-GYN (6 weeks), and every 4th for Surgery Rotations (8 weeks), and at an average of only every 7th night during other rotations.
There is one 2 week Night Float block every 3rd night for OB and GYN (10 weeks); at an average of every 7 to 10 day night calls for the remainder of the year.
There are 2 Night Float Blocks, and an average of every 7 to 10 day night calls. There is no assigned call during Electives.
- Orientation includes training and certification in Basic and Advanced Cardiac Life Support, and Advanced Life Support in Obstetrics, team building activities, introduction to the main training facilities and practice management.
- Continuity Clinics at the Family Medicine Center are assigned as follows: PGY1 residents to 1-2 half-day sessions per week; PGY2 residents to an average of 3 sessions weekly, and PGY3 residents to an average of 4 sessions per week.
- A wide array of elective rotations are available on and off site and are designed to enhance resident training in their particular areas of interest.
- The call schedule is designed to provide continuity of care and a humane call schedule. There is a float system for PGY2 and PGY3 level residents. The Night Float rotation is in 2 week blocks with 4 consecutive nights of duty from Monday to Thursday.
Residents learn counseling skills to motivate behavioral change. Residents learn how to do appropriate screening for health maintenance at various life cycle stages and to apply primary and secondary prevention modalities for chronic diseases. Back to top...
Chronic Disease Management
Residents become adept at evidence-based chronic disease management through the combination of office-based and hsopitalized patients. Diseases range from diabetes types 1 and 2, hypertension, dyslipidemia, rheumatologic, hematologic, infections and auto-immune disorders. Back to top...
Residents learn newborn care and Neonatal Intensive Care Unit (NICU) management at Glendale Adventist. In the office, one third of the patients we see are pediatric and range from newborns (delivered by our residents as well as other physicians) to adolescents with their specific array of issues. The inpatient and ER rotations at Children's Hospital, Los Angeles (CHLA) provide experience which ranges from emergency pediatric issues to the most obscure and severe pediatric conditions. Back to top...
Women's Health & Obstetrics
As the first residency sponsoring an Advance Life Support in Obstetrics (ALSO) course on the West Coast, and one of the few with family practitioners regularly supervising residents' deliveries, residents are taught a comprehensive view of obstetrics. The two rotations in OB-GYN at the Women's Health Center and GAMC provide excellent training in office gynecology, obstetrics, gynecological procedure and newborn care. Back to top...
Our residents learn procedures that include: skin procedures such as biopsy, cryotherapy, electrodessication and other cosmetic procedures, colposcopy, endometrial biopsy, IUD placement, OB ultrasound joint injections and minor surgeries such as incision and drainage (I&D) and foreign body and toenail removals. Back to top...
An understanding of the emotional and behavioral issues of family care is an essential element of the family physician's training. Our residents learn how psychosocial stresses affect physical well-being, as well as how the experience of illness affects personal, family and social life. Residency patients have access to psychology interns on-site and residents lead this close collaboration. We provide intensive teaching in interviewing and counseling skills through videotaping and co-counseling with a trained therapist. We believe that it is only through a biopsychosocial understanding of patient problems, plus the effective understanding of the doctor/patient relationship that optimal care can be provided for the patient. Residents explore the doctor/patient relationship in a Balint Group Format as well. Back to top...
Residents are assigned a panel of geriatric patients to care for in their last 2 years. They also do home visits and participate in geriatric rotation. Back to top...
Residents are continuously encouraged to make patient education a major portion of their in- and outpatient care through various educational resources and referrals. All residents will also work with an RN dedicated to patient education. Back to top...
A part-time clinical nutritionist on faculty offers didactics for residents and consultation with patients. Back to top...
All residents rotate through the inpatient Family Medicine Service (FMS), which provides an excellent experience in managing adult inpatient problems. The FMS team takes full responsibility for these patients, including ones in the Intensive Care Unit and Cardiac Care Unit. In addition, the team rounds with a pscyhologist or social worker, chaplain and pharmacologist once a week for an integrative learning experience. The hospital EMR facilitates in the care of inpatients through easy access and fast results.
Another rotation develops the skill of the resident as a sole hospitalist, developing the skills of independent decision-making and appropriate use of the hospital system.
An active night float rotation staffed by second- and third-year residents is our solution to protection of both resident duties and patient safety. Back to top...
Residents will be exposed to various models of practice, including MediCare, MediCal, managed care, PPO, IPA, private, solo and group. Back to top...
Residents can take advantage of our community partnerships to train in the multi-ethnic, urban community of Glendale. We see patients in a low income community health clinic, occupational health clinic as well as student health clinics. At the Family Medicine Center, residents provide primary care to Glendale's uninsured children through community programs. Back to top...
Education and Research
Residents have the opportunity to teach medical students from the University of California-Los Angeles, Loma Linda University and the University of Southern California schools of medicine, as well as others. Faculty and residents are involved in scholarly studies and research, publishing in a number of journals, including American Family Physician, JAMA, AFP, Primary: Clinical Office Practice, Family Medicine, Journal of Family Practice and Consultant. Faculty and residents present at various conferences such as the Society for Teachers in Family Medicine and the American Association of Family Physicians. All residents will complete a community-based research project and poster presentation at the end of their senior year. Back to top...
Our residency utilizes and constantly updates a state-of-the-art electronic medical record system, GE Centricity EMR. Patient charts can be accessed securely from remote locations leading to improved patient care. Residents learn how to use new technologies to access updated, evidence-based, point-of-care medical information. The EMR allows incorporation of practice guidelines and decision support into clinical encounter forms to improve clinical outcomes. Glendale Adventist also houses a medical library and provides librarian services with a large collection of medical journals. Back to top...
During a six week Psychiatry Addiction Medicine rotation, residents rotate onsite at a residential treatment facility, working with patients in various stages of chemical dependency, withdrawal syndromes and recovery. Back to top...
We are the team physicians for Glendale Community College, so in that capacity we do pre-participation physicals, act as the game physicians and staff a sports clinic. We also have a sports medicine/orthopedic rotation in addition to the four-week orthopedic rotation. Back to top...