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Hospital-based
Training
The multiple hospital
affiliations at USC provide Internal Medicine house officers with
a remarkable array of public and private inpatient experiences.
This variety of training environments ensures that graduates of
the Internal Medicine Residency Program at USC have a unique breadth
of clinical exposure and the benefit of treating diverse patient
populations in a spectrum of health care delivery systems.
LAC+USC MEDICAL CENTER
Founded in 1878, the LAC+USC Medical Center is the primary teaching
facility of the Keck School of Medicine of the University of Southern
California. This affiliation has existed since 1885 and has been
a cooperative endeavor without interruption since its inception.
The new state-of-the-art LAX+USC Medical Center opened in November
2008 and, ranks as one of the largest acute care facilities in the
United States and provides world-class medical care to the indigent
population of Los Angeles County. There are over 900 physicians
in training enrolled in the nearly 50 accredited training programs
at the Medical Center. The exposure of the Department of Medicine’s
approximately 187 interns and residents and approximately 80 fellows
to trainees in other cognitive and surgical specialties ensures
that internal medicine trainees receive the most comprehensive training
possible. Each day, Internal Medicine house officers encounter a
spectrum of clinical pathology unseen elsewhere in the country.
The Medical Center is a full-service, 600-bed hospital and the approximately
40,000 patients admitted each year have access to a full range of
medical and surgical services. At the Medical Center, the Department
of Medicine directly supervises the delivery of care to approximately
300 General Medicine and Subspecialty beds.
USC UNIVERSITY HOSPITAL and NORRIS TOWER
USC University Hospital is a private 411-bed referral hospital dedicated
to tertiary care and research. This modern state-of-the-art facility
provides patients with the latest innovations in comprehensive medical
and surgical care. Internal Medicine residents gain experience in
a multidisciplinary environment with special attention to the geriatric
patient, general medicine patients requiring psychiatric intervention
and the medical management of patients in the perioperative period.
The new 10-story Norris Inpatient Tower will open soon to become
the new inpatient care site for our patients with solid or hemtologic
malignancies.
USC/NORRIS COMPREHENSIVE CANCER CENTER AND HOSPITAL
USC’s Norris Comprehensive Cancer Center and Hospital is one
of the premier cancer institutions in the western United States.
It offers the most advanced cancer treatment available in an intimate
setting devoted entirely to cancer treatment and research. In 1973,
the National Cancer Institute recognized it as one of the first
8 comprehensive cancer centers in the country. It offers a multidisciplinary
team approach to patient care, cancer research, prevention and community
outreach. Internal Medicine residents have the opportunity to work
with renowned oncologists and hematologists in the delivery of comprehensive
care to patients with solid or hematological malignancies. The Norris
Hospital activity will soon transition to the new Norris Inpatient
Tower.
INPATIENT GENERAL MEDICINE
House officers, under the supervision of attending faculty, serve
as primary physicians in the evaluation and treatment of inpatients
with medical problems spanning the breadth of Internal Medicine.
There are twelve general medicine teams at LAC+USC Medical Center
and one general medicine team assigned to USC University Hospital.
Bedside faculty teaching rounds are conducted 7 days per week and
on weekdays are preceded by a half-hour team-directed didactic session.
Each team at General Hospital consists of a faculty attending, junior
and senior residents, interns and third and fourth year medical
students. Interns and residents are on call every fourth night and
interns are limited to a maximum of five admissions in a twenty-four
hour period. House officers not on call are on duty from 7am to
5pm on weekdays and when post call, are relieved of duty at 12pm.
All house officers receive, on average, one weekend day off per
week.
INPATIENT SUBSPECIALTY SERVICE
Interns, under the supervision of attending faculty and subspecialty
fellows, perform admission histories and physical examinations and
provide continuity of care and ward coverage when rotating on subspecialty
services. The Department directs the care of three separate inpatient
subspecialty units: Cardiology, MICU and Hematology. Interns are
on call every fourth night and are limited to a maximum of five
admissions in a twenty-four hour period. Residents, with the guidance
of attending faculty and subspecialty fellows, act as subspecialty
consultants to internal medicine services and other Departments.
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