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programs evaluate residents in the six general competencies
and all have duty hour policies consistent with current ACGME
guidelines. All programs are subject to accreditation standards
established by the Accreditation Council for Graduate Medical
Education (ACGME) and Joint Commission on Accreditation of
Healthcare Organization (JCAHO).
Residents are directly responsible for the care of every
assigned patient under the supervision of the attending staff.
The resident performs the initial evaluation and writes all
diagnostic and therapeutic orders. In addition, the residents
are responsible for writing daily progress notes on each patient
while in the hospital and for arranging proper follow-up care
after discharge.
Outpatient experience is an integral part of the responsibility
for most services. A fully operational computerized clinical
laboratory information system is accessible throughout the
Medical Center.
Training Activities
Inpatient-based learning at the LAC+USC Medical Center is
primarily a bedside experience. Teaching is done largely with
reference to specific case material. Learning here is an experience
in practice. Training activities for the housestaff are organized
by specialty and vary from service to service. These activities
are under the direction of the full-time head of each department
and are monitored by the Medical Center Office of Graduate
Medical Education. In addition to attending the ward conferences
and ward rounds, the GY-1 resident is invited to attend and
is expected to participate in, as fully as possible, the numerous
special lecture events which are held year round.
On most services, the hours of 11 a.m. to noon and 4:00 to
5:00 p.m. are reserved for educational pursuits. Though most
of the training experience for the GY-1 and residents occur
in the hospitals of the Medical Center itself, the GY-1 and
resident may have assignments in other affiliated hospitals.
Residents GY-2 through GY-7 Training Programs
The majority of residents will have served their GY-1 year
at LAC+USC Medical Center. There is no pyramidal system of
training past the first postgraduate year.
Resident physicians are required to have a California Physician’s
and Surgeon’s Certificate by California State Law as
follows:
American and Canadian medical school graduates must have
a California medical license by the last day of their 24th
month of postgraduate training in order to continue in postgraduate
training. International medical school graduates must have
a California medical license by the last day of the 36th month
of postgraduate training in order to continue in postgraduate
training. All postgraduate training in the US and Canada is
counted toward meeting the California licensure requirement.
Supervision
Clinical activities of the residents are directly supervised
by the more senior residents and attending staff. On most
clinical services, one or two GY-1's will be assigned to each
resident. The maintenance of this GY-1/resident/patient continuity
is considered an important aspect of training.
The cooperation of the housestaff in training of students
is standard policy throughout the hospital. Thus, residents
share in the responsibility for the supervision of medical
students assigned to their team.
All learning opportunities are organized by departments and
divisions. The Office of Graduate Medical Education monitors
these activities as part of an internal review process
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