Inpatient rotations include general medical wards in several different hospital settings, medical intensive care units, and the emergency room. All interns, in addition to their half-day per week of continuity clinic, have 2 four-week ambulatory rotations in which both subspecialty and primary care topics are taught.

In the second and third years, time is spent on inpatient and outpatient consultation services, e.g. cardiology, endocrinology, gastroenterology, general medicine, hematology-oncology, infectious diseases, nephrology, pulmonary medicine, and rheumatology/allergy as well as the wards. All residents do cardiology, general medicine, hematology-oncology, and pulmonary-critical care rotations. Over the three years a resident is typically able to rotate through four to six other subspecialties.All residents have a four-week Kaiser ambulatory rotation in both the second and third years.The PGY-III resident continues the supervisory role practiced in the PGY-II year with increased training in consultative and research activities. The PGY-III or senior resident is also required to give a research presentation.

Each ward team consists of one senior resident, two interns, and three medical students. Call occurs every fifth night. The first year resident (intern) with the supervision of a second or third year resident and attending physician quickly assumes responsibility for primary care of all inpatients. Interns do the initial assessment of the patient and actively participate in all aspects of patient care, including initial history and physical, diagnostic and therapeutic planning, procedures, and interaction with family. Interns also assist the medical students in the continuing care of their respective patients. The PGY-II or III is responsible for supervising both interns and students, has responsibility for all patients, and is the primary contact for the attending for day-by-day patient management issues. Decisions regarding invasive procedures, change in plans, discharge or problems are discussed with the attending physician. Upper level residents (PGY-IIs and IIIs) are responsible for maintaining hospital medical records and meeting credentialing requirements appropriate to their level of training.

PGY-1:

•  During the first year, each intern spends two 4-week blocks focused on ambulatory care.

•  This first block is dedicated to evidence based medicine and ambulatory practice. Most of the clinics are held at UC Davis Medical Center, but many interns will also rotate through the Sacramento County Diabetes Group Management clinics and Kaiser Permanente's procedure clinic and HIV primary care clinics. (Amb Care Curriculum Interns)

•  In addition to the clinical experiences, each group meets for one half-day weekly with Drs. Tonya Fancher and Heather Vierra to learn the fundamentals of evidence based medicine and participate in journal club. (EBM Amb Care Curriculum Interns)

•  Sample block schedule (Sample for PGY-1)

•  The second ambulatory block includes an immersion experience in research, the Intern Research Block (IRB). Time is split equally between the IRB rotation and ambulatory clinics

PGY-2:

•  During the second year, each categorical PGY2 will spend 8 weeks on ambulatory care. Each will rotate through 4 medical subspecialties of their choice, spending 2 consecutive weeks in the clinics of one subspecialty. Residents will rotate through the best subspecialty clinics at UC Davis, Kaiser Permanente and the Northern California VA. (Amb Care Curriculum PGY-2)

•  Sample block schedule (Sample for PGY-2)

PGY-3:

•  The third year ambulatory block will continue to build on the previous two years experiences. Each categorical PGY-3 will spend 8 weeks on ambulatory care, rotating through non-medical subspecialties and alternative sites for primary care. Residents will rotate through the clinics at UC Davis, Kaiser Permanente, Sacramento County Clinic System, Sacramento Student Health Center and a private practice located in nearby Folsom. (Amb Care Curriculum PGY-3)

•  In addition to the clinical experiences, the PGY-2s and PGY-3 meet for one half-day weekly with Dr. Darin Latimore and Dr. Kristen Robinson. This time is dedicated to journal club and evidence based medicine, medical errors, health policy and public health as well as other common ambulatory didactics lectures.

•  Sample block schedule (Sample for PGY-3)

Realizing the importance of contemplative and restitutive time for optimal clinical functioning during residency, we adhere to the 80-hour week and give every house officer an average of 1 day off per week as required by the ACGME. All UC Davis houseofficers receive 4 weeks of vacation, 4 days of educational leave, and 12 days of sick leave per year of training.