Clinical Curriculum

R1 Year

The R1 year is structured to provide our residents with a diverse and comprehensive experience allowing for a strong clinical foundation and knowledge base to build upon. This begins with “Intern Bootcamp”—a unique two-week program that orients our interns to our two home hospitals (Ronald Reagan-UCLA Medical Center and Olive View-UCLA Medical Center), coupled alongside core lectures, skill building and introductory shifts. Our interns spend a total of 24 weeks in the Emergency Department throughout their first year. Close faculty supervision and clinical teaching gives our interns the opportunity to pick up even the highest acuity patients right from the start. Interns will also rotate through various medical, surgical, and intensive care services, where they have the opportunity to learn from colleagues and leaders in these fields, as well as foster professional relationships and friendships with physicians that they will be working closely with throughout the rest of residency.

R1 Year Breakdown

One of our recent graduates (and now attending at Antelope Valley), Dr. Rachel Shing, on her ultrasound rotation!
Our department chair, Dr. Greg Hendey, teaching splinting techniques and orthopedic pearls during Intern Boot Camp!

R2 Year

The R2 year is focused on the mastery of caring for critically ill patients, becoming more efficient in the Emergency Department, and developing expertise in advanced procedures. The R2s manage all the airways during the traumas, run their own medical resuscitations, and get priority in more advanced procedures, such as tube thoracostomy, procedural sedation, and central venous access. These experiences are bolstered by two weeks at Antelope Valley Hospital—a haven for procedures, critical traumas and resuscitations. During their Cardiac and Medical ICU months, the R2s function as seniors and code leaders. These ICU rotations are consistently regarded as invaluable learning experiences. This year also provides essential obstetrics experience, as well as an introduction to a varied and high acuity pediatric population at Children’s Hospital Los Angeles. During the year, the residents gain some elective time during which they use to develop their interests or advance their clinical skills. At the end of this year, the second year residents are well prepared to handle most emergency situations.

R2 Year Breakdown

Drs. Brandon Firestone and Kellie Kitamura placing a central line during their Olive View MICU rotation.

R3 Year

The R3 year is when our residents become true experts in Emergency Medicine. As seniors, they learn how to efficiently function and oversee the Emergency Department. R3s now mentor and teach those junior to them, whether it is supervising junior residents on procedures or taking presentations from medical students. During the third year, there is an emphasis on autonomy and dedicated training time in Pediatric Emergency Medicine (CHLA or another Pediatric Emergency Department of one’s choosing), as well as Community Emergency Medicine (at Antelope Valley Hospital, where residents are the “go-to person” for all procedures, traumas and codes). A dedicated toxicology rotation is incorporated into the third year, where our residents receive a stipend to help fund a two-week rotation at any poison control center in the US or even internationally (most recently London and Australia)! Finally, the third year provides six weeks of elective time allowing our residents to explore and develop their passions and areas of interest in Emergency Medicine. Popular electives include EMS, Aeromedical Operations, High Altitude Medicine, Sports Medicine, and Global Health.

R3 Year Breakdown

Some of our residents catching the sunrise on the helipad during “Helicopter Rounds” at Olive View-UCLA Medical Center after a night shift!

Toxicology Rotation

A two-week Toxicology rotation is built into the R3 year. Despite being one of the largest metropolitan areas in the United States, Los Angeles does not have a Poison Control Center. Therefore, the residency program provides a sizeable stipend for travel and living expenses to complete a toxicology rotation at any accredited Poison Control Center worldwide! Recently, our residents have traveled to San Francisco, San Diego, Portland, New York City, London, and Australia. This experience allows our residents to travel to world-renowned Poison Control Centers and learn from some of the top toxicology experts in the field. The best part is that classmates often have overlapping toxicology blocks and they can arrange to travel together for a very fun and memorable experience.

R4 Year

The R4 year is constructed to allow our “super seniors” the freedom to pursue and develop their individual interests, while also providing a high degree of autonomy and graduated responsibility, enabling them to master Emergency Medicine in preparation for independent practice. In the fourth year, room is built into clinical schedule to allow all our 4th year residents opportunities to moonlight independently as an attending in local Emergency Departments. At our primary training sites, their roles change to a supervisory role with an emphasis on teaching juniors, while also simultaneously overseeing department flow and efficiency. The R4 year also builds in 12 weeks of elective time to allow pursuit of individual passions within the specialty, including opportunities to practice internationally. Some examples of rotations our seniors have done include: Surgical ICU, Wilderness Medicine, Hyperbaric Medicine, EMS, AirSquad Critical Transport, Aerospace Medicine at NASA, Rural Emergency Medicine on the Big Island in Hawaii, and Global Health Rotations in Chile, Antarctica, Bali, China, Burma, Mexico, Honduras, and South Africa! These experiences makes our graduates highly desirable candidates nationwide as they have the opportunity to become exceptionally polished and experienced during their 4th year.

R4 Year Breakdown

One of our recent graduates, Dr. Hollie Sandlin, doing a Global Health Rotation in China where she helped develop and teach an ultrasound program in Guangzhou.