
National Resident Matching Program (NRMP) Code:
Internal Medicine: 2445140C0
Accreditation Council for Graduate
Medical Education (ACGME)
Medical Education (ACGME)
ACGME code: 1400500017
Curriculum
Goals & Objectives
The Internal Medicine Residency Program at San Antonio Regional Hospital is designed to prepare physicians who are clinically skilled, academically driven, and deeply compassionate.
Graduates of our program are dedicated to advancing health equity, meeting community needs, and reducing physician shortages in the Inland Empire.
Our curriculum is structured around four key pillars: Ambulatory Care, Academics, Procedures, and Family-Centered Care.
Ambulatory Care
- Outpatient medicine is a central focus throughout the residency experience.
- Dedicated continuity clinic every year (10 weeks per PGY) provides ongoing exposure to ambulatory internal medicine and management of chronic disease.
- Residents develop longitudinal relationships with their own patient panels, emphasizing continuity of care and preventive services.
- Elective blocks allow for additional ambulatory subspecialty experiences such as endocrinology and rheumatology.
Integrated care across outpatient and inpatient settings promotes a well-rounded view of patient management across time.
Academics
- We emphasize structured learning across all stages of training with a foundation in evidence-based medicine and critical thinking.
- Daily noon conferences reinforce foundational knowledge and introduce current internal medicine practices.
- Rotations across a diverse range of specialties including cardiology, neurology, nephrology, and hematology/oncology support a comprehensive academic base.
- Behavioral medicine and geriatrics rotations equip residents with essential communication and psychosocial assessment skills.
- Dedicated elective time (14+ weeks) encourages scholarly development in areas of personal interest, including QI, teaching, or research.
Residents are encouraged to present at local and regional meetings with support for academic pursuits.
Procedures
- Procedure training is embedded within inpatient and ICU rotations to ensure practical, hands-on experience.
- MICU rotations in all three years provide structured training in bedside procedures such as central lines, ABGs, and basic airway management.
- Inpatient medicine rotations offer opportunities to perform and assist in common internal medicine procedures under supervision.
- Subspecialty rotations (e.g., cardiology, nephrology, infectious diseases) expose residents to both diagnostic and therapeutic procedures relevant to each field.
- Simulation-based procedural skills training is available through scheduled workshops and faculty-guided practice.
Elective time may be used to pursue focused procedural development in areas such as gastroenterology, rheumatology, or pulmonology.
Family-Centered Care
- We train our residents to provide holistic care that recognizes the role of family, culture, and psychosocial factors in health outcomes.
- Geriatrics and continuity clinic rotations emphasize communication with caregivers and multi-disciplinary coordination for complex patients.
- Residents learn to incorporate social history, living circumstances, and family support systems into care planning and discharge processes.
- Participation in family meetings and care conferences is integrated into inpatient rotations.
- Emphasis on empathetic communication, cultural sensitivity, and shared decision-making is threaded throughout the curriculum.
- Residents are encouraged to view the patient not only as an individual, but within their broader life context, building trust and better outcomes.
Curriculum at a Glance
To ensure a comprehensive and well-rounded education, residents rotate through multiple clinical and non-clinical sites. These diverse settings allow exposure to a broad patient population and a variety of healthcare systems.
Course | PGY-1 | PGY-2 | PGY-3 |
Cardiology | 4 weeks | — | — |
Continuity Clinic | 10 weeks | 10 weeks | 10 weeks |
Elective | 4 weeks | 10 weeks | 10 weeks |
Emergency Medicine | — | — | 4 weeks |
Endocrinology | — | 4 weeks | — |
Gastroenterology | 4 weeks | — | — |
Geriatrics | — | — | 4 weeks |
Hematology/Oncology | — | 2 weeks | — |
Infectious Diseases | — | 4 weeks | — |
Inpatient General Medicine (Wards) | 14 weeks | 10 weeks | 8 weeks |
Medical Intensive Care Unit | 4 weeks | 4 weeks | 4 weeks |
Nephrology | 4 weeks | — | — |
Neurology | 2 weeks | — | — |
Night Float | — | 4 weeks | 4 weeks |
Pulmonary | 2 weeks | — | — |
Rheumatology | — | — | 4 weeks |
Vacation | 4 weeks | 4 weeks | 4 weeks |
Total | 52 weeks | 52 weeks | 52 weeks |
Over 14 weeks of Elective time available |
Notes:
1. Vacation Time: There will be 4 weeks of vacation per PGY year. Vacation should be taken during elective or subspecialty rotations and not more than 2 weeks at a time. Vacation will not be considered during ICU, wards, continuity clinic weeks, and night float rotations. Vacation for a maximum of 1 week will be considered during wards only if it is an emergency or non-emergency situations like birth of a child or getting married.
2. Electives: Cardiology, Hematology, Oncology, Nephrology, Gastroenterology, Infectious Diseases, Endocrinology, Pulmonary Disease, Rheumatology.
3. Residents will have the opportunity for experience in non-internal medicine sub-specialties.