Medicine

Housestaff Training at Stanford

Stanford’s Internal Medicine Residency Program offers housestaff unique and diverse experiences in patient care.  Our residents rotate through three hospitals, affording a wealth of clinical exposure and an understanding of operational activities of different health care systems.

 Our University Hospital is a large tertiary care referral center for Northern California and beyond.  Our second site is the Palo Alto Veterans Administration Hospital, a nationally acclaimed VA health care institution which serves as a referral center for Northern California, Nevada, and Hawaii VA hospitals. Finally our residents rotate through Santa Clara Valley Medical Center, a large County hospital, which serves a population of underserved and immigrant populations.

Stanford University Hospital

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Some may associate Stanford Hospital with caring for privileged Silicon Valley executives, bay area residents and Stanford elite athletes. While we enjoy taking care of those patients, they actually represent a minority of our patients. Many of our patients are immigrant and indigent patients with chronic illnesses or medically complicated patients transferred to our institution for higher level of care. Our referral base extends from Oregon to Southern California to Hawaii, because of the relative paucity of tertiary care centers in the area.

In addition to General Medicine Wards, our housestaff rotate through multiple specialty care rotations which offer intensive exposure to dedicated subspecialties. This affords our residents an opportunity to obtain a focused learning experience in dedicated specialities, while continuing to develop their exposure to acute inpatient medical management.

Subspecialty rotations offered at Stanford include Cardiology, Hematology, Oncology and Hepatology. Half of our residents have their primary care clinics at Stanford; the Internal Medicine Clinic, serving primarily a mix of indigent South Bay residents and immigrant populations, and the Stanford Medical Group, which is a community practice serving the Palo Alto area.

Palo Alto Veterans Administration Health Care System (PAVAHCS)

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The Palo Alto Veterans Hospital is a remarkable site for the practice of medicine and is a beacon amongst the VA system. Recognized for its superior care in the areas of Cardiac Surgery and Medicine and Critical Care medicine, the Palo Alto VA continues to lead the way in novel care delivered in an environment suitable for this venture.  As housestaff, internal medicine residents care for critically ill patients and general medicine patients as part of their general medicine experience at the VA.  Housestaff  enjoy practicing medicine with state-of-the-art facilities such as a technologically advanced cardiac catheterization lab and endoscopy suite with real-time video recording capabilities for teaching purposes.  In addition, the VA is a site of frequent testing of new devices such as new endoscopic optical viewing and labeling technology.

More recently our housestaff have been privileged with caring for young veterans as they return from abroad, which added a new dimension to the facility especially the outpatient clinics where many of our housestaff have their primary continuity clinic. Finally the PAVAHCS houses multiple award winning specialized centers such as our Hospice Unit, which the residents have an opportunity to rotate through during their Palliative Care rotation, and the Women's Health Services Clinics, which residents rotate through during their Women's Health Block elective.

Santa Clara Valley Medical Center (SCVMC)

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We greatly value our association with SCVMC, which allows our housestaff to rotate at their facility and gain exposure to urban and immigrant populations in a county hospital setting. The experience provides unparalleled exposure to tropical diseases and late presentations of common illnesses. Housestaff, particularly those pursuing a career in general internal medicine, underserved medicine or infectious disease enjoy the experience and can choose to return as senior residents to rotate through the institution.

Beyond Stanford

We encourage residents to take advantage of the rich community at Stanford or anywhere in the world by exploring special electives. These can be used for dedicated scholarly activity or international electives abroad. The program connects housestaff to the appropriate mentors to ensure that the elective time is productive and well planned.

International Health

The Stanford Internal Medicine Residency Program in conjunction with the Kaiser Family Foundation offers residents an opportunity to perform research in Health Policy.  Two residents are selected  each year for this two month rotation, and they are paired with a mentor who will help them design,  publish, and present a research project.  In addition, the residents travel to Washington D.C. where they have front-line exposure to policy makers and the opportunity to network and collaborate with them.  

For example, residents Sumbul Desai MD,and Jessica Zhou, MD are completing projects investigating the impact of media on geriatric health-related behaviors, and the impact of a recession on health care, respectively.  For more information regarding this rotation, please contact our associate program director, Neera Ahuja, MD

Opportunities abound in each location for excellent clinical and research based experience. We feel that it is this combination that will develop the optimal physician suited to practice medicine in this diverse landscape in which we live and work.

 

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