Clinical Expertise

The Inpatient Care Service provides a robust training environment where residents and fellows develop expertise in managing complex, acutely ill patients.

• Comprehensive Experience: Trainees work alongside attending faculty to diagnose and manage diverse disease states, including infectious, endocrine, cardiac, pulmonary, gastrointestinal, hematological, renal, rheumatological, oncological and neurological conditions.
• Evidence-based Approach: Faculty model the application of current treatment guidelines and preventive strategies to optimize patient outcomes.
• Treatment Coordination: Training emphasizes essential skills in interdisciplinary collaboration, care coordination and managing the transition of care — all core competencies critical to modern hospital medicine.

The General Medicine Consultation Service offers exceptional educational opportunities in perioperative medicine and managing complex medical conditions across all specialty areas.

This service operates 24 hours a day, providing a dynamic learning environment where trainees, under the direct supervision of hospitalist attending faculty, develop critical skills, including

• Perioperative risk assessment and medical optimization
• Evaluation and management of a wide spectrum of complex conditions, such as:
  • Hypertension
  • Cardiac and pulmonary conditions
  • Geriatric syndromes
  • Hematological conditions
  • Infectious diseases
  • Hepatic and renal complications
  • Diabetes
  • And other endocrine diseases
• Interpreting abnormal vital signs and laboratory values

With locations in Orange and Irvine, the Preoperative Clinic serves as a vital training site focused on comprehensive preoperative medical evaluations for surgical patients with complex co-morbidities.

Residents and fellows gain core skills in:

• Preoperative risk stratification and medical optimization strategies
• Managing unstable or uncontrolled medical conditions in the surgical context 
• Determining appropriate diagnostic testing and making evidence-based subspecialist referrals

Palliative medicine is a specialized approach to improving the quality of life for patients and their families facing serious or life-threatening conditions.

Training prepares physicians to integrate palliative care alongside curative and disease-directed therapies:

• Symptom Management: Trainees gain experience in the early assessment and treatment of pain, emotional distress and physical symptoms
• Complex Communication: Trainees develop skills in facilitating difficult conversations about goals of care and coordinating interdisciplinary treatment plans to provide comprehensive, patient-centered care