UCLA IM - Categorical and Primary Care Track

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justskipee

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Hey SDNers. Been ages since I was on the forums. I am at UCLA in the internal medicine primary care track. I am originally from Minnesota and went to school at University of Minnesota and matched at my first choice =). I'm a second year resident and felt I should make myself available to the forums to ask questions about the UCLA categorical and primary care internal medicine programs.

Overall:
I absolutely love it here. Not kidding. I interviewed on both coasts and it became obvious that the west coast was the best fit for me. Less formal, less structured hierarchy, and work/life balance respected.

System/Faculty:
UCLA is an amazing health care system and people on the west coast respect the name. The label of best in the west is accurate. Faculty are superb academicians and teachers. My co-residents are my best friends here and we hang out all the time. Now that I'm a resident, it is so fun to run a code and all your friends show up to help out. Our program is smaller and without prelims so we retain a smaller program feel.

Primary Care Track:
The primary care track takes all the great features of the categorical but is even better. If you ask the categoricals, you'll hear longingly how great we have it. The only major differences are our continuity clinic, yearly 4 week primary care month, and special programming we get. Our clinic is brand new (moved in few months ago) and located in Santa Monica. So we get patients from the community and not all highly complex tertiary care specialist driven patients. We have our own faculty, special events and mentorship. They are so supportive and fun. Its like a family inside a family. Every year we have a dedicated 4 weeks of primary care activities, which is a dedicated outpatient months with awesome lectures, field trips, and community outreach. Weekends are off and it is a great break from the inpatient grind.

Everyone asks me, "so if I do this track, do I have to do primary care?" The answer is no. The focus is on developing skills for you to be a superb generalist and primary care physician, yet they are supportive of whatever you want to go into. Some residents have decided to specialize and have had the same success as their categorical counterparts. I don't know what I am going into, but I know that I am going to have the training to be an amazing doctor in whatever field I choose. If you have no desire for the missions or philosophy of primary care you shouldn't do the track, but everyone else should strongly consider it.

Unique features of both tracks:
One other amazing thing is that for all of 2nd and 3rd year you will have outpatient blocks every other month. That means, weekends, normal hours, every other month! Many specialty blocks are done in the outpatient setting to see where the majority of patients are truly seen by specialists. So GI will be outpatient, and u get to see new patients there.

Final thoughts:
UCLA is where its at. On days off I surf, hike in the mountains, hit up hollywood, art walk downtown, food truck nights... Where else could you combine top caliber training and such a wonderful lifestyle? You'll have infinite opportunities once your done with training.

Let me know if you have any questions. Hopefully see you on the interview days here.

Justin

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Can I apply to both the categorical and the primary care track? Is the primary care track less competitive than the categorical? Also, I am interested in primary care but I plan on going into a specialty and that is clearly evident in my CV. Would they reject me based on that? Thanks! Sounds like an amazing and unique program!
 
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I think the issue is that the UC system sets their salaries system-wide however there are supplements for UCLA and UCSF (at least...maybe UCSD as well) based on COL. So the $38K may just be the UC rate and the real salary is higher.

I figured it couldn't be 38k. FREIDA has an option to download the data of all the programs you pick, and it's more complete than their actual search, but it seems like it's just filling in some of it with older data.

Example (all the UC affiliated ones I have)
* UC Davis 50283
UCI 50283
UCLA 38100
LAC-Harbor-UCLA 43957
Olive View/UCLA 50283
UCSD 49291
UCSF 50283
UCSF Fresno 48259

Not that salaries are really all that important in the long run, but if UCLA was seriously 38k, I don't think one could live on that in that area...
 
Where else could you combine top caliber training and such a wonderful lifestyle? Justin

NYC at Columbia / Cornell / MSSM..........what do you have in Cali that you can't find in NYC?
 
NYC at Columbia / Cornell / MSSM..........what do you have in Cali that you can't find in NYC?

Don't compare LA to NYC there is no comparison. LA is a infinitely nicer city and better place to live. This is coming from a lifelong New Yorker
 
Pleasant weather, housing that is not as expensive, beaches, mountains.
 
Can I apply to both the categorical and the primary care track? Is the primary care track less competitive than the categorical? Also, I am interested in primary care but I plan on going into a specialty and that is clearly evident in my CV. Would they reject me based on that? Thanks! Sounds like an amazing and unique program!

I applied to both categorical and primary care tracks for every program I looked at. It was never awkward and seemed to be the norm. One girl in my program only applied to primary care because she knew it was the only option she wanted. It shouldn't be a problem and they expect applicants to be exploring lots of tracks and then decide. If you are completely set on a specialty (which often will change a lot after a couple years of residency) you can still apply to the primary care track but be ready to get a pointed question. Many specialists act as primary care MDs (e.g. renal, heme/onc), so if this is maybe what you want you could spin in like that. Apply and see how it goes, no harm in trying.

Does UCLA seriously still have a PGY1 salary of 38100 (as in the FREIDA data download)? Or have they just not updated that in a good decade or so?

Our salary is set slightly above the national average. It is $50,283 pre-taxes for this year. They keep moving it up each year. What that doesn't factor in is that you have a moving reimbursment of max 2000. You get medical coverage that is spectacular. Within the UCLA network you pay absolutely nothing for all your care! Prescription meds, surgery, clinic appointments. That is also includes if you have a wife and kids I think. Dental is covered for routine cleanings. We also get 1600 in food money and they always have noon lecture food. Overall we are spoiled because the head of the UCLA system extremely pro-internal medicine and primary care. So we all these funds available to our programs and the department of medicine.

NYC at Columbia / Cornell / MSSM..........what do you have in Cali that you can't find in NYC?

I did a rotation for a month at Cornell and interviewed at both Columbia, NYU and MSSM. I thought Cornell was a good smaller size internal medicine program and probably would have chosen it over all the NYC programs (NYU had a really good PC track though). UCLA and many coastal Cali programs offer year round sunny weather, much more relaxed medicine culture, and arre much closer to nature (ocean, mountains). So when I have a day off in LA, I can go surf in Malibu (10 min from my house), hike up in the santa monica mountains, hang out on the boardwalk in Venice beach. Residency is stressful as hell, and having the ability to just be outside all year round in the sun makes a huge difference for me.

--

I was a crazy person and interviewed all over the coasts (Seattle, Portland, Los angeles, San Diego, NYC, Boston) and really got a good feel of the programs.

One other interesting thing about our program. It is very academic. The majority of primary care faculty are big players in health research initiatives. Many work at Rand. We have the opportunity to be involved with the STAR program, Rober Woods Johnson program, and there is another one based at UCLA. There is also the kennemer fellowship that allows you to get fellow salary to get additional training in internal medicine in anything you want. Some people do like 6 months of dermatology and optho, others do focus on primary care HIV. So you can get additional training and focus your practice without a 3 year fellowship. Infinite opportunities here and you will be constantly bombarded with future opportunities that its overwhelming at times (atleast for me who can't decide =D).

Check out the new website they just updates. Much nicer than the previous.

http://www.imresidency.med.ucla.edu/ Will give you an idea of the clinical sites, and people that end of at the program.
 
--

I was a crazy person and interviewed all over the coasts (Seattle, Portland, Los angeles, San Diego, NYC, Boston) and really got a good feel of the programs.



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How did you have the money and the time to do that from Minnesota? That must have been crazy expensive and lots of time at airports and in hotels.:scared:
 
I did 5 years for med school and had extra time after I went abroad. I definitely do not recommend interviewing as much as I did. Was expensive, but I lumped them together by regions to keep cost down and stayed w/ family and friends mostly. If it helps, my favorite programs were:

-UCLA (hands down favorite, ranked primary care 1 and categorical 2)
-UWash (excellent network of clinics, hospitals and really relaxed. program director making tons of good changes to the program)
-NYU primary care (fun, passionate program and program director is a caring woman who seems to really respect resident)
-Cornell (program in transition. new PD is wonderful and is really focused on resident balance. head of medicine is amazing too. new fancy hospital and best housing options in NYC)
 
How does this discussion carry over the the UCLA academic affiliates? (Harbor and Olive View)
 
They are separate programs entirely. UCLA residents do a few months at Olive View and have the option of doing one at Harbor.
 
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