Riverside University Health System

The Riverside University Health System Anesthesia Residency Program is innovatively designed to foster good patient care and growth of the resident physician as a provider and as a future leader of the medical community.

RUHS is a state of the art facility serving the second largest county in California, which allows for an inordinate amount of learning and teaching opportunities. Our residents gain experience caring for a wide range of patients, from all socio-economic standings in the community. The diverse population enables our providers to experience obstetrical anesthesia, including high-risk obstetrics; general surgery, including thoracic and vascular anesthesia; orthopedic surgery, including spine; pediatric anesthesia; plastic surgery; neurosurgery; and urology. The PACU rotation also incorporates regional anesthesia experience. Our affiliation with Cedar-Sinai Medical Center in Los Angeles provides unparalleled cardiothoracic anesthesia experience and our affiliation with Children's Hospital Los Angeles affords the opportunity for concentrated practice in pediatric anesthesia.

We, at RUHS, pride ourselves for our commitment to achieving excellence in clinical care and education. Our program is constantly evolving with the goal of continued enhancement of our education program. Our residency curriculum includes several innovative educational offerings:

Multi-Disciplinary Leadership & Career Development Curriculum

Recognizing the need for more physician leaders, we have partnered with a local business school to create a comprehensive leadership and career development curriculum. Curriculum topics support the development of two complimentary themes. The first theme is focused on developing the residents’ leadership skills. This section of the curriculum is taught by physician leaders, business school faculty, and culminates with a roundtable discussion with our System’s CEO, CMO, CMIO, and medical directors. The second theme is one’s individual career acumen with topics such as networking, CV/ resume writing, interview skills, personal branding, salary negotiation, healthcare reform, personal finance, and others. Participants in the annual leadership and career development course include residents from primary care, surgical, and pharmacy. In addition to developing leadership skills and career plans, this multi-disciplinary training supports the development of lifelong networks, improves communication between silos, and builds esprit de corps.

Daily Teaching Rounds

In an effort to integrate education throughout a resident’s existing workflow, we have implemented daily teaching rounds. Each day, the assigned teaching-attending will bring one topic based on the ABA content outline to the resident to review and discuss during the course of their day in the operating room. The teaching rounds allow indivualized education in a way that does not add to the resident’s already busy workload and provide the faculty an additional opportunity to evaluate the resident’s current knowledge level.

Wellness and Resilience

We have integrated wellbeing into our program by facilitating monthly wellness sessions. The wellness sessions are often multi-disciplinary to encourage residents to build supportive relationships across specialties. The monthly sessions include lectures provided by guest speakers, participation in community fundraisers, recreational and social activities. The regularly scheduled on- and off-site activities build interpersonal relationships and connections which increases the sense of wellness among the residency groups.

Intern Prep Course – Patient Empathy Experience

At the beginning of each academic year, residents participate in a “Patient Empathy Experience” activity. This multi-disciplinary course is conducted in an OSCE format and involves a variety of scenarios which place the participating CBY residents in the role of the physician, patient, or hospital staff in a potentially complicated situation which lends itself to a learning situation. The role-play scenarios will reflect experiences that the residents are likely to come across during their residency at RUHS and will include scenarios with non-English speaking patients, Jehovah’s Witnesses in need of blood transfusion, prisoners, and issues with DNR and consent. The role will enable the resident to be immersed in situations and make decisions in a controlled environment. The goal of this exercise is to allow the residents to make mistakes in these difficult scenarios and to provide an opportunity to receive corrective feedback. As this exercise also includes scenarios which place the residents in the role of the patient, it encourages development of empathy while recognizing the struggles a patient may experience throughout a hospital stay. The one-day course is followed with debriefing and open discussion where the scenarios of various residents are discussed. This educational activity prepares the residents to practice in an environment with a diverse local population from a broad range of socio-economic and cultural backgrounds. To further promote understanding of the patient experience, some of the participating residents are assigned to shadow a patient on the morning of surgery to experience first-hand what it is like to be a patient in our health system.

The program’s website provides additional information about the residency: www.ruhs-ar.org