REPORT/RECOMMENDATION TO THE BOARD OF SUPERVISORS
OF SAN BERNARDINO COUNTY
AND RECORD OF ACTION
December 17, 2024
FROM
ANDREW GOLDFRACH, ARMC Chief Executive Officer, Arrowhead Regional Medical Center
SUBJECT
Title
Amendment to Non-Financial Master Affiliation Agreement for Graduate Medical Education with Children’s Hospital Los Angeles
End
RECOMMENDATION(S)
Recommendation
Approve Amendment No. 1 to non-financial Master Affiliation Agreement No. 21-02 with Children’s Hospital Los Angeles, adding a clinical rotation in pediatric anesthesiology for Arrowhead Regional Medical Center anesthesiology resident physicians to obtain clinical experience, with no change to the current term of January 5, 2021 through January 4, 2026.
(Presenter: Andrew Goldfrach, ARMC Chief Executive Officer, 580-6150)
Body
COUNTY AND CHIEF EXECUTIVE OFFICER GOALS & OBJECTIVES
Provide for the Safety, Health and Social Service Needs of County Residents.
FINANCIAL IMPACT
Approval of this item will not result in the use of Discretionary General Funding (Net County Cost) as the Affiliation Agreement for Graduate Medical Education with Children’s Hospital Los Angeles is non-financial in nature.
BACKGROUND INFORMATION
This Amendment No. 1 (Amendment) to the Agreement provides and will enable Arrowhead Regional Medical Center (ARMC) anesthesiology resident physicians to participate in a rotation at Children's Hospital Los Angeles (CHLA) in pediatric anesthesiology. It allows ARMC to continue to provide a well-rounded education program for its resident physicians and to collaborate with CHLA.
ARMC operates accredited residency programs in anesthesia, emergency medicine, family practice, general surgery, internal medicine, obstetrics/gynecology, psychiatry, and neurology, as well as fellowship programs. Each program has specific requirements as to the numbers and types of patients a resident physician must provide care. To meet these requirements, with respect to the volume and type, it is necessary to provide educational opportunities at other facilities to supplement those available at ARMC.
On January 5, 2021 (Item No. 7), the Board of Supervisors approved the Agreement with CHLA, for ARMC neurology resident physicians to obtain clinical experience in pediatric neurology, for the period of January 5, 2021 through January 4, 2026.
ARMC recommends approval of this Amendment with CHLA to provide for the health and safety of San Bernardino County residents by allowing ARMC’s resident physicians to obtain required clinical experience, specifically in pediatric anesthesia at CHLA to enhance training and improve patient care.
PROCUREMENT
Not Applicable.
REVIEW BY OTHERS
This item has been reviewed by County Counsel (Charles Phan, Supervising Deputy County Counsel, 387-5455) on October 29, 2024; ARMC Finance (Chen Wu, Finance and Budget Officer, 580-3165) on November 21, 2024; Finance (Jenny Yang, Administrative Analyst, 387-4884) on November 26, 2024; and County Finance and Administration (Valerie Clay, Deputy Executive Officer, 387-5423) on November 26, 2024.