Kaweah Delta Health Care District (KDHCD) Program

Specialty:Transitional year
ACGME Code:9990500244
NRMP Code:1572999P0
Status:Continued Accreditation

Overview

The Transitional Year program at Kaweah Delta Health Care District (KDHCD) provides a comprehensive clinical foundation necessary for residents as they advance into their chosen specialty. The program covers a 12-month period featuring diverse clinical experiences aimed to enhance the residents' understanding and skills in multiple fields of medicine.

Program Overview

Residents in the Transitional Year are equipped with broad-based clinical knowledge and experience that is crucial for effectively transitioning into their subsequent residency programs. This program fosters development through interdisciplinary teamwork, hands-on learning, and an emphasis on patient-centered care. The latest cohort, graduating on June 13, 2023, exemplifies the program's commitment to producing competent medical professionals ready for their future roles in healthcare.

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Curriculum

The curriculum is meticulously organized to ensure exposure to various medical specialties. It typically involves rotations in internal medicine, surgery, pediatrics, emergency medicine, and obstetrics/gynecology among others. Each rotation is designed to build residents' clinical skills, deepen their medical knowledge, and develop critical thinking abilities. This hands-on experience in different areas allows residents to explore their interests and prepare for the specific demands of their future specialties.

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Rotations

The Transitional Year program emphasizes a diverse array of rotations. These rotations typically include essential disciplines that help build the foundational knowledge needed across many specialties. Approximately 2-3 months are generally spent in core areas such as internal medicine, surgery, and pediatrics, giving residents a well-rounded clinical experience. Moreover, residents may also spend time in subspecialties, which enhances their exposure to different patient types and healthcare settings.

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Research Opportunities

Research and scholarly activities are highly encouraged throughout the year. Residents are motivated to engage in projects that can contribute to the medical field. This could involve clinical research, quality improvement initiatives, or case presentations. Collaboration with faculty members is common, allowing for mentorship and guidance through various research endeavors.

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Training Sites

The program is based in Visalia, California, where residents experience the benefits of a community-focused healthcare setting. Kaweah Delta Health Care District itself serves as a critical access hospital and offers a wide range of services. The facility is equipped with modern technology and resources to support intensive training and learning opportunities.

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Visa Support

For international medical graduates, the Transitional Year program at KDHCD provides visa support. Specifically, the program is able to sponsor J-1 and H-1B visas, catering to the needs of international aspirants seeking residency positions. This support is crucial for allowing deserving candidates from around the world to join the program.

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Competitiveness

The Transitional Year program is regarded as competitive, but it also values applicants from diverse educational backgrounds, including DO and IMG candidates. This openness reflects a broader mission to include those who demonstrate determination and passion for medicine. Successful applicants generally have strong academic records and a commitment to the principles of wellness and professional integrity.

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Application Requirements

Applicants for the Transitional Year program must typically have graduated from medical school within a specified time frame, with consideration given to recent graduates. There may be limitations regarding the number of failed Step examinations, consequently encouraging applicants to strive for a solid performance on their board examinations. Detailed application requirements are conveyed during the admissions process to ensure transparency and understanding.

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Web sources

SmartPick

Program data

ACGME History [3]

Accreditation Last updated: Jul 16, 2026
Initial accreditation2
Full accreditation0
Continued12
Warning0
Probationary Accreditation0
Withdrawal0

Program

Program Size

12, 0, 0 (1 years) [1]

Accreditation Status

Continued Accreditation

(Effective: December 4, 2025)

Composition [2]

MD · 42%
DO · 58%

Training

Fellowship Rate:96% [2]

Faculty-to-Residents Ratio:0.3X [1]

Residents Career Path [2]

Fellowship · 96%
Other · 4%

Quality of Life

First Year Paid Sick Leave: 5 days [1]

First Year Paid Vacation: 28 days [1]

First Year Salary: $68,640 [1]

First Year Maximum Consecutive Hours on Duty: 12 hours [1]

First Year Average Weekly Hours: 60 hours [1]

Admission

USMLE Step 2 Score: 230–267 [2]

Visa Sponsorship:J1 [2]

YOG Cutoff:3 [1]

Race / Ethnicity

Gender

Incoming Schools

17%

University of California, Davis, School of Medicine

17%

Idaho College of Osteopathic Medicine

8%

Western University of Health Sciences College of Osteopathic Medicine of the Pacific

8%

Midwestern University Arizona College of Osteopathic Medicine

* Multiple schools share the same admissions rate.

Rotation Duration by Site

Benchmarks

Match & stats

2026 Residency Applicant & Interview Insights

Signals

Number of Applicants
Number of Applicants Interviewed

Hometown State

Number of Applicants
Number of Applicants Interviewed

Medical School State

Number of Applicants
Number of Applicants Interviewed

Step 1 Fail

Number of Applicants
Number of Applicants Interviewed

Step 2 Fail

Number of Applicants
Number of Applicants Interviewed

Applicant Type

Number of Applicants
Number of Applicants Interviewed

Note: The AIR (Applicant Interview Rate) is calculated as the percentage of applicants in each category who were offered interviews. A higher AIR suggests stronger alignment with program preferences, indicating a greater likelihood of the program favoring applicants in this category.

USMLE STEP 2 CK Score [2]

COMLEX Level 2 Score [2]

Match History [4]

Track ID:  1572999P0
2021
12 of 12
2022
12 of 12
2023
12 of 12
2024
12 of 12
2025
12 of 12
2026
12 of 12
Filled Position
Unfilled Position

Roster

Location

Visalia, CA [5]

Population
141,384
Median income
$79,777Below
Education
24.6%Above
Employment
60.2%On par
Health
4.8%Above
Age
34Below
  • Above the national average
  • Below the national average
  • Similar to the national average

Housing — Rental prices [6]

Rental prices

Crime — All violent offences [7]

Rate per 100,000 residents

Living in Visalia, CA

Safety

Visalia has a relatively low crime rate compared to other cities in California, making it a generally safe place to live.

Fun Activities

Outdoor enthusiasts can enjoy Sequoia National Park and Kings Canyon National Park nearby. Visalia also offers local amenities like parks, museums, and a vibrant downtown area.

Climate

Visalia has a Mediterranean climate with hot, dry summers and mild winters. Be prepared for hot temperatures during the summer months.

Races and Population

Visalia has a diverse population with various ethnicities represented in the community.

Education

Visalia is served by Visalia Unified School District and has several schools, including College of the Sequoias, for higher education.

Cost of Living

The cost of living in Visalia is lower than the California average, making it more affordable for residents.

Nearest Bigger Cities

Fresno is approximately 45 minutes to 1 hour away by car from Visalia, offering more urban amenities and opportunities.

Pros

  • Affordable cost of living
  • proximity to national parks
  • and a diverse community.

Cons

  • Hot summers and limited nightlife compared to larger cities.

FAQ

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Nearby programs

Transitional year Programs Near Visalia, CA

References

1. Freida - https://freida.ama-assn.org/program/9990500244

2. Residency Explorer - https://www.residencyexplorer.org/Program/GetByIdWithMedicalSpecialty/171f5ff8-c1a8-0299-4426-30e5f20f5045

3. ACGME - Accreditation Data System (ADS) - https://apps.acgme.org/ads/Public/Programs/Search

4. NRMP Results and Data: 2021-2025 Main Residency Match - https://www.nrmp.org/match-data/2025/03/program-results-2021-2025/

5. United States Census Bureau - https://data.census.gov/profile/City,_VS?g=160XX00US0682954

6. Zillow Research - Observed Rent Index (ZORI) - https://www.zillow.com/research/data/

7. FBI - Crime/Law Enforcement Stats (Uniform Crime Reporting Program) - https://www.fbi.gov/services/cjis/ucr