Program Structure
Program Structure
Curriculum
Our Internal Medicine Residency Program is focused on education, with the goal of developing clinically competent Board Certified Internists. The result of this is a foundation from which graduates can pursue various career paths, including primary care practice, subspecialty training, hospitalist careers, or academics.
- In a unique 4+2+2 format, our flexible block schedule provides 4 weeks of inpatient training, 2 weeks of continuity clinic, and 2 weeks of rotations geared toward each resident’s individualized learning and career plans. This innovative system decreases fatigue and burnout, while addressing the residents’ areas for improvement and preparing them for their future careers of interest.
- Outpatient didactic half days utilize the TBL method and occur every Friday while on an ambulatory block. During this time, our residents are free from any clinical commitments.
- Inpatient didactics are also organized in an academic half day format, which occurs every Wednesday afternoon during floor and elective rotations. Featuring MKSAP-based sessions, interactive learning modules, podcasts, invited talks, and case-based learning, this educational time is protected from clinical responsibilities and focused on the development of our residents’ clinical skills and board exam preparation.
What to expect while on the floors
- A cap on the number of admissions per team and per resident
- An academic non-teaching hospitalist group at University Hospital that accepts admissions and transfers to ensure that only the best teaching cases are followed by the residents.
- A program-wide night float system allows no overnight calls for floor rotations at University Hospital or the VA.
- Our teams are structured in a way that allows for an efficient approach to managing patients and allows house staff to have a large forum for case discussion. Each floor team has one senior resident and 2-3 interns. In addition, the team also has third-year medical students and may have a 4th-year student as an Acting Intern.
- Resident and interns are off an average of 1 every 7 days, including days off during the week.
Schedules
The annual master schedule for each of the residents' rotations is distributed in June before the academic year begins. The Call schedule is determined monthly to provide the maximum opportunity to accommodate individual requests.
Individual residents' schedules vary but are adjusted to maintain a balance of experience and fair workload distribution over the three years of residency.
The call schedule for floor rotations is based on a short-call/long-call system. Each team will be on a long call every 4th day. The long call is from 7am-7pm. Short call days are from 7am-4pm. Admissions are based on a Drip system for nearly all rotations.
Typical schedules are as follows:
PGY 1 |
3 blocks of Inpatient Floor Experience
3-3.5 blocks of Ambulatory Care
2 blocks of Critical Care
1 block of Night Float
0.5-1 block of Neurology
0.5 block of research introduction selective
1.5 blocks of Elective
1 block of Vacation
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PGY 2 |
3 blocks of Inpatient Floor Experience
3-3.5 blocks of Ambulatory Care
2 blocks of Critical Care
1 block of Night Float
2.25 blocks of Elective
1 block of Vacation
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PGY 3 |
2 blocks of Inpatient Floor Experience
3-3.5 blocks of Ambulatory Care
2 blocks of Critical Care
1 block of Night Float
1-2 blocks of Medical Consults
0.5 blocks Emergency Medicine
3 blocks of Elective
1 block of Vacation
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Typical Preliminary Schedule |
5 blocks of Inpatient Floor Experience
1 block of Ambulatory Care
1.5-2 blocks of ICU Experience
1 block of Night Float
1-1.5 blocks of Neurology
1 block ED
2-2.5 blocks of Elective
1 block of Vacation
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*One block equals four weeks.
