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Internal Medicine Program Curriculum

Yearly Schedule

As of July 1st, 2017 our program changed from the traditional month-month schedule to a 4+1 schedule. Thereby providing our Internal Medicine housestaff with a more comprehensive inpatient and outpatient curriculum during which they rotate through many disciplines and interact with a range of patients.

PGY-1:

  • General Medical Floors (GMF)
  • Maxi Care / Step Down Unit (Maxi)
  • Intensive Care Unit (ICU)
  • 1 month of night float
  • 2 - 3 elective months
  • 10 weeks of outpatient medicine (1 week every 5 weeks)

PGY-2:

  • General Medical Floors (GMF)
  • Maxi Care / Step Down Unit (Maxi)
  • Intensive Care Unit (ICU)
  • 1 month of GMF admitting night resident
  • 1 ER month
  • 3-4 elective months
  • 10 weeks of outpatient medicine (1 week every 5 weeks)

PGY-3:

  • General Medical Floors (GMF)
  • Maxi Care / Step Down Unit (Maxi)
  • Intensive Care Unit (ICU)
  • Medical Consult Service
  • 4-5 elective months
  • 10 weeks of outpatient medicine (1 week every 5 weeks)

Call schedule:

  • The teams on the General Medical Service are on call every 5th day or Q5.
  • The ICU and Maxi Care / Step Down teams are on call every other day or Q2

Night calls:

  • General Medical Service Teams do not have overnight calls.
  • ICU team residents have night call shifts but ICU interns do not.
  • Maxi Care residents and interns have night call shifts.
  • Night float interns work six nights a week from Sunday night to Friday night during their rotation. Weekend coverage for Saturday night is provided by interns doing electives in that particular month.
  • Night float Residents work six nights a week from Sunday night to Friday night during their rotation. Weekend coverage for Saturday night is provided by residents doing electives in that particular month.

Conferences

Conferences are an important aspect of the teaching program. Since transitioning to the 4+1 schedule this July we have significantly increased the amount teaching during morning report. Those interns and residents on their +1 week have an uninterrupted block of teaching from 8-11am during the weekdays for morning report.

Morning report is run by our Program Direction and Chief Medical Resident. Depending on the day of the week, many of our subspecialists also attend regularly, including: Cardiology, Endocrinology, Rheumatology, Neurology, Pulmonology, Infectious Disease, Nephrology, Geriatrics and Hematology.

There are also:

  • Noontime Didactic Conference
  • Medical Grand Rounds
  • Journal Club
  • Mortality and Morbidity
  • Clinical Pathologic Conferences

Ambulatory Services

In the last two years, our Resident’s Clinic has undergone significant improvement, first by transitioning to a new, modernized location in 2015 and second by implementing the 4+1 schedule in 2017. The clinic is supervised by our faculty of academic General Internists and housed in an on-site facility. Patients are seen weekly every 5 weeks by interns and residents and followed longitudinally throughout the three-year training program. Residents share night and weekend coverage of the practice.

A Typical Day

General Medicine Floors
6:30 a.m.-- 7:30 a.m. Interns get signout from the overnight intern float and pre-round on all their patients.
7:30 a.m.

All teams get sign out  according to the buffer system about overnight admission from the admitting PGY-2 night resident.

9:00 a.m.--11:00 a.m. Teaching rounds occur with one of three groups: Hospitalist service, Med Consult Service or Geriatrics service. The 5 GMF teams are broken into these 3 groups for rounding purposes.
Noon Didactic Conference for all residents and interns with an Internal Medicine or Subspecialist topic presented by a faculty member.
Afternoons Devoted to daily duties such as: consultations, discharge planning, admissions/ discharges, etc).
4:00 p.m.

All non-call floor teams sign out to the intern float who in turn signs out to the intern night float.

6:00 p.m.--8:30 p.m. & onwards

 

Intern float signs out to intern night float at 6 p.m.  The Long Call team admits until 8:30 p.m. daily, then the Admitting GMF Night Resident takes care of any overnight admissions.
With the Unit Teams
Maxi Care/Step Down Unit team:
6:30 a.m.--7:30 a.m. Day interns pre-round on all their patients.
7:30 a.m. Night resident and intern sign out any overnight admissions to the day team
8:30 a.m. Day team rounds on all patients with a Pulmonary Critical Care/Cardiology attending.
Noon Didactic Conference for all residents and interns with an Internal Medicine or Subspecialist topic presented by a faculty member.
Afternoons Devoted to daily duties such as: admissins/discharges, continuity clinic (preliminary interns do not have clinic).
8:30 p.m. Day team signs out to night resident and intern who do admissions overnight.
ICU team:
6:30 a.m.--7:30 a.m. Interns pre-round on all their patients.
7:30 a.m. Night resident sign out any overnight admissions to the day team.
9:00 a.m. Day team rounds on all patients with ICU attending and Pulmonary fellow.
Noon Didactic Conference for all residents and interns with an Internal Medicine or Subspecialist topic presented by a faculty member.
Afternoons Devoted to daily duties such as: consultations, discharge planning, admissions/ discharges, etc). Extra teaching rounds and X-ray for a couple of hours 2-3 days a week.
8:30 p.m. Day team signs out to night resident who do any overnight admissions.