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Our program has been in place for more than 30 years, enjoying a reputation for quality and drawing competitive applicants from across the country. We thrive in a smaller, humane, academic program niche. Having grown to 55 residents and fellows, there is no comparably-sized program in New England that boasts as large a faculty and as full a staffed complement within the Department of Medicine. Because we hold education to the highest standards, the philosophical goals of the program are consistent with ACGME regulations.

Educational Goals

  1. Provide patient care that is compassionate, appropriate, and effective for the treatment of health problems and the promotion of health.
  2. Have medical knowledge about established and evolving biomedical, clinical, and cognate (e.g., epidemiological and social-behavioral) sciences and the application of this knowledge to patient care.
  3. Use practice-based learning and improvement that involves investigation and evaluation of their own patient care, appraisal, and assimilation of scientific evidence, and improvements in patient care.
  4. Have interpersonal and communication skills that result in effective information exchange and teaming with patients, their families, and other health professionals.
  5. Demonstrate professionalism, as manifested through a commitment to carrying out professional responsibilities, adherence to ethical principles, and sensitivity to a diverse patient population.
  6. Deliver medical care in a systems-based practice, as manifested by actions that demonstrate an awareness of an responsiveness to the larger context and system of health care and the ability to effectively call on system resources to provide care that is of optimal value.

Tracks
RWMC offers two ACGME-approved Internal Medicine Tracks:

  • Categorical: This three-year program is the traditional Internal Medicine training residency leading to board eligibility in Internal Medicine.
  • Preliminary: This one-year experience is required as preliminary training by many non-medical residencies. Identical to the first year of the categorical track, it provides broad, clinical exposure to general inpatient medicine.

Housestaff Assignments
Our one-intern/one resident team concept permits the members of the admitting team to work together throughout the admitting day. The resident is not shared by two interns in different parts of the hospital.
Services -- Housestaff assignments for in-house medical residents include:

  • eight General Medical Service Teams (one resident and one intern each)
  • an ICU team (two residents, two interns)
  • a CCU team (two residents, two interns)
  • a Crossover intern
  • a Nightfloat resident and intern

Nightcall -- All the above services require night call with the exception of the crossover intern float and the General Medical Service Team that serve as short-call only teams, or the No-call teams. The teams on the General Medical Service that take call are on call every fifth night, or Q5. The ICU and CCU takes call every fourth night, or Q4. Nightcall months are distributed:

  • PGY1: approximately seven nightcall months
  • PGY2: approximately six nightcall months
  • PGY3: approximately four nightcall months

Electives
Elective time allows the house officer to reinforce knowledge in subspecialties of internal medicine as well as be exposed to other medical disciplines that one might not see in their future careers. The program again takes a balanced approach to elective time:

  • PGY1: 3 months
  • PGY2: 4 months
  • PGY3: 5 months

The opportunity of elective time in the first year gives house officers the ability to investigate at an earlier stage in their training whether a fellowship may be interesting to them or not. House staff may opt to conduct clinical and bench research during their elective time.

Salary
The 2004-2005 salaries were:

  • PGY-1: $42,000

  • PGY-2: $42,666

  • PGY-3: $45,606

  • Educational stipend for interns: $200

  • Educational stipend for residents: $1354

Benefits
RWMC offers medical and dental plans using pre-tax dollars to pay the employee’s share. These plans can also be waived for a cash back payment. Health care spending is also available using pre-tax dollars. Dependent care spending is available using pre-tax dollars.

RWMC also offers life insurance, dependent life insurance, long-term disability insurance, tax sheltered annuities, and tuition reimbursement. Specifics of the terms, eligibilities, and conditions of coverage can be obtained from the Benefits Division of the Human Resources Department.

Interns and junior residents receive three weeks of vacation. Senior residents receive four weeks of vacation.


 

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