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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
- Provide
patient care that is compassionate, appropriate, and effective
for the treatment of health problems and the promotion of health.
- 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.
- 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.
- Have
interpersonal and communication skills that result in effective
information exchange and teaming with patients, their families,
and other health professionals.
- Demonstrate
professionalism, as manifested through a commitment to carrying
out professional responsibilities, adherence to ethical principles,
and sensitivity to a diverse patient population.
- 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:
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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