Curriculum

The curriculum is very dynamic at the Internal Medicine Residency. Frequent curriculum committee meetings with all the categorical residents yield a variety of positive suggestions which are constantly being implemented to improve our training of medical residents.

The following is typical distribution of 4 week rotations by program year:

PGY-1

• Medicine - 3 1/2 -4 1/2
• ICU - 2-3
• Night Shift – 1-1 ½
• Emergency - 1
• Electives - 1-2
• Subspecialties - 1

PGY-2

• Medicine - 6
• Subspecialties - 4
• Elective - 1
• Night Shift – 1 ½

PGY-3

• Medicine - 2
• ICU - 2-3
• Subspecialties - 3
• Elective - 2
• Independent Study for Board Review - 1
• Night Shift - 1 ½

Conferences

Morning Report: Thursday from 8 a.m. - 9 a.m. In an informal setting, the post-call team presents new admissions, and the initial management is discussed. Medical staff from radiology, gastroenterology, renal, pulmonary/intensive care, cardiology, and hematology/oncology are often present to provide expert advice.

Noon Lecture Series: Monday through Thursday during the lunch hour. It is a year long lecture series with a didactic approach to each subspecialty, as well as general medicine topics, adolescent medicine issues, neurology, and psychiatry.

Morbidity & Mortality: Selected cases involving sub-optimal outcomes, including prolonged length of stay due to morbidity, or resulting in mortality are reviewed the third Monday from 8 a.m. - 9 a.m. during the resident-led case conference of each month in a multi-disciplinary setting. Emphasis is placed on ways to prevent such outcomes, such as identifying other possible diagnostic or therapeutic approaches.

Board Reviews: Senior residents lead board-style question and analysis on
Tuesday and Wednesday in preparation for the ABIM certification exam.

Journal Club: Selected recently published articles in the various
subspecialties of internal medicine are presented by residents won Monday
mornings during the resident -led case conference Monday from 8 a.m. - 9
a.m. Emphasis is placed on critical review of methodology and interpretation
of data, as well its possible application to everyday medical practice in
consultation with faculty.