Inpatient experiences include rotations on General Medicine and
the Pulmonary/ICU services. In addition, there are assignments to
medical subspecialties which include both inpatient consultation
and daily care responsibilities.
Outpatient experiences include a continuity clinic for residents
in internal medicine, in which they provide ongoing care for
patients during the three years of the residency program. Each
resident spends one half day per week in his/her continuity
In addition, there are outpatient rotations as part of each
medical subspecialty and neurology rotation. Third year residents
have one-month outpatient department rotation that covers Primary
Care, Dermatology, ENT, Adolescent Medicine, and Allergy. There
is a one-month emergency room rotation for first year residents.
For a more detailed description of the services, please read
Three inpatient medicine teams provide care on the general
medicine floors. A teaching ward attending along with a senior or
junior resident and one or two interns form the team.
Intensive Care Unit
A single team formed by the ICU director, a senior resident, and
two interns provides care exclusively to the critically ill.
The three ward teams and the ICU team share call. Each team is
on-call every fourth night from 7 a.m. - 9 p.m. All teams are
exempt from new admissions on the post call day. The ICU team
admits critical patients until 3 p.m. every day, unless exempt. A
new NIGHT SHIFT system has been implemented.
Following Accreditation Council for Graduate Medical Education
guidelines, each intern or resident must have a full day off
every 7 days. Our program strictly adheres to this guideline, and
in general, interns are off at least one day per week.
Interns and residents rotating through the different medical
subspecialties participate in a consultative service. They have
limited primary patient care responsibilities.
Categorical interns and residents have a one half day per week
outpatient continuity clinic. This gives our residents the
opportunity to provide ongoing care for their patients over the
three year period. A special outpatient care rotation is reserved
for the senior residents. During that period, they gain better
exposure to office gynecology, dermatology, outpatient
orthopedics, psychiatry, adolescent medicine, ophthalmology, etc.
Internal Medicine Preliminary 104015
Internal Medicine Categorical 104016
Courville-Abbott Memorial Library is our main medical library. It
houses 44,000 volumes in the fields of the hospital's specialties
and related subjects. Services such as computerized literature
search, interlibrary loans, photocopying, slide production and
audiovisual are available to the house staff on a 24 hour basis.
James P. Drinkard Medicine Library is located in the internal
medicine office area. While providing up to date medicine
textbooks and Internal Medicine Board Review Materials, the main
emphasis is to incorporate computer advances and multimedia
resources into medical education.