Our educational curriculum emphasizes the diversity of Internal Medicine Education offering a combination of inpatient and ambulatory experiences as well as a mix of general medicine and specialty practice opportunities. The design allows residents to take on graduated responsibility as they progress from fully supervised interns to clinicians that are ready for independent practice upon completion of residency. Our novel educational program establishes a focus for each year of training. Rotations in our program are arranged in thirteen 4-week blocks. During the first year of residency, the focus of rotations is predominantly in acute and hospital care medicine. Residents spend the majority of their time in hospital based rotations at all three teaching sites gaining exposure and proficiency in the management of acute medical conditions in the various populations represented in our community.
The second year of training, brings into focus the Ambulatory component of medicine. A majority of the educational content focuses on outpatient care including continuity care. in the second year, most rotations place in ambulatory settings and most will include two sequential weeks of continuity clinic in a 2+2 format. As R2s, residents also begin to take on a larger teaching role on ward and night float assignment managing one R1 resident during supervisory rotations.
In the final year of training, our program allows residents to bring together both the ambulatory and acute hospital management skills they have learned. This “transition to care” model allows residents to practice the traditional internal medicine role managing patients across the spectrum of care. During teaching ward rotations in the third year, senior residents supervise two R1 residents as they take on a more active role in education.
As part of the curriculum, residents are expected to participate in elective rotations covering every core Internal medicine subspecialty (Cardiology, Endocrinology, Gastroenterology, Hematology and Oncology, Infectious Diseases, Nephrology, Pulmonary and Critical Care and Rheumatology). Throughout our residency program, residents learn to incorporate the tenants or Patient Safety and Quality Improvement which are discussed in formal conferences, case reviews, individual assignments and clinical projects.