Residency Rotations

Year 1
4 Rotations General Medicine Inpatient Service
2 Rotations Intensive Care Unit
3 Rotations Ambulatory Clinic
1 Rotation General Medical Inpatient (Night Float)
1 Rotation Geriatrics/Office Practice
1 Rotation Neurology
1 Month Vacation

Year 2
3 Rotations General Medicine Inpatient Service
1 Rotation Intensive Care Unit
1 Rotation Endocrinology
1 Rotation Hematology-Oncology
1 Rotation Nephrology/Palliative
1 Rotation Office Practice/Rheumatology
1 Rotation Ambulatory Clinic
1 Rotation General Medical Inpatient (Night Float)
1 Rotation Elective
1 Rotation Emergency Department
1 Month Vacation

Year 3
2 Rotations Ambulatory Continuity Clinic
1 Rotation General Medicine Inpatient Service
1 Rotation Intensive Care Unit
1 Rotation Intermediate Intensive Care Unit
1 Rotation Cardiology
1 Rotation Pulmonary Diseases
1 Rotation Gastroenterology
1 Rotation Infectious Diseases
1 Rotation Consult Service
1 Rotation General Medical Inpatient (Night Float)
1 Rotation Medicine Admissions
1 Month Vacation

 

 

PRIMARY CARE TRACK

Responsibility for Learning: 

The process of learning involves integrating new knowledge with prior experiences and information to create a broader understanding of the Ambulatory Care aspect of the Patient experience.   For the Internal Medicine Primary Care track, it is assumed that PGY-2 and PGY-3 will carry forward the knowledge and skills developed in the first year of medical education. Medical knowledge from the PGY-1 Clinical Practice as well as concepts from clinical education will have particular relevance when dealing with patient problems and the care of these patients. It will require reflection, planning and self-assessment.

PGY-2 and PGY-3s will learn in many ways during this Track; through reading, observing others, working with patients, practicing skills, self-assessing and receiving feedback. Medical Residents will be expected to assume responsibility for learning during this elective as well as to spend time reading to help build and increase the fund of knowledge about the problems of internal medicine patients.

Professionalism: 

As part of the Core Curriculum the Department of Internal Medicine emphasizes the importance of this competency in this Track because it is the framework of all we do and who we are.  It is a lifelong commitment to personal excellence and continued professional development.  It is a standard of conduct towards our patients, as well as healthcare colleagues, and demands we aspire with each encounter to achieve the following expectations:

• Show respect for time, both for clinical experiences and learning opportunities; that will include Quality Improvement projects, familiarize with the Ambulatory Care practice and Lean Daily management.
• Show respect towards others members of the team
• Dress professionally

• Demonstrate appropriate behavior under stress
• Deliver the best possible care to each individual patient, regardless of race, age or ethnic differences
• Conduct oneself in an ethical manner
• Take responsibility for learning
• Maintain patient confidentiality and discuss patient information only with those involved in the patient’s care

 

Clinical Experience: 

Ambulatory Clinic and Transition to and From Acute Care settings. 

During the Primary Care Track experience emphasis is placed on the acquisition of clinical knowledge and skills such as performing a history and focused physical examination, diagnostic reasoning, synthesis of this information into a concise presentation and planning a complete workup for the Ambulatory Care management of patients. The Residents role in the outpatient clinics is to actively and independently examine patients and to then discuss them and have them “staffed” by a faculty attending.  Faculty will assess the Resident’s ability to be an effective and accurate oral of information gathered and physical exam findings discovered during the course of the patient encounter and the capacity to develop a plan of care consistent with the Ambulatory Care practice.

Residents will attend clinic with teaching faculty as established times.  This is an intensive one-on-one precepting experience designed to help the student understand the Internal Medicine approach to patients who present in the outpatient setting.

Residents will have the opportunity to see patients in several the Internal Medicine subspecialty clinics during the Primary Care track Experience.  Under the guidance and supervision of a faculty physician, Residents will work up patients with problems specific to the specialty areas of internal medicine and will develop management plans tailored to these patients’ problems.

Residents will develop the necessary skills to transitions patients from the Ambulatory Care to the Hospital and From Acute care settings (ED, Inpatient, Nursing Homes) to the Ambulatory services; by being involved in Consult-Service and by being part of the admitting team. It is important that a discharge plan is included in your assessment and plan.

 

Conferences:

Case-based Learning (CBL):   The Ambulatory Internal Medicine Primary Care Track will cover a number of Lectures including the diagnosis and management of a number of chronic medical conditions with focus on the Ambulatory care setting.

Divisional Teaching Conferences:  A number of divisions in Internal Medicine are responsible for presenting a weekly teaching conference to review Outpatient internal Medicine core topics by integrating medical knowledge with direct patient care.

Internal Medicine Grand Rounds:  Each and every Thursday at 8:00 AM in SBH Auditorium for the Department of Internal Medicine presents Grand Rounds.

Expectation: The Residents will be responsible for presenting in the Ambulatory Conferences. The topics will be aligned to our SBH Ambulatory Curriculum.

Community Time: 

The Department of Internal Medicine feels it is important that Resident remain connected to their Learning Community and that they continue to promote and support the vertical integration of medical education and Community-Population Health. During this track, residents are encouraged to provide a population health based on the curriculum. We expect to go back to the robust community programs as COVID permits.