ACGME rules prevent PGY 1 residents from participating in on-call activities. However, experience in admissions and patient care overnight is a valuable experience for general internal medicine training at all levels. Therefore, residents, including interns, will participate in night float rotations with a dedicated nocturnist as the teaching attending. Night float rotations will occur in both the general inpatient wards as well as the intensive care unit (ICU) to give PGY 1 residents experience caring for patients and evaluating patients presenting in the “off-hours” of the hospital.
The ambulatory experience is enhanced by ambulatory blocks throughout the curriculum, where residents spend time in outpatient clinics. This allows residents to experience all aspects of ambulatory care, including acute illness visits and chronic disease management visits with patients. Residents will be precepted by specialized faculty physicians.
Residents will have a dedicated educational block, half day per week, during which they will participate in both didactic and interactive educational sessions. During this educational half day, sessions will include activities such as team-based learning activities, board review, quality improvement, patient safety curriculum and skill sessions, focusing on procedures and skills such as EKG interpretation. In addition, Transitional Year residents will join in multidisciplinary rounds with other residents and clinical staff, focusing on multidisciplinary topics. Transitional Year residents attend a Transitional Year focus Journal Club monthly.
Residents will begin to develop the knowledge, skills and attitudes to care for pregnant women from conception to delivery, focusing on intrapartum and peri-partum care. Residents also participate in gynecologic surgery during this rotation.
The overall goal of this rotation is to learn to care for the surgical patient in both emergency and inpatient situations.
Residents will develop the abilities to care for patients with urgent and emergent health care needs.
Residents will become well versed in all aspects of primary hospital care of patients, consistent with the philosophies of inpatient medicine and the evaluation and treatment of acute disease states.
Each resident will complete at least eight weeks of elective training during their year of residency training. Most blocks are four weeks in length, but two-week rotations are possible as needed and requested. These rotations are to be in areas of interest and/or need of the resident, as determined by the resident physicians themselves, the program director and/or as a requirement for the resident physician’s future training program. These electives will allow the resident to tailor their rotations to their individual educational needs.
Each resident will complete up to eight weeks of non-clinical patient care training during their year of residency training. The rotations may be as short as two weeks and no longer than four weeks. These rotations may also be flexibly scheduled based on availability of specific projects, availability of supervisory staff and the resident’s desire and needs. The goal is to provide the resident with a non-clinical patient care experience in the areas of research, administration and/or information services.