Rotation Curriculum

Inpatient Rotations
The Department of Internal Medicine operates on the thesis that the best patient care is rendered when major responsibility rests with the intern and assistant resident under the purview of the chief resident, all having ready access to attending faculty and consultants.

PGY-1 (Internship)
PGY-1 residents, otherwise known as interns, have the following major responsibilities:

  • Initial evaluation of all patients, including assimilation of old records and outside information
  • Developing a plan for each patient to present to the resident
  • Communicating with the patient and family about treatment plans, consultations, risks and benefits of procedures and medications, and other aspects of care
  • Getting write-ups on the chart no later than 8:00 a.m. following a call day
  • Discussion of "Do-Not-Resuscitate (DNR)" orders and other end-of-life issues when appropriate
  • Asking surviving family members for permission to perform an autopsy
  • Working on discharge planning from day one
  • Writing daily progress notes

Interns are expected to attend all daily attending rounds (except when off duty), morning report, Grand Rounds, and all other teaching conferences.

Interns work closely with medical students and assist with their education.

The PGY-1 year is organized to ensure a comprehensive clinical experience in a variety of settings. The intern "learns by doing," and must be kept at the forefront of patient evaluation and therapeutic decision making if he or she is to develop the confidence and proficiency upon which sound clinical judgment is based. The teams provide the intern with individualized supervision and the resident with time for study, case management, and teaching.

PGY-2, PGY-3 (Assistant Residency)
The primary roles of the PGY-2 and 3 residents are supervision and education. This includes:

  • Seeing every patient on the day of admission and writing a note
  • Review and approve diagnostic and treatment plans with the interns
  • Review patients' progress daily, giving feedback to the intern on progress notes, order writing, and discharge planning
  • Organizing and planning attending rounds, meetings with consultants, and other teaching opportunities
  • Setting time aside for teaching medical students, including reviewing write-ups and giving timely feedback
  • Creating an atmosphere such that the intern is encouraged to ask for help when appropriate
  • Supervising procedures
  • Dictating discharge summaries
  • Interacting with nurses and other personnel in a way that respects all members of the healthcare team and encourages their input
  • Being certain all members of the team are familiar with the current literature regarding their patients
  • Attending teaching conferences including Grand Rounds, Morning Report, Noon Conference, and Journal Club

The upper-level resident is responsible for all aspects of the patients' care. As such, this resident is ultimately responsible for requesting consultations and interacting with them, for keeping the attending fully informed of changes in status, and for overall supervision of the intern(s) and student(s).

Curriculum
PGY-1 Residents:

  • General Medicine—32 weeks
  • Electives (including multispecialty block rotation)—9 weeks
  • Emergency Medicine—4 weeks
  • ICU—4 weeks
  • Vacation—3 weeks

PGY-2 Residents:

  • General Medicine—20 weeks
  • Electives—17 weeks
  • ICU—12 weeks
  • Vacation—3 weeks

PGY-3 Residents:

  • General Medicine—20 weeks
  • Electives—17 weeks
  • ICU—12 weeks
  • Vacation—3 weeks

Night Float

  • Interns have two, 2-week night float rotations. 
  • PGY-2 & PGY-3 residents have one, 2-week period of night float.

Emergency Medicine Training
All interns are assigned a rotation in the Emergency Department under the supervision of full-time academic faculty in emergency medicine. This is a well-organized rotation with excellent teaching; on this rotation interns attend a morning didactic series that addresses topics in emergency medicine and ambulatory care. A second designated emergency medicine rotation is assigned during the PGY3 year.

Rounds and Conferences
Attending Rounds
Bedside teaching rounds are conducted on the inpatient clinical services seven days per week. The emphasis is on developing fundamental clinical skills, diagnostic reasoning, pathophysiology, and professionalism. Our department has a written policy that teaching rounds are to be conducted "at the bedside." Emphasis is on evidence-based medicine and on creating an environment that optimizes learning and patient care. All residents have continuity clinic ½-day per week. The program strictly adheres to all ACGME mandates, including work hour restrictions. Our program operates with 4-week rotations, resulting in 13 rotations annually. Resident supervision is available at all times by attending physicians who are on-site twenty-four hours a day.

View eligibility requirements and application process.