|Inpatient Medicine||14-16 Weeks||8-10 Weeks||6-8 Weeks|
|Inpatient Cardiology||4 Weeks||3-4 Weeks||3-4 Weeks|
|MICU||4 Weeks||3-4 Weeks||3-4 Weeks|
|Inpatient Hematology||2-4 Weeks||4 Weeks||-|
|Inpatient Medical Oncology||2-4 Weeks||2 Weeks||2 Weeks|
|Night Float/Night Medicine||Medicine: 4 Weeks||Medicine: 4 Weeks
Cardiology: 2 Weeks
|Medicine: 4 Weeks
Cardiology: 2 Weeks
MICU: 4 Weeks
|Emergency Medicine||4 Weeks||-||-|
|Ambulatory Clinic||10 Weeks||10 Weeks||10 Weeks|
|Geriatrics||-||2 Weeks||2 Weeks|
|Inpatient Medicine Consults||-||-||2 Weeks|
|Electives||2-4 Weeks||4-8 Weeks||4-8 Weeks|
|Vacation and Sick days||3 weeks, 5 days||3 weeks, 5 days||3 weeks, 5 days, 10 days conference / interviews|
We have a full complement of both general conferences as well as rotation specific educational sessions (ICU, Cardiology, Hematology/Oncology, Ambulatory week didactics).
Once Monthly: Housestaff Meeting
1:30-4:30pm Intern Academic Half Day
1;30-4:30pm Resident Academic Half Day
Noon Report: 12:00-1:00pm Monday-Thursday. Residents take turns as teacher to their peers and present an interesting case with an attending (either a general internist or a subspecialist) present to help direct learning. We include board review questions and clinical vignettes relevant to the case to help guide learning. This is continually voted the best conference by our residents.
Interns Report: 12:00-1:00pm every Friday. This is a dedicated resident report session geared towards interns, which allows them to develop their clinical reasoning skills in a supportive environment that fosters independent decision making and critical thinking.
Academic Half Day: Residents have one half day per week of protected time to attend education sessions. Interns have their half day on Wednesday afternoons and senior residents have their half day on Thursday afternoons, which allows the educational content to be modified to the level of the learner. Core curriculum is delivered in the flipped-classroom format, where generalists and subspecialists help residents work through case-based problems in small groups. Content is organized into blocks by organ-system and subspecialists are involved in developing and delivering core curriculum. The half day curriculum also features Simulation, an ultrasound curriculum, Jeopardy, resident talks, quality improvement projects, ethics discussions and wellness activities.
Resident Talks and Journal Clubs: Residents practice self-directed learning and critical review of the literature with a weekly resident talk series including a monthly journal club.
Ethics lecture series: Monthly Ethics lecture series presented by our associate program director, Dr. Eldakar-Hein. Additionally she facilitates monthly reflection sessions bringing residents together to discuss difficult patient experiences or ethics topics.
Quality Improvement: The Department of Medicine Quality Improvement (QI) and Patient Safety curriculum for residents is intended to prepare physicians to incorporate QI, high value care, and patient safety concepts into their current and future clinical care. The curriculum is embedded into the academic half day and taught as small group seminars and mentored, experiential learning. It is divided across the three years of the residency program:
- PGY-1 – Foundations of QI and Patient Safety
- PGY-2 – Facilitated, small group QI projects
- PGY-3 – High value care case studies and root causes analyses, utilizing cases identified by residents
Upper level residents have the opportunity to present their work in local or regional venues.
Grand Rounds and Morbidity & Mortality: 8:00-9:00am every Friday. Grand rounds is a weekly conference on important topics presented by experts in the field from both our own institution as well as speakers from all over the country. At M&M a resident presents a case in front of the department once per month and a case analysis format is used to facilitate improved patient care and safety throughout the institution.
Mock Codes: Each resident participates in this experience 4-6 times per year. This provides residents with an additional opportunity to practice ACLS algorithms and communication skills necessary to being Code team leader in a simulated setting to hone those skills.
Self-Guided Learning: Residents are provided with access to several different self-guided curriculums which include the MKSAP and NEJM Knowledge + question banks as well as the ambulatory PEAC curriculum.
Ambulatory Week - Core Curriculum
Conferences during the ambulatory week go well beyond the conventional pre-clinic conference, which tends to focus on medical knowledge. Our residents all get a balanced training which also includes training in practice management and clinical skills.
- Tuesday mornings conference from 9:30-11:30
- Clinical knowledge in 27 core conditions over 3 years (see list)
- Clinical skills – Evidence Based Medicine, Communication skills, Physical diagnosis
Topics for Tuesday conference series – 27 topics over 3 years, and 1 special topic each year.
These topics are chosen because they represent the most common conditions seen in primary care, are those things the residents will be most exposed to in the clinic, and therefore a niche for our faculty.
- Anxiety states – phobia, social phobia, PTSD, panic attacks, generalized anxiety disorder, OCD
- Chronic Pain
- CKD in primary care
- Memory loss/diagnosis and management of dementia
- Addiction medicine
Screening and prevention
- CAD – primary and secondary prevention
- Vascular disease: Abdominal aortic aneurysm screening and surveillance, Peripheral vascular disease screening and secondary prevention, Carotid screening and secondary prevention
- Colorectal cancer – screening and prevention
- Prostate cancer screening and prevention
- Breast cancer screening and prevention
- Lung cancer screening and prevention
- Cervical cancer screening and prevention
- Osteoporosis screening and prevention
- Pre-op consultation
- Geriatric assessment
- Evaluation and management of common orthopedic complaints
- Common urinary syndromes – BPH, UTI, incontinence
- Acute spine complaints – neck, low back
- Common ENT infections - Internal and external otitis, sinusitis, pharyngitis
- Cough and the outpatient management of pneumonia/bronchitis
- Common Neuropathies