Curriculum
Each year is divided into 13 four-week rotation blocks.
The majority of rotations are at LewisGale Medical Center and affiliated medical practices in the area.
The adult inpatient medicine service is staffed by faculty physicians and attending hospitalists at LewisGale Medical Center. There will be an in-house attending 24/7. There is no overnight call when on the inpatient adult medicine service; instead, there is a dedicated night float rotation.
| Rotation | Duration (weeks) |
|---|---|
| Inpatient Adult Medicine | 8 |
| MICU | 4 |
| Nursery/NICU | 4 |
| Gynecology | 4 | Musculoskeletal | 4 |
| Night Float | 4 |
| Peds Inpatient/Peds ER @ VCU | 4 |
| Family Medicine Continuity Clinic | 6 |
| Obstetrics | 4 |
| Surgery | 2 |
| Emergency Medicine | 4 |
| Electives | 4 |
| Rotation | Duration (weeks) |
|---|---|
| Inpatient Adult Medicine | 8 |
| Night Float | 4 |
| Obstetrics | 4 |
| Family Medicine Continuity Clinic | 10 | Gynecology | 4 |
| Electives | 12 |
| Cardiology | 4 |
| Psychiatry/Addiction medicine | 4 |
| Outpatient Pediatrics | 4 |
| Radiology Selective | 2 |
| Rotation | Duration (weeks) |
|---|---|
| Inpatient Adult Medicine | 8 |
| Night Float | 4 |
| Musculoskeletal | 4 |
| Outpatient Pediatrics | 4 | Electives | 12 |
| Geriatrics/Nursing Home/Hospice | 4 |
| Family Medicine Continuity Clinic | 14 |
| Radiology Selective | 2 |
Continuity clinic
The foundation of the resident educational experience is the continuity clinic.
Residents care for their panel of patients on an increasing scale throughout their residency:
- PGY1: at least one-half day per week
- PGY2: about one and a half days per week
- PGY3: about two to 3 days per week
Through the continuity clinic experience, residents discover the rewards of a longitudinal relationship with patients and work to address the overall needs of the patient. Each resident gains knowledge in team-based care, team dynamics and leadership role on the care team.
The continuity clinic is also a valuable learning space for quality improvement, population health, and integrated care.
Conference schedule
Educational half day
Every Wednesday afternoon is dedicated to education in which residents engage in a 3-hour block of didactics teaching. This includes training at the simulation center, case conferences, lectures, and hands-on procedure training. All residents attend unless on the adult inpatient rotation, away rotations, or night float. Examples of subjects and formats include:
- Disease process-based subjects (i.e., COPD, CAD, DM, etc.)
- Journal club
- Morbidity and Mortality conference
- Individual, resident-led, evidence-based medicine presentation
- Board review
- Communication skills development (i.e., motivational interviewing, crucial conversations etc.)
- Simulation center scenarios
Scholarly activity
Scholarly activity is a required component of our program's curricula. As a part of the residency program, residents engage with hospital committees and must participate in at least one quality improvement project per year with faculty mentor ship. In addition, we ask all of our residents to present during the academic half day at least once a year as an educational activity.