Core curriculum
Our program utilizes a 3+1 schedule system to assign residents 3 weeks of rotation across variable settings including inpatient medicine wards, night float and other subspecialty rotations followed by one week of ambulatory care in the continuity clinic. Residents are also assigned 4 weeks of ICU each post graduate year and 4 weeks of Emergency Medicine in the senior year.There is no 24-hour call, as we feature a dedicated Night Float rotation.
To fulfill our mission of training high quality internists and to further expand the clinical learning and experience for the residents, our program offers a good mixture of inpatient and outpatient electives.
Electives:
To fulfill our mission of training high quality internists and to further expand the clinical learning and experience for the residents, our program offers the following electives.
- Addiction Medicine
- Anesthesia
- Cardiology
- Endocrinology
- Gastroenterology
- Geriatric
- Hematology & Oncology
- Infectious Disease
- Nephrology
- Neurology
- OBGYN
- Ophthalmology
- Palliative care/ Hospice
- Physical Medicine and Rehabilitation
- POCUS
- Psychiatry
- Public Health
- Pulmonology
- Radiology
- Rheumatology
- Sports Medicine
- Urgent Care
- Wound Care
Ambulatory continuity clinic:
We take pride in our comprehensive ambulatory clinic experience at Internal Medicine Continuity Clinic, located adjacent to the hospital. The residents are supervised by dedicated academic faculty with focus on evidence based driven, cost effective patient care. Our 3+1 schedule allows residents to build longitudinal relationship with their patients assuring continuity of care. Ambulatory electronic medical record system, eClinicalWorks (ECW), integrates all patient medical information allowing seamless documentation of all patient information.
Didactic curriculum
In addition to teaching rounds and bedside teaching, our program offers the following structured didactic sessions.
Noon conference:
Noon conference offers protected time for resident’s education from 12:30 – 1:30 pm, Tuesday-Thursday. Subject matter experts in various Internal Medicine sub-specialties deliver these sessions. The curriculum includes high yield topics as outlined by American Board of Internal Medicine and is designed such that a specific organ system teaching is delivered each month.
Board review
Board review is conducted on Mondays from 12:30 pm to 1:30 pm for the senior residents. The curriculum is designed to cover all essential topics throughout the year and the sessions are designed to be interactive session focusing on high yield topics as well as question solving skills.
Ambulatory didactics
We have a robust ambulatory teaching curriculum in place. The ambulatory curriculum is delivered to residents in small group settings every Monday. Remove - morning and afternoon.
Intern lecture series
We conduct intern lecture series on Friday Afternoons 1-2 pm which is protected time for interns. During this lecture, our faculty discusses topics which are essential for interns during their early exposure to residency.
Wellness curriculum
Resident wellness has been an essential area of focus for us. In 2017, the ACGME revised its Common Program Requirements for all accredited residency and fellowship programs regardless of specialty to address well-being more directly and comprehensively.
Objectives
- Realize the true joy in helping others as physicians
- Create a healthy balance between work and personal life
- Practice mindfulness
- Develop and foster resilience
- Decrease burnout
- Develop empathetic, well-rounded and content physicians.
Wellness Initiatives
- Buddy system
- Team building activities
- Weekly small group wellness discussions in clinic
- Outdoor wellness and mindfulness activities
- Monthly yoga classes
- Dedicated and robust mentorships
- Jeopardy system to address resident fatigue and emergencies
- Optum emotional wellbeing services
- 3+1 model of scheduling
- GME Fatigue Policy
Our goal is to create well rounded future physicians by teaching them lifelong skills of resilience, reflection and mindfulness, in addition to excellent medical training.
Eligibility requirements
Applicants will be considered on an individual basis; however, the following requirements must be met:
- U.S. citizens or individuals with permanent resident status (green card); we do not sponsor visas.
- Applicants must successfully complete USMLE Step 1 or COMLEX Level 1 before an interview offer can be extended.
- Step 2CK or COMLEX Level 2CE must be successfully completed prior to ranking.
- Prefer no more than 3 years since completion of medical school to anticipated start of residency
- Any breaks in education or work history must be explained.
- Applicants must be eligible for a residency training license in the State of Nevada.
Medical Student Rotations
Sunrise Health Graduate Medical Education Consortium offers rotations for medical students and prospective residents with opportunities to work closely with residents and faculty.
Amenities for Residents
Adjacent to the hospital is the GME facility that provides a dedicated space with our lecture hall, simulation center, classrooms, study and research space, 24-hour resident's lounge, and resident on-call rooms. In addition, residents are all provided with the following resources:
- Work iPhone w/HIPAA-compliant messaging software
- Work Laptop
- Covered Resident Parking
- $150 Biweekly Cafeteria Stipend
- MKSAP Subscription
- ACP Membership
- NEJM Healer
- UpToDate Access
- Johns Hopkins Curriculum
- Reimbursement for Step 3 or COMLEX Level 3
- AccessMedicine
Research and scholarly activity
We offer a structured research curriculum through dedicated systematic lectures to prepare residents for research. MountainView Residents have access to HCA’s 180+ hospital national database, statisticians, and research departments to assist with designing and implementation of research protocols. Division Director of research, teaches biomedical statistics to our residents.
All residents are required to participate in at least one scholarly activity during training. There are diverse opportunities and abundant support available to our residents for some of the following:
- Case Studies
- Literature review articles
- Grand Rounds
- Quality Improvement projects
- Hypothesis-Driven Research projects
The Mountain View GME program supports residents in the presentation of their scholarly activities at Regional and National scientific conferences. Our residents have been the winners of ACP resident’s research and poster presentations at the state level multiple times. Our residents regularly represent the program at the state and national level at ACP and subspecialty conferences.
Quality Improvement
Patient safety, monitoring patient care and quality outcome measures are embedded in the mission of the department of internal medicine. Our program has an elaborate patient safety and quality improvement curriculum, and provide the following educational steps to educate our trainees.
- Teaching the principles of Quality Improvement
- Building dynamic thinking process and infrastructure for residents to participate in protocol building, design and implementation of the patient safety projects.
- Participate in department and institution level projects to create innovative health monitoring system, quality and outcome metrics
Resident Life
Want to know more about our residents and their experiences? Click the link below to see our Instagram.
Additional reading/resources:
- Accreditation Council for Graduate Medical Education - Improving Physician Well-Being, Restoring Meaning in Medicine
- National Academy of Medicine - clinician resilience and well being
- AMA strongly supports the charter on physician well-being
- Causes of Death of Residents in ACGME-Accredited Programs 2000 Through 2014: Implications for the Learning Environment