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.

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
  • Orthopedic Surgery
  • Palliative care/ Hospice
  • Physical Medicine and Rehabilitation
  • POCUS
  • Psychiatry
  • Public Health
  • Pulmonology
  • Radiology
  • Rheumatology
  • 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 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.

Academic half day

On Tuesday Afternoons, our residents get protected time for academic half day from 12:30 to 3:30. First session is conducted by a subject matter expert physicians and faculty. Second session is conducted in morning report style case presentation to elicit and polish audience's clinical reasoning skills. The last session is either morbidity and mortality conference, or  inpatient and ambulatory didactics conducted by core faculty.

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 the focus of ACGME from beginning. 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

  1. Buddy system
  2. Team building activities
  3. Weekly small group wellness discussions in clinic
  4. Outdoor wellness and mindfulness activities
  5. Monthly yoga classes
  6. Dedicated and robust mentorships
  7. Jeopardy system to address resident fatigue and emergencies
  8. Optum emotional wellbeing services
  9. 3+1 model of scheduling
  10. 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.

Additional reading/resources: