Program Curriculum
We use a standardized 4+1 rotation schedule and the year is divided into 10 five-week blocks. Four weeks of a resident’s block are devoted to inpatient wards or elective/selective rotations. The fifth week of each block is devoted solely to the ambulatory continuity clinic.
The 4+1 rotation system:
- Allows residents to invest their full attention in their patients in the setting they are working in
- Enables greater patient continuity
- Contributes to better doctor-patient relationships and enhanced patient satisfaction
- Encourages a great sense of teamwork and camaraderie amongst residents
Every five weeks as residents rotate through the clinic, there is a structured half day of didactic time. We have incorporated a continuous schedule of articles from Yale Based Curriculum, broken up by PGY level, to review and discuss with faculty. In addition to this, residents participate in resident as teacher curriculum, mock codes in the hospital, and a QI/research follow up meeting to review progress and goals.
Other important characteristics of our program are:
- 24/7 hospitalist and intensivist coverage
- In-house attendings are available for assistance at all times and direct supervision is always immediately available
- No continuous in-house night calls
- Residents assume major responsibility for the evaluation, diagnosis and treatment of a variety of diseases
- All PGY3's are enrolled in the Awesome Board Review Course in addition to monthly evening board review sessions on-site led by faculty at Portsmouth.
All residents play the roles of primary care providers, teachers of junior colleagues and active learners.
PGY1
|
Rotation |
Duration (weeks) |
|
Inpatient Rotation |
20 |
|
Night Float |
2 |
|
Critical Care |
4 |
|
Continuity Clinic |
10 |
|
Sub-specialties |
14 |
PGY2
|
Rotation |
Duration (weeks) |
|
Inpatient Rotation |
16 |
|
Night Float |
4 |
|
Critical Care |
4 |
|
Continuity Clinic |
10 |
|
Sub-specialties |
14 |
|
Selectives |
4 |
PGY3
|
Rotation |
Duration (weeks) |
|
Inpatient Rotation |
13 |
|
Critical Care |
4 |
|
Continuity Clinic |
10 |
|
Sub-specialties |
19 |
|
Selectives |
6 |