Program Curriculum
Starting in 2025, the IM residency program moved to an innovative schedule that allows for more individualization and flexibility in scheduling. The IM residents now have a schedule based on individual weeks rather than four-week blocks. While still covering the same amount of time (eg 20 weeks of wards in the PGY1 year), by having it broken up into weeks that can alternate with other rotations rather than four-week blocks, this more closely mirrors real-life practice. It also helps reduce burn out on difficult rotations and improves quality of life. All mandatory subspecialty rotations have the weeks grouped together (eg two weeks of Neurology back to back) but all mandatory rotations that happen throughout the residency program (Wards, ICU, Clinic) are in shorter time periods at any given period of time. Residents are in their continuity clinic roughly every five weeks.
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
- Residents assume major responsibility for the evaluation, diagnosis and treatment of a variety of diseases
- All PGY3's complete a Board Review Course
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 |
3 |
|
Critical Care |
7 |
|
Continuity Clinic |
10 |
|
Sub-specialties |
6 |
|
Elective |
1 |
|
PTO |
4 |
PGY2
|
Rotation |
Duration (weeks) |
|
Inpatient Rotation |
16 |
|
Night Float |
2 |
|
Critical Care |
5 |
|
Continuity Clinic |
10 |
|
Sub-specialties |
7 |
|
Electives |
6 |
|
PTO |
4 |
PGY3
|
Rotation |
Duration (weeks) |
|
Inpatient Rotation |
12 |
|
Critical Care |
4 |
|
Night Float |
1 |
|
Critical Care |
5 |
|
Continuity Clinic |
10 |
|
Sub-specialties |
8 |
|
Electives |
12 |
|
PTO |
4 |
Conference Schedule:
We have a daily noon conference from 12-1pm. Of twenty lectures in the month, roughly ten are attending led-lectures, five are resident-led lectures with faculty present (Case report, Board Review, Morbidity and Mortality conference or Journal club) and five or less are administrative (Resident/Faculty meeting, Program director meetings, Chief resident meetings). Each month, noon conferences broadly fall into a theme matching one of the MKSAP books. Other recurring lecture series include Point of Care Ultrasound lectures as well as a Documentation Review series to collectively and constructively reflect on and improve documentation as well as a Life After Residency series to discuss the many facets of practice after graduating residency. In addition to noon conferences, we have enhanced the educational opportunities on the ICU rotation. Residents on this rotation complete trainings/readings through the Society of Critical Care Medicine to improve their experience in the ICU. These modules are then reviewed with faculty and practiced in a skills assessment. During the resident's continuity clinic weeks, Dr Schultz and Dr Yoo lead small-group didactics using a Yale Based Curriculum as well as a Physical Exam series to review and practice various aspects of the physical exam. During the clinic weeks, residents also utilize the Simulation lab for mock rapids/codes as well as Point of Care Ultrasound practice.