Curriculum

The required core curriculum for all residents includes the following rotations:

• Inpatient General Medicine (All Years)
• Medical Intensive Care Unit (All Years)
• Coronary Care Unit (All Years)
• Inpatient Hematology-Oncology (PGY1 and PGY2)
• Geriatrics (PGY1 and PGY2)
• Emergency Medicine (PGY1 and PGY3)
• Neurology Consults (PGY1)
• Palliative Care (PGY2)
• General Medicine Consultation (PGY3)

Within ambulatory blocks, each resident will have the following required experiences:

• General Medicine Continuity Practice, 4 half-days per week while in ambulatory blocks (All Years)
• Quality improvement and patient safety curriculum and mentored projects based on real-time outcome data from each resident's patient panel (All Years)
• Ambulatory curriculum emphasizing ambulatory knowledge, physical exam skills, communication skills, interdisciplinary team-based care, cost-conscious curriculum (All Years)
• Community-Based Primary Care (All PGY1, and elective option for PGY2 and PGY3)

Weeks per Rotation

Rotation	PGY1 Weeks	PGY2 Weeks	PGY3 Weeks
Ambulatory Block	14	12	14
Strong Memorial Hospital Floors	10	6	12
Highland Hospital Floors	4	4	2
Hematology-Oncology Floors	4	2	0
MICU	4	4	2
CCU	2	2	2
General Medicine Night Float	2	2	2
ED	2	0	2
Geriatrics	2	2	0
Palliative Care	0	2	0
Procedure Team	0	2	0
Neuro Consults	2	0	0
Vacation	4	4	4
Traditional Electives	2	10	12
Longitudinal Ambulatory Electives	0*	3*	3*

*Each ambulatory elective built into the ambulatory blocks consists of a total of 12-14 sessions in that elective area over the course of the year

Elective Curriculum

Electives are offered in all of the major subspecialties of internal medicine in both outpatient and inpatient settings. Residents may take electives in either 2- or 4-week blocks.

In addition, second-and-third-year residents each have 3 longitudinal ambulatory electives in their ambulatory blocks. In each of these the resident goes to a single specialist's office 12-14 times over the course of the year. Each of these electives allows continuity with a single specifically chosen outstanding teacher and continuity with a patient cohort within the specialist's practice over the course of a year. This provides a highly valuable ambulatory specialty educational experience, facilitates the formation of mentoring relationships, and, among residents considering subspecialty training, allows the resident to better understand what the life of a specialist in that field is like (since the majority of medicine in many fields is practiced in the outpatient, rather than inpatient, setting).

In addition to electives in traditional medical subspecialties, we offer many other elective experiences, including but not limited to:

• Point of Care Ultrasound
• Community-Based Primary Care in Urban and Rural settings
• Mentored research electives
• Community Service - St. Joseph's Neighborhood Health Center
• International Health, including a group elective to Yantalo, Peru each year
• Medical Education
• Women's Health
• Adolescent Medicine
• Advanced Evidence Based Medicine
• Health Care Systems
• Other specialties, such as dermatology, neurology, psychiatry, radiology, anesthesiology, etc.