Internal Medicine Residency Training Program Curriculum
The Department of Medicine offers a well-rounded training program in Internal Medicine. Because we are committed to preparing residents to become general internists, subspecialty fellows or medical researchers, our curriculum is flexible and individually tailored. Moreover, the clinical training occurs in diverse outpatient and inpatient settings so residents can experience a wide variety of patients and practices.
Primary Care Pathway
The residency program is newly offering a primary care pathway for approximately 8 residents per year. Residents who are interested in primary care medicine will participate in a curriculum specifically designed to teach the unique aspects of outpatient medicine and population health. Residents will be able to choose from one of three diverse sites to be their home base for primary care training, but will have the flexibility to train at many other ambulatory sites in order to experience different patient populations and different systems of practice.
Over the course of the three years, residents in the primary care pathway will spend an increased proportion of time in the ambulatory clinics. Rotations in the ambulatory setting can occur at a variety of clinical sites, and will include rotations in non-medical subspecialty areas that cover common outpatient conditions (ie women’s health clinic, dermatology, ENT). Residents in this pathway will receive ongoing mentorship from experienced and skilled outpatient physicians at their home site. Residents will also participate in quality improvement projects at their home site that will focus on issues specific to outpatient medicine (ie preventative health, information flow). This will occur via 2 weeks of dedicated time each year and throughout the year as well.
The primary care path will not be a separate match offering in order to allow any resident who develops an interest in primary care to be able to move into this path.
Our traditional categorical pathway is designed to help residents develop into well-rounded physicians who can be highly successful in a subspecialty of their choice, as hospitalists, or as general internists. Residents can tailor their schedule such that their individual needs are met as they investigate and then solidify their career choices.
For residents in the categorical path, a large amount of time will occur on the general medicine wards and in the ICUs. Rotations on inpatient subspecialty consult services will bolster residents’ experience with acutely ill, complicated medical patients. In the third year, residents will participate in a hospitalist rotation that will allow them to optimally prepare for that career path. Residents will have 12 weeks of elective time over their three years during which they can choose to participate in research projects, and our residents are highly successful at completing research projects.
Residents in the categorical path will also spend approximately 1/3 of their time in the ambulatory setting. In addition to continuity clinic, residents will rotate through a variety of community-based clinics and have ample exposure to outpatient diagnoses.
Our prelim pathway is designed to provide a broad internal medicine experience to residents who will be pursuing non-medical training. A preliminary resident schedule is very similar to a categorical resident schedule, in order to model the well-rounded, diverse experience of our categorical trainees. As such, prelims will rotate through medicine wards, ICUs and subspecialty consult services. Prelims will not have continuity clinic but will have excellent outpatient exposure during dedicated ambulatory blocks.