Schedule Customized to Resident’s Career Goal

Each resident’s schedule is individually tailored by the Program Director to suit the resident’s long-term career goal whether it be practicing as a general internist, a hospitalist or training in a subspecialty of medicine.

Over the course of three years, the resident rotates for at least one month in each medical subspecialty including:

  • Allergy and immunology
  • Cardiology
  • Endocrinology
  • Gastroenterology
  • Hematology/oncology
  • Hospitalist service
  • Infectious disease
  • Nephrology
  • Neurology
  • Pulmonary medicine
  • Rheumatology

Each second-year resident rotates on an ambulatory care block at St. Luke's Union Station clinic. Residents rotate on the general medicine consult service in the second and third years.

Each resident also is required to rotate on the critical care service in the first, second and third years. In addition, during the three-year course of training, each resident takes a month-long, community-based geriatrics rotation and two-week rotations in the ambulatory selectives including behavioral medicine, dermatology, ENT, ophthalmology, orthopedics, physical medicine and rehabilitation and women's health.

During the remainder of the training, the resident has ample opportunity to repeat subspecialty rotations of his/her choosing as well as pursue electives in palliative care and primary care Internal Medicine ambulatory rotations.

First-Year Curriculum

Ambulatory Clinic

Each resident follows a panel of patients as the primary care physician for three years. Clinic is one-half day per week. The resident is excused from clinic during his/her one month rotation on the critical care service.

Night Call

On the general medicine teaching service, the intern is on-call every fourth night. The intern on this service has either Saturday or Sunday off each week. Call on the critical care service is every fourth night. On the other services, the intern takes medicine-call approximately once a week. The intern is excused by noon on the post-call day. There is no call on the emergency medicine rotation. On the emergency medicine rotation, the intern works 14, ten-hour shifts per month.

Sample First-Year Curriculum

Service

Months
General Medicine Teaching Service 4
Medical Subspecialty Electives 2
Cardiology 1
Pulmonary 1
Nephrology 1
Gastroenterology 1
Emergency Medicine 1
Critical Care 1

Second-Year Curriculum

Ambulatory Clinic

Each second-year resident attends clinic one-half day, alternating with two-half days a week. The resident is excused from clinic during his/her two months on the critical care service. Each second year resident also has a one-month ambulatory block rotation where he/she sees the panel of general medicine patients, participates in numerous subspecialty clinics and develops and implements a quality improvement project.

Night Call

Second-year residents take call approximately once a week. When on the general medicine teaching service, the resident does not take call. Residents on this service have either Saturday or Sunday off each week. On subspecialty services and ambulatory selectives, the resident frequently has both weekend days off.

Out-of-House Electives

There is an opportunity to take an elective outside the institution once in the second year with the approval of the program director. The majority of the residents who take this elective chose to rotate on a medical subspecialty at Temple University Hospital, one of our major teaching affiliations.

Sample Second-Year Curriculum

Service

Months
General Medicine Teaching Service 2
Ambulatory Care Block Rotation 1
Infectious Disease 1
Critical Care 2
Hospitalist Medicine 1
Endocrinology 1

Ambulatory Selectives

  • Behavioral Health

  • Opthalmology

 

2 weeks

2 weeks

Ambulatory Selectives

  • Dermatology
  • ENT

 

2 weeks

2 weeks
Medical Subspecialty Electives 1
General Medicine Consult Team C 1

Third-Year Curriculum

Ambulatory Clinic

Each third-year resident attends clinic two half-days a week. The resident is excused from clinic during his/her one month rotation on the critical care service.

Night Call

Third-year residents take call approximately every 10 to 12 days. When on the general medicine teaching service, the resident does not take night call. Residents on this service have either Saturday or Sunday off each week. On subspecialty services and ambulatory selectives, the resident frequently has both weekend days off.

Sample Third-Year Curriculum

Service

Months
General Medicine Teaching Service 1
Critical Care 1
Neurology 1

Ambulatory Selectives

• Physical Medicine and Rehabilitation

• Orthopedics

 

2 weeks

2 weeks
Hematology/Oncology 1
Women's Health 2 weeks
Radiology 2 weeks
Geriatrics 1
Allergy and Immunology 1
Rheumatology 1
Medical Subspecialty Electives 3