Tailored to Meet Long-Term 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.
The curriculum is structured to provide a well-rounded clinical experience and to fulfill all of the requirements for osteopathic internal medicine training. In the first year, a total of four months is spent on the general medicine teaching services. Each first year resident spends one month on the critical care service, cardiology and pulmonary, general medicine consult team and emergency medicine. To fulfill the requirement for one month of primary care ambulatory experience, the first year resident take a month on the ambulatory women's health rotation. The first year resident selects two, two-week rotations from the following: behavioral health, ENT, ophthalmology, orthopedics, physical medicine and rehabilitation and dermatology. Each first year resident rotates for one month on radiology.
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 medicine, infectious diseases, nephrology, neurology, pulmonary medicine and 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 as well.
Each resident is required to rotate on the critical care service in the first, second and third years of training. In addition, each resident takes a community-based geriatrics rotation as a senior resident. Over the course of three years, each resident rotates for two weeks in each of the ambulatory selectives including: behavioral health, dermatology, ENT, ophthalmology, office orthopedics and physical medicine and rehabilitation.
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
Over the course of the training, each resident follows a panel of patients as the primary care physician. Each first year resident attends clinic 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 first year resident takes medicine-call approximately once a week. The first year resident is excused by noon on the post-call day. There is no call on the emergency medicine rotation. On the emergency medicine rotation, the first year resident works 14, ten-hour shifts per month.
Sample First-Year Curriculum
| General Medicine Teaching Service |
4 |
| General Medicine Consult Team |
1 |
| Critical Care |
1 |
| Cardiology |
1 |
| Pulmonary |
1 |
| Women's Health |
1 |
| Emergency Medicine |
1 |
| Radiology |
1 |
|
Ambulatory Selectives
|
2 weeks
2 weeks
|
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 a 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 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
| General Medicine Teaching Service |
2 |
| Ambulatory Care Block Rotation |
1 |
| Gastroenterology |
1 |
| Endocrinology |
1 |
| Hematology/Oncology |
1 |
| Infectious Disease |
1 |
| Nephrology |
1 |
|
Ambulatory Selectives
- ENT
- Physical Medicine and Rehabilitation
|
2 weeks
2 weeks
|
| Critical Care |
2 |
| General Medicine Consult Team |
1 |
Third-Year Curriculum
Ambulatory Clinic
Each third year resident attends clinic one full day-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 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
| General Medicine Teaching Service |
1 |
| General Medicine Consult Team |
1 |
| Critical Care |
1 |
| Neurology |
1 |
| Community-based Geriatrics |
1 |
| Rheumatology |
1 |
| Allergy and Immunology |
1 |
| Medical Subspecialty Electives |
4 |
|
Ambulatory Selective
- Ophthalmology
- Behavioral Medicine
|
2 weeks
2 weeks
|