CLINICAL CURRICULUM

The alternating four-month trimester-based schedule assures seasonal variation in exposure to both medicine and pediatrics. At least one half of the total experience is in direct primary care, as required by the Boards of Internal Medicine and Pediatrics. “Internship” level rotations are scheduled for the first 4 trimesters of the residency, of which 12 are PGY-1 level rotations and 4 are “PG-level neutral” (elective, development and behavior, etc.) rotations. With this schedule, residents are well prepared to act as supervisory residents in both medicine and pediatrics when they have completed 16 months in the program.

4 year curriculum & Sample schedule

JUL

AUG

SEP

OCT

NOV

DEC

JAN

FEB

MAR

APR

MAY

JUN

PGY-1

CCU

IM Wards

Peds Wards

Newborn Nursery

Neuro

IM Ambulatory

MICU

IM Wards

NICU

Peds Elective

Peds Wards

PICU

PGY-2

IM Elective

IM Wards

Peds Elective

Peds Wards

IM Wards

IM Elective

Adult ED

IM Elective

Peds Wards

Peds H/O

Dev'l / Behavioral Peds

NICU

PGY-3

IM Elective

MICU

IM Wards

Adult ED

Peds Elective

NICU

Peds Elective

Peds Cross Cover

IM NF3

IM Elective

CCU

IM Ambulatory

PGY-4

Peds Urgent Care

Individualized Curriculum

Adolescent

Peds Wards

IM Elective

IM Wards

Medicine Consult

Geriatrics

Peds NF

Peds Elective

Peds ED

Peds Elective

  • Rotations are generally 4 months grouped IM and Peds experiences, EXCEPT the initial PGY1 trimester, when interns complete 2 months and shift (an adjustment requested by our residents to avoid feeling “behind” their categorical peers when a first categorical ward experience occurs, and EXCEPT the initial PGY2 trimester (again, requested by our residents so they are <2 months away from their most recent IM or Peds experience when they start their senior resident roles).
  • Some intern level experiences extend into the PGY2 year; this allows more elective and ambulatory time in the PGY1 year AND residents to complete 3 ward rotations in IM and Peds before taking on senior roles.

The ambulatory curriculum is offered for all residents in the Medicine-Pediatrics Primary Care Center (MPPCC). A conference is held during protected time in the first half-hour of each clinical session, co-facilitated by a resident and Med-Peds faculty member. Residents play a leadership role in conducting the sessions. Each topic is identical for all sessions during a single week so that all residents and faculty cover the same material. An Introductory Series of 12 core topics is repeated each July, August and September. Topics include basic approaches to adult and pediatric patients aimed at new interns and students who are beginning their continuity experience in the Med-Peds Clinic. Following the Introductory Series, the remaining sections of the Ambulatory Curriculum consist of broad content areas selected from adult and pediatric materials. The curriculum is web-based, making it accessible from any networked or home/VPN computer.

The Medicine-Pediatrics Forum is a conference series conducted by the residency program in which literature and topics relevant to the practice of both specialties are discussed and integrated. The series is conducted in both journal club and didactic formats. Residents and faculty jointly contribute to the topic selection and content of each session. The format reflects a respect for the role of residents as faculty colleagues, and allows the content to adapt to current interests and educational needs. The series allows for weekly meetings of residents, faculty and other interested colleagues for formal and informal interactions and learning.

For conference forums, the resident or faculty leader select a topic and invite guest speakers from the Departments of Medicine and Pediatrics. This conference series has enabled internists and pediatricians, as well as generalists and specialists to confer and collaborate in presenting educational material. The synergy that emerges within these forums has furthered their success and led to the enthusiastic participation of faculty in both departments. Responsibility for journal club forums rotates among resident/faculty pairings, each of whom selects an article pertinent to medicine, pediatrics, or Med-Peds and works with a faculty member to present the topic and critique of the article.

Medicine-Pediatrics residents attend conferences that are conducted within each department depending upon the specialty in which they are rotating for that particular trimester, which include daily morning reports and noon conferences. Internal Medicine Grand Rounds are held weekly. Pediatrics Grand Rounds are held weekly, with a brief pause in the summer months. Med-Peds specific conferences, which are conducted throughout the year, consist of:

  •     Med-Peds Clinic conference and curriculum
  •     Med-Peds Forum conducted weekly
  •     Quarterly Med-Peds program meeting

The Medicine-Pediatrics residents also participate in the retreats and individual program curriculum committees within the Department of Internal Medicine as well as the Department of Pediatrics. Med-Peds residents are fully integrated into each of these departments and are regarded as peers with residents in each of the individual residency programs with respect to education, responsibility, program feedback, and participation.

Our residents have been an integral part of the planning and development process of all of the elements of our program and we take pride in their resulting sense of ownership and of their achievement.