Internal Medicine Residency

Curriculum in Internal Medicine

During the 36 months of training, residents in the categorical program participate in the following curriculum. The number of inpatient rotations -- or inpatient equivalents -- is fixed for each year of training and consists of all floor rotations, ICU's, night and day floats, and Night Acting Chief Resident (NACR) rotations. With our academic year based on 13 4-week rotations, categorical interns have 9 inpatient equivalents, PGY-2's have 7.5 and PGY-3's have 6.5 blocks. There is some slight variation in the distribution of types of these inpatient equivalents, with categorical residents completing no more than 6 ICU months and no more than 4 months of night float over 3 years.

Interns in the preliminary program complete 10 inpatient equivalents (including 8-9 inpatient and 1-2 Day or Night Float blocks). Preliminary interns interested in anesthesiology complete 2 months of MICU and may request extra ICU months. We ensure that all interns balanced experiences at both UMMC and the VA during inpatient and elective blocks.

Rotations	Year 1 Categorical	Year 1 Preliminary	Year 2	Year 3
Inpatient services (including ICU's)	7.5	8	6	5
Night Float, Day Float, MAO	1.5	2	1.5	1
Night Acting Chief	0	0	0	0.5
Emergency Medicine	0.5	0	1	0.5
Ambulatory Blocks / FPO	1	0.5	2.5	2
Electives	2	2	1.5	3.5
Continuity Clinic	Yes	No	Yes	Yes
Vacation	4 weeks	4 weeks	4 weeks	4 weeks

MAO = Medical Admitting Officer at Mercy Medical Center
FPO = Faculty Practice Offices (2 week out-patient rotation)
Vacation = Interns have vacation as a 2 week block, 1 week during elective, and another week off at the end of the year from June 24-30 (if they are remaining at UMMC). Upper level residents have 4 weeks of vacation (2 week block + 2 weeks during electives)

Conference and Inpatient Work Schedule

Our chief residents have created a marvelous web-based calendar in Google. You can access our calendar at Blackboard. Username and password = imres.

7 am - 8 am

Work Rounds: First year residents pre-round on their patients in preparation for resident-run work rounds at 7 am. The team resident is responsible for supervising the clinical activities and for teaching the members of the team.

8:15 am - 9 am

Morning Report: Morning Report is a case-based conference, emphasizing problem solving and the evaluation and management of clinical problems. These Socratic type learning sessions led by the Chief Residents are the major conferences of the day. Some Morning Reports have different themes, such as a weekly core curriculum in primary care, Morbidity and Mortality Conference, Epidemiology, Ethics, Palliative Medicine and End-of-Life Care.

Senior Resident Conference: Each senior resident is required to present a comprehensive literature review of a topic of interest. The residents write a 10-15 page referenced manuscript and create slides for their presentation. The manuscripts are bound for distribution at the end of the year. Both the slide presentations and manuscripts are available on our Blackboard site. You can view them by entering the username and password = imres.

We hold our monthly Morbidity and Mortality Conference and Medical Ethics Seminars during this morning time slot as well. In addition, we have an extremely well received monthly Resident Research Forum, where residents showcase their ongoing research projects to their peers and faculty.

9 am - 11 am

Attending Rounds: These sessions are held 7 days per week at all inpatient sites. Led by the attending, these rounds are geared to the resident level and integrate clinical management and teaching with an emphasis on learning at the bedside.

12 pm - 1 pm

Medical Grand Rounds: This is the weekly premier conference for the Department of Medicine and serves as a central meeting place for all residents, fellows, students and faculty. Expert speakers from the Maryland faculty and outside institutions present topics that are clinically relevant and timely.

Ambulatory Care Seminar: This weekly curriculum-based conference covers primary care topics, including Women's Health, Psychiatry, Sports Medicine, Dermatology, ENT, Adolescent Medicine and Geriatrics. You can view this curriculum on our Blackboard site by entering the username and password = imres.

Journal Club: During this conference, residents present a critically appraised topic (CAT) in an evidenced based medicine format supported by a faculty mentor. This curriculum provides residents with the skills to perform an electronic search through Medline, conduct a critical appraisal of the literature and apply it to a clinical situation. Skills in epidemiology and biostatistics are emphasized. The CATS are available at our Blackboard site, username and password = imres.

Clinicopathologic Conference: At the CPC, clinicians - along with radiologists and pathologists - are faced with analyzing a case history and developing a differential diagnosis. Every year a special historical CPC deals with an undiagnosed illness in a famous person. Examples of our previous historical CPC's include Alexander the Great, Edgar Allen Poe (whose postulated diagnosis of rabies was reported by major newspapers around the world), General Custer, Mozart, and Florence Nightingale. Most recently the deaths of King Herod, Christopher Columbus, Booker T. Washington and Abraham Lincoln were discussed. Click here for a review of the Abraham Lincoln CPC.

Board Review: This year-long conference progresses through standard board review texts to cover the breadth and depth of internal medicine as residents prepare for their certifying exam from the ABIM. Residents develop the curriculum for each topic and deliver the material to their colleagues.

Acute Medicine Series: Held during the summer months, this series of conferences covers topics pertinent to acute inpatient medicine, such as respiratory failure, GI bleed, pulmonary edema and others. The Acute Medicine Series is also available on our Blackboard site line for later review. You can view them by entering the username and password = imres.

Afternoon Sessions:

Sign-Out Rounds: These sessions are held daily between 4-5 pm and are led by the team resident. First year residents present the results of clinical work for the day and plans for subsequent management of their patients.

This page was last updated on: August 1, 2012.