Curriculum

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Overview
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:

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

Each second and third-year resident rotates on an ambulatory care block at St. Luke’s Southside Medical Center. Residents rotate on the general medicine consult service in the second and third years.

Each resident is required to rotate on the critical care service in the first, second and third years of training. As a senior resident, each resident rotates for two weeks on two ambulatory selectives such as dermatology and ENT and two weeks of women’s health.

During the remainder of the training, the resident has the opportunity to repeat subspecialty rotations of his/her choosing as well as pursue electives in allergy and immunology, behavioral health, ophthalmology, orthopedics, palliative care, physical medicine and rehabilitation, sleep medicine, or primary care Internal Medicine ambulatory rotations in a faculty member’s office.

  • 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 month, the intern takes a long call shift every fourth day. This shift starts at 7:30 am and ends at 7:30 pm. The intern also does a 7 day period of night float where they will work 5 nights in a row from 7:30 pm until 7:30 am and then have two days off before returning to day shift. The intern is excused by 8 am after a morning sign out session with the teaching faculty and other team members. Saturday or Sunday is the designated day off for the intern each week.

    On the critical care service, the daily shift starts at 6 am and ends at 6 pm. The intern is assigned to one 16-hour shift per weekend. The intern is off one day in seven. There is 24/7 in house intensivist coverage.

    On subspecialty services and electives, the intern does not take call. There is no call on the emergency medicine rotation. On this rotation, the intern works 14, ten-hour shifts per month.

    Sample First-Year Curriculum

    Service Months
    General Medicine Teaching Service 6
    Cardiology 1
    Pulmonary 1
    Nephrology 1
    Gastroenterology 1
    Emergency Medicine 1
    Critical Care 1
  • Ambulatory Clinic
    Each second-year resident attends clinic one day a week. When on the general medicine service, the resident attends clinic ½ day a week. The resident is excused from clinic during his/her two months on the critical care service. Each second year resident also has an ambulatory primary care block rotation where he/she sees a panel of general medicine patients and participates in numerous subspecialty clinics.

    Night Call
    Second-year residents take long call while rotating on the three senior resident-run general internal medicine services. Long call is from 7:30 am until 7:30 pm and is approximately one long call per week. Second-year residents on the general medicine services have either Saturday or Sunday off each week.

    Second year residents also participate in a night-float system of call in which they take night call during a month for no more than five nights in a row.

    On the critical care service, the daily shift starts at 6 am and ends at 6 pm. The resident also does a period of night shifts from 6 pm to 12 pm. The resident has 24 hour call a total of two weekend days per month. There is no 24 hour plus 4 call. The resident is off one day in seven. There is 24/7 in house intensivist coverage.

    With the exception of two to three long call shifts per year, second year residents do not take call while on medical subspecialties and non-critical care electives.

    Out-of-House Electives
    There is an opportunity to take an elective outside the institution once in either the second or third year of training with the approval of the program director. The majority of the residents who take this elective choose 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 Primary Care Block Rotation 1
    Infectious Disease 1
    Critical Care 2
    Hematology/Oncology 1
    Women's Health 2 weeks
    Hospitalist Medicine 1
    Night Float 1.5 months
    Medical subspecialty (may be out of house) 1
    General Medicine Consult Team C 1
  • 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.

    Each third year resident also has a two week ambulatory primary care block rotation where he/she sees a panel of general medicine patients and participates in numerous subspecialty clinics. 

    Night Call
    Third-year residents take long call while rotating on the three senior resident-run general internal medicine services. Long call is from 7:30 am until 7:30 pm and is approximately one long call per week. Third-year residents on the general medicine services have either Saturday or Sunday off each week.

    Third year residents also participate in a night-float system of call in which they take night call during a month for no more than five nights in a row.

    On the critical care service, the daily shift starts at 6 am and ends at 6 pm. The resident also does a period of night shifts from 6 – 12 pm. The resident has 24 hour call a total of two weekend days per month. There is no 24 hour plus 4 call. The resident is off one day in seven. There is 24/7 in house intensivist coverage.

    Third year residents will take call while on electives 2-3 times per academic year on either a Saturday or Sunday. In addition, third year residents will be assigned 2-3 night shifts throughout the year on either a Saturday or Sunday evening.

    Sample Third-Year Curriculum

    Service Months
    General Medicine Teaching Service 1
    Critical Care 1
    Neurology 1
    Dermatology ENT 2 weeks
    2 weeks
    Endocrinology 1
    General Medicine Consult Team C 2
    Ambulatory Primary Care Block Rotation 2 weeks
    Geriatrics 1
    Night Float 1
    Rheumatology 1
    Elective (medical subspecialty, radiology, primary care office rotation, palliative care, ambulatory electives) 1.5