Department of Medicine

Department of Medicine

 Internal Medicine Residency Program 

Innovative Curriculum



Evaluation and communication are essential aspects of any educational program. They are particularly important in any practice-based learning experience, such as medicine.

Each resident's educational and professional development is evaluated via multiple perspectives and organized electronically through a Web-based system. First, residents receive regular verbal and written feedback about their clinical performance from all attending physicians with whom they work. Second, residents receive evaluations anonymously from one another, as peers often have the best insights into their colleagues' strengths and areas for improvement. Third, residents receive written feedback from the nursing staff, because each member of the medical team is in a position to help other members strengthen their skills to provide the best patient care possible. Fourth, residents receive feedback from the patients in their continuity clinic.

Direct observation is an important component of the evaluation process. Our faculty members directly observe residents in the inpatient and outpatient settings during each year of training. This direct feedback allows residents to optimally benefit from faculty members' expertise, to identify which aspects of clinical care the residents have mastered, and to identify strategies to improve areas in which the residents may have not yet met their goals.

All evaluations are reviewed at competency meetings three times a year. Residents also meet with their advisors to discuss their strengths and to develop individualized learning plans to improve.

Twice a year, each resident receives a personal composite performance evaluation from the residency program director. During this one-on-one meeting, the resident's evaluations are reviewed, progress on procedural training is discussed, and progress toward career goals is assessed. The meeting enables the program director to ensure that residents are achieving their individual goals and the goals of the program, and it gives residents a venue to discuss any issues regarding their progress, their career plans, or the program as a whole.

Finally, each resident evaluates his or her attending physicians and clinical rotations in terms of teaching quality and effectiveness. The feedback is reviewed regularly by the residency evaluation team and used to improve deficient areas.