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Medicine Residency

Department of Medicine

 Medicine/Pediatrics Residency Program 

Curriculum 

The curriculum of the UPMC Internal Medicine/Pediatrics Residency Training Program is designed to provide basic skills in the first postgraduate year (PGY1) and progressive supervisory responsibilities in subsequent years.

Our curriculum is designed so that the intern year lasts 12 months.

Our residents switch between medicine and pediatrics every 3 months. To experience the seasonal variation in illness patterns, our residents complete one 6-month block in the same discipline at the end of the second year and beginning of the third year.

  Rotations 
M=Medicine 
P=Pediatrics 
M-P=Med-Peds
Number of Months Per Year
PGY1 PGY2 PGY3 PGY4 Total
  Inpatient Medicine (M) 3 1 2 1 7
  Inpatient Pediatrics (P) 2.5 1.5 2.5 2 6
  MICU/CCU (M) 1 1 0 1 3
  Delivery Room (P) 0 0 1 0 1
  NICU/PICU (P) 1 1 0 0 2
  Med-Peds Ambulatory Care (M-P) 1 1 1 1 4
  Pediatric Ambulatory/Child Advocacy(P) 0 0 0.5 1 1
  Electives (M) 1 2 3 3 10
  Electives (P) 0.5 1 2 2 5.5
  Emergency Department (M) 0 1 0 0 1
  Emergency Department (P) 1 1 1 0 3
  Adolescent Medicine (P) 0 1 0 0 1
  Geriatrics (M) 0 0 1 0 1
  Newborn Nursery/CDU (P) 1 0 0 1 2
  Vacation (weeks) 4 3 3 3 13

Inpatient Medicine—Rotations are split between the inpatient wards at UPMC Montefiore and UPMC Shadyside to ensure the broadest inpatient medical training experience. Teams consist of one senior resident and two interns.

Inpatient Pediatrics—General pediatrics admissions at the Children's Hospital of Pittsburgh of UPMC are shared by four "color teams." Teams consist of one senior resident, two interns, and an attending (these are dedicated pediatric hospitalists). Additionally, residents rotate through "subspecialty teams" (such as oncology), in which your team may also include a fellow.

Medical Intensive Care Unit/Coronary Care Unit (MICU/CCU)—The adult ICU rotations are at UPMC Shadyside. This hospital has a large cancer referral base, as it is the primary location of the UPMC Cancer Centers. There are no fellows there, so residents have the first hand at procedures. The CCU month is at UPMC Presbyterian. This hospital is a major referral center, providing diversity and a high volume of patients to solidify the cardiac ICU experience. Residents become skilled at managing critically ill patients, placing various types of central venous and arterial lines, and conducting family meetings. Of note, the UPMC ICUs have 24-hour critical care attending coverage.

Delivery Room—During this month at Magee-Womens Hospital of UPMC, residents are responsible for attending deliveries in one of the country's busiest and best women's hospitals. Residents become comfortable with newborn resuscitation skills, umbilical line placement, and stabilization of infants.

Med-Peds Ambulatory Care—During this block, residents have the opportunity to see both adult and pediatric patients. These are valuable months, as they allow residents to start integrating both aspects (internal medicine and pediatrics) of their training. The second year rotation is flexible in design, with some residents choosing to work in a variety of different sites within the UPMC Health System.

Child Development Unit (CDU)—On this outpatient rotation in a multidisciplinary clinic, residents are exposed to children with a variety of developmental issues, including Down syndrome, autism, Fragile X syndrome, school problems, and behavior difficulties.