Resident Led Rounds

• Second- and Third-year residents lead walk rounds on all medicine floor inpatient rotations. While Attendings are always immediately available, they join walk rounds just once a week, primarily to provide feedback on medical decision-making and teaching skills. Interns and medical students present to the resident, who makes all medical decisions on rounds and leads the bedside teaching. After rounds, the resident meets with the attending to discuss all patients. This format offers significant time with Attendings  as they do their daily afternoon attending rounds and staff all new admissions. This rounding structure is unique and invaluable in the development of residents’ autonomy and their expertise as educators.

Customized Courses – Tracks

Tracks: Primary Care, Women’s Health, Global Health, Clinical Scientist, Research Pathway, Geriatrics

• There is a weekly Noon Conference specific to each track. Also available are additional mentorship, track rotations, and career guidance specific to track members’ career goals. Residents who choose not to join a track still benefit: all residents can attend track lunches, take track rotations as electives, and avail themselves of the dedicated mentorship within the tracks.

Four + Four Schedule

• Residents alternate call months (ICUs, Floors) with off-call months (Consult Electives, Ambulatory, Outpatient Electives). This provides more elective time during First Year while they are completing an optimal number of inpatient call months. This schedule enables Interns to gain additional exposure to different sub specialties that many residents may want to pursue for fellowship and that augment all residents’ education. This schedule also provides more time for self-directed learning during elective months, meaning  that Interns can pursue research opportunities earlier in their training than they would otherwise. Although our elective rotations do not have overnight call or weekend shifts, they are still intensive, offering a wide  breadth of clinical cases as well as the autonomy and teaching necessary to help build our residency’s strong internal medicine foundation.

Focus on Medical Education

• Resident teaching retreats: All residents participate in regular teaching retreats throughout their training. Clinical coverage is provided, giving residents essential protected time so they can be trained to run ward teams effectively and to be skilled educators throughout their residency.

• Resident teaching opportunities: Residents are mentored to effectively share evidence-based teaching points when they present morning report, EBM Journal Club, and other elective journal clubs, including Health Policy and Addiction Journal. Residents have numerous options for medical student teaching, in addition to the teaching they provide students rotating with them on various services.

• Teaching to Teach Elective: Residents gain additional teaching training and experience on all aspects of clinical and didactic teaching, while receiving feedback from expert faculty educators. Teaching First- and Second-Year medical students is a component of this elective.

• Medical Education Teaching Certificate: For those wanting teach throughout their careers, this certificate enables residents to gain additional training during Second and Third Year by completing of another Teaching Elective Rotation, “Residents as Teachers”.

• Faculty Development: Many of our faculty members have master’s degrees in Medical Education, and all General Internal Medicine teaching faculty spend a half day each week in faculty development. In addition, clinician-educators have protected time to teach, which permits direct education across the spectrum and unique curricular innovations.

Bedside Multi-Disciplinary Rounds

• Daily rounds occur in conjunction with case management and nursing staff facilitating coordinated team-based care and discharge planning.

• The program’s rounding process is efficient and effective: it optimizes students’ and Interns’ presentations skills, preserves efficient rounding so it is completed in two hours or less, and provides ample opportunity for the resident’s team leadership and education.