Curriculum & Rotations

Our program offers a strong three-pronged curriculum: didactic, patient care, and research.

We have numerous didactic lectures which include the following:

  • daily morning reports
  • daily noon conferences
  • weekly ground rounds
  • monthly journal club
  • weekly morbidity and mortality conferences
  • bi-monthly discussion of challenging medical cases
  • monthly clinical question conferences

Third-year residents also participate in the monthly hospital-wide root cause analysis. First-year residents have weekly Harrison’s club. A year-long board review course is offered to all residents through combined video conferences and lectures by the faculty.

Robust clinical experience in Internal Medicine and its subspecialties in both the inpatient and outpatient settings is offered. Residents actively participate in clinical decision making of all the patients they see.

Scholarly publications and presentations in national, regional and local academic meetings are encouraged. All residents are required to have at least one scholarly activity to be presented prior to the end of training. The program’s Chief of Medicine is the head of the hospital’s research committee and the Program Director is an integral member of the Annual Resident’s Research Day

Simulation Curriculum

The simulation curriculum encompasses various training tools in order to increase confidence and proficiency in procedures such as paracentesis, intra-articular injections, lumbar punctures, running code blue/ACLS, and RRT training/mock codes.

Clinical Rotations

Navigating the path of medical residency requires a comprehensive understanding of both the clinical and didactic aspects of the program. At the heart of our training is the innovative "4+1" block schedule. This unique approach ensures residents gain a deep and broad exposure to both in-patient and out-patient care, without the traditional tensions between the two.

About the 4+1 Block

Residents are on a 4+1 block schedule. In traditional internal medicine residency schedules, house officers leave their rotations one afternoon per week to see outpatients in continuity clinic. While this structure has provided adequate ambulatory training and allows residents to develop a panel of patients for whom they are the primary physician, it creates a tension between in- and outpatient training and pulls residents in two directions at once – which is not ideal for your education or for patient care.

A “4+1” block schedule means that our house officers have a four-week rotation block (that you won’t leave for continuity clinic), followed by one week of exclusively ambulatory training. This pattern is repeated back-to-back 10 times throughout the entire year. The ambulatory week includes a combination of continuity clinic sessions and subspecialty clinic within the ambulatory rotation. House officers will continue to have a longitudinal relationship with their clinic patients and preceptors throughout residency.

Another benefit of the “4+1” schedule is that you won’t be rushing to get to afternoon clinic. This means that your inpatient team won't be leaving and signing out to each other, leaving someone to cross cover all afternoon. Preliminary interns do not have a continuity clinic, however, in response to prior feedback, our preliminary interns will also have ambulatory experience in the medicine and subspecialty clinics.

Clinical Rotation Schedules

Post-Graduate Year 1 (Categorical) Rotations*

Medical Service (Wards) 24 weeks
Ambulatory Care Block 10 - 11 weeks
Medical Intensive Care (MICU) 4 weeks
Coronary Care Unit (CCU)/Cardiology 4 weeks
Night Float 4 weeks
Emergency Department 4 weeks
Vacation 4 weeks

  Post-Graduate Year 1 (Preliminary) Rotations*

Medical Service (Wards) 20 weeks
Medical Intensive Care (MICU) 8 weeks
Night Float 6 weeks
Emergency Department 4 weeks
Cardiology 2 weeks
Neurology 4 weeks
Vacation 4 weeks

  Post-Graduate Year 1 Designated Ophthalmology (Preliminary) Rotations*

Medical Service (Wards) 16 weeks
Ophthalmology 12 weeks
Medical Intensive Care (MICU) 4 weeks
Night Float 4 weeks
Emergency Department 4 weeks
Neurology 4 weeks
Vacation 3 weeks during medicine rotation and 1 week during ophthalmology rotation

  Post-Graduate Year 2 Rotations*

Medical Service (Wards) 16 weeks
Ambulatory Care Block 10 - 11 weeks
Medical Intensive Care (MICU) 4 weeks
Night Float 6 weeks
Subspecialty Rotations 4 weeks
Neurology 4 weeks
Cardiology 4 weeks
Ambulatory Care Block 6 weeks
Vacation 4 weeks

  Post-Graduate Year 3 Rotations*

Medical Intensive Care (MICU) 4 weeks
Ambulatory Care Block 10 - 11 weeks
Coronary Care Unit (CCU) 2 - 4 weeks
Medical Consultation Service 4 weeks
Medical Intensive Care (MICU) Night 4 – 7 weeks
Subspecialty Rotations 16 weeks
Geriatrics 4 weeks
Cardiac Catheterization (Bellevue Hospital) 1 week
Vacation 4 weeks

*Please note, although these are the typical rotations for our residents, schedules are subject to change.