Clinical Rotations

The internal medicine curriculum is designed to prepare well-trained internists who can go into:

1. Primary care
2. Subspecialty training
3. Academic medicine

The curriculum is also designed to balance many features such as:

1. Inpatient versus outpatient care
2. Primary care versus critical care
3. General medicine versus subspecialty care

About one-third of the rotations are in the general medicine inpatient ward or outpatient clinic. During the rest of the residency program, residents will have time to rotate through each one of the subspecialties of medicine.

The feedback we get from the residents is they like these subspecialty rotations which enable them to focus their study for a period of time with an expert in that field. Accrediting agencies have been impressed that we are able to provide training in all of the subspecialties in internal medicine in addition to rotations in gynecology, neurology, psychiatry and geriatrics.

Elective time is available for residents to add additional skills or do research depending upon their long-term career goals.

At the end of the training, residents should be comfortable doing a wide spectrum of activities such as seeing a patient for a minor respiratory illness, or doing a checkup in the outpatient clinic or taking care of a critically ill patient in an intensive care unit on a ventilator with hemodynamic monitoring.

• The Interns rotate on a month schedule.
• The Upper Levels rotate on a four-week block schedule, which allows for 13 rotations.
• Ambulatory Clinic - one afternoon per week, except when on ED, ICU, or post call.

Typical Rotation Schedule

PGY1	PGY-2	PGY3
Medicine Wards Scott & White 4 months VA 1 month ICU MICU 1 month CVICU 1 month ED - 1 month Ambulatory UCC 2 (2 week rotations) Night Float 2 (2 week rotations) Subspecialty Rotations Nephrology 1 month Cardiology 1 month (Total three months overnight call, plus 2-4 weeks Night Float)	Medicine Wards Scott & White 2 blocks VA 1 block ICU VA MICU 1 block Ambulatory Clinic 1 block I-Med Consults 2 (2 week rotations) ICU Night Float 2 (2 week rotations) Subspecialty Rotations VA Hematology 1 block GI 1 block Selective Rotations 3 blocks Elective Rotations 2 blocks	Medicine Wards Scott & White 2 blocks ICU MICU 1 block CVICU 1 block Geriatrics 2 week block Rheumatology 2 week block Endocrinology 1 block Selective Rotations 3 blocks Elective Rotations 4 blocks

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