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Combined Internal Medicine
+
Pediatric Curriculum
The Combined Internal Medicine + Pediatric Residency is a four year program
designed to prepare the resident for certification by both the American
Board of Pediatrics and the American Board of Internal Medicine. There are
six resident positions for each of the four years. The resident rotates
between pediatrics and medicine every three months. One month each year is
allocated for vacation.
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SAMPLE ROTATION SCHEDULES
COMBINED INTERNAL MEDICINE+PEDIATRICS PROGRAM |
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PGY 1
(13 x 4-week blocks) |
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PGY 2
(12 x 1-month blocks) |
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Rotations |
Month(s) |
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Rotations |
Month(s) |
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Inpatient Medicine
Outpatient
Medicine
Med Subspecialty Ward
MICU
Inpatient Pediatrics
Outpatient Pediatrics
NICU
Normal Nursery
Pediatric ER
Vacation |
2
1
2
1
2
1
1
1
1
1 |
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Inpatient Medicine
Cards ICU
Med Subspecialty
Adult ER
Outpt Peds or Med
Inpatient Pediatrics
Outpt Peds or PER
Child Development
NICU
Peds Subspecialty
Vacation |
1
1
2
1
1
1
1
1
1
1
1 |
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13 |
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12 |
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PGY 3
(12 x 1-week blocks) |
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PGY 4
(12 x 1-month blocks) |
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Rotations |
Month(s) |
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Rotations |
Month(s) |
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Inpatient Medicine
Cardiology Consult
MICU
Med Subspecialty
Med+Peds Outpt
Inpatient Pediatrics
NICU
PICU
Pediatric ER or
Outpt
Peds Subspecialty
Vacation |
1
1
1
2
1
1
1
1
1
1
1 |
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Inpatient Medicine
Med Subspecialty
Geriatrics
Med+Peds Outpt
Inpatient Pediatrics
Pediatric ER or Outpt
Adolescent Medicine
Peds Subspecialty
Vacation |
1
2
1
1
1
1
1
3
1 |
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12 |
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12 |
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On call
responsibility during Pediatric inpatient months is every fourth night.
The schedule provides for 4 days per 28 days free from patient care
duties.
During the internal medicine inpatient clerkship months, interns and residents are on call every fourth night and interns are
limited to a maximum of five admissions in a twenty-four hour period.
House officers not on call work from 7 am to 5 pm on weekdays and until 1
pm on weekends or when post call. All house officers receive, on average,
one weekend day off per week.
DUTY HOURS
A. Residents must not be scheduled for more than 80 hours of duty per
week, averaged over a four-week period.
B. Residents must be provided one day in seven free from all patient care
responsibilities, averaged over a four-week period.
C. Call must be no more frequently than every third night averaged over a
four-week period.
D. There must be a 24-hour limit on on-call duty, with an added period of
up to 6 hours for continuity and transfer of care, educational debriefing
and didactic activities; no new patients may be assigned after 24 hours.
E. A 10-hour minimum rest period should be provided between duty periods
F. When residents take call from home and are called into the hospital,
the time spent in the hospital will be counted toward the weekly hour
limit.
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