Curriculum

nicu-teaching

teachingThe 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 in the first two years then every two months in the third year, and every month in the fourth year. The curriculum is designed to build a solid Medicine foundation and a solid Pediatrics foundation in the first two years then spend the last two years integrating them into a strong Med+Peds foundation:

 

Year of Training Switch Continuity Clinic Ambulatory
1st Year 3 months Alternating Separate
2nd Year 3 months Alternating Separate
3rd Year 2 months Combined Combined
4th Year 1 month Combined Combined

 

Template Block Diagram by Year: Separated out by Medicine and Pediatric Content

mp-curric

SAMPLE ROTATION SCHEDULES
COMBINED INTERNAL MEDICINE+PEDIATRICS PROGRAM

 

SAMPLE ROTATION SCHEDULES
COMBINED INTERNAL MEDICINE+PEDIATRICS PROGRAM

PGY 1
(13 x 4-week blocks)

PGY 2
(13 x 4-week blocks)

PGY 3
(13 x 4-week blocks)

PGY 4
(13 x 4-week blocks)

Rotations

Month(s)

Rotations

Month(s)

Rotations

Month(s)

Rotations

Month(s)

Inpatient Medicine
Outpatient Medicine
Med Subspecialty
MICU
Adult ER
Inpatient Pediatrics
Pediatrics Outpatient /ER
NICU
Normal Nursery
Child Development
Vacation

2
1
1
1
1
2
1
1
1
1
1

Inpatient Medicine
Cards ICU
Med Subspecialty
Outpatient Medicine
Inpatient Pediatrics
Outpatient Pediatrics
NICU
Peds Subspecialty
Pediatric ER
Vacation

1
1
3
1
1
1
1
2
1
1

Inpatient Medicine
MICU
Med Subspecialty
Med+Peds Outpt
Inpatient Pediatrics
NICU
PICU
Pediatric ER
Peds Subspecialty
Vacation

1
1
3
2
1
1
1
1
1
1

Inpatient Medicine
Med Subspecialty
Geriatrics
Cardiology Consult
Med+Peds Outpt
Inpatient Pediatrics
Pediatric ER or Outpt
Adolescent Medicine
Peds Subspecialty
Vacation

1
2
1
1
2
1
1
1
2
1

 

13

 

13

 

13

 

13

 

DUTY HOURS

The schedule provides for 4 days per 28 days free from patient care duties.

During the internal medicine inpatient clerkship months, interns work from 6:30 AM – 5:30 PM and residents from 7:00 AM to 5:30 PM. All house officers receive, on average, one weekend day off per week.

  1. forum-room-2Residents must not be scheduled for more than 80 hours of duty per week, averaged over a four-week period.
  2. Residents must be provided one day in seven free from all patient care responsibilities, averaged over a four-week period.
  3. Call must be no more frequently than every third night averaged over a four-week period.
  4. 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.
  5. A 10-hour minimum rest period should be provided between duty periods.
  6. 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.