Internal Medicine Residency Program

This program is being offered for hospitals in rural areas to train newly graduated physicians to become specialists in Internal Medicine.  These hospitals would need to have the patient population, medical staff, and funding that would allow hiring of program director as well as associate director if needed. Based on ACGME guidelines, these hospitals will need to provide a 50% salary support for program director as well as an associate program director depending on the size of the residency program. We will provide all of the resident lectures as well as the faculty for weekly conferences, Grand Rounds, and morning reports. We will help with board exam preparation well as administer examinations during the residency training.

Accreditation may not occur if there is noncompliance with the ACGME guidelines as listed here. We will therefore make sure that the program will not only comply, but also maintain its compliance with all the aspects of the ACGME rules and restrictions for the entire three years of the residency program.

There are three aspects of the internal medicine residency program:

Curriculum

PGY-I:

Required:

Electives:

Required:

Inpatient General Medicine Ward (20 weeks): During this rotation, residents are to evaluate, diagnose, and treat the following conditions and symptoms:

Ambulatory Medicine (12 weeks) Residents are expected to be able to diagnose and treat these conditions and perform outpatient procedures listed on an ambulatory setting:

Allergy and Immunology:

Dermatology:

Neurology:

Cardiology and Radiology

 

Intensive Care Unit (4 weeks): This will include both evaluation and treatment of the following conditions as well as performing the procedures listed:

Musculoskeletal Medicine / Pain Management (4 weeks)

Emergency Medicine

Electives (12 weeks):

Endocrinology

Nephrology

Gastroenterology

Hematology/Oncology

Infectious Diseases

Hepatology

Pulmonary:

 

 

PGY-II:

Inpatient General Medicine Ward (16 weeks)

Ambulatory Medicine (12 weeks)

Intensive Care Unit (8 weeks)

Musculoskeletal Medicine / Pain Management (4 weeks)

Emergency Medicine / Electives (12 weeks)

 

PGY-III:

Inpatient Wards (16 weeks)

Ambulatory Medicine (10 weeks)

Intensive Care Unit (10 weeks)

Musculoskeletal Medicine / Pain Management (4 weeks)

Emergency Medicine / Electives (10 weeks)

Vacation (2 weeks)

 

Conferences

Morning Report
These are held daily at 8 am Monday thru Friday. The morning report is attended by department chair or program director, a subspecialist, chief resident, residents, and interns on ward service.

Noon Conference
Core internal medicine lectures are given Monday thru Thursday at noon. Lunch is served. These conferences are interactive and attention is focused on real life practical aspect of each topic presented.

Journal Club
Relevant journal articles are reviewed every week on Wednesdays at 7am. This exercise will last one hour and will be attended by chief resident and the visiting professor.

Grand Rounds
These are held each Friday at noon. The speaker will be the visiting professor for that particular week. The focus of grand rounds would be to present state of art knowledge about important topics in each specialty.

 

General Competencies for Internal Medicine Residency

Internal Medicine Residency Program here is committed to a longitudinal, competency-based curriculum outlined by the Accreditation Council for Graduate Medical Education (ACGME). The ACGME general competencies include:

  1. Patient Care
  2. Medical Knowledge
  3. Practice-Based Learning and Improvement
  4. Interpersonal and Communication Skills
  5. Professionalism
  6. Systems-Based Practice

1) Patient Care  
Residents must be able to provide patient care that is compassionate, appropriate and effective for the promotion of health, prevention of illness, treatment of disease and care at the end of life. Residents are expected to:

  • Communicate effectively and demonstrate caring and respectful behaviors when interacting with patients and their families
  • Gather essential and accurate information about their patients
  • Make informed decisions about diagnostic and therapeutic interventions based on patient information and preferences, up-to-date scientific evidence and clinical judgment
  • Develop and carry out patient management plans
  • Counsel and educate patients and their families
  • Use information technology to support patient care decisions and patient education
  • Perform competently all medical and invasive procedures considered essential for the area of practice
  • Provide health care services aimed at preventing health problems or maintaining health
  • Work with health care professionals, including those from other disciplines, to provide patient-focused care

2) Medical Knowledge
Residents must demonstrate knowledge of established and evolving biomedical, clinical and social sciences, as well as the application of this knowledge to patient care and the education of others. Residents are expected to:

  • Demonstrate an investigatory and analytic thinking approach to clinical situations
  • Know and apply the basic and clinically supportive sciences which are appropriate to their discipline

3) Practice-Based Learning and Improvement  
Residents must be able to use scientific methods and evidence to investigate, evaluate and improve their patient care practices. Residents are expected to:

  • Analyze practice experience and perform practice-based improvement activities using a systematic methodology
  • Locate, appraise and assimilate evidence from scientific studies related to their patients’ health problems
  • Obtain and use information about their own population of patients and the larger population from which their patients are drawn
  • Apply knowledge of study designs and statistical methods to the appraisal of clinical studies and other information on diagnostic and therapeutic effectiveness
  • Use information technology to manage information, access online medical information and support their own education
  • Facilitate the learning of students and other health care professionals

4) Interpersonal and Communication Skills
Residents must demonstrate interpersonal and communication skills that enable them to establish and maintain professional relationships with patients, families, and other members of health care teams. Residents are expected to:

  • Create and sustain a therapeutic and ethically sound relationship with patients
  • Use effective listening skills and elicit and provide information using effective nonverbal, explanatory, questioning and writing skills
  • Work effectively with others as a member or leader of a health care team or other professional group

5) Professionalism
Residents must demonstrate behaviors that reflect a commitment to continuous professional development, ethical practice, an understanding and sensitivity to diversity and a responsible attitude toward their patients, their profession and society. Residents are expected to:

  • Demonstrate respect, compassion and integrity; a responsiveness to the needs of patients and society that supersedes self-interest; accountability to patients, society and the profession; and a commitment to excellence and ongoing professional development
  • Demonstrate a commitment to ethical principles pertaining to provision or withholding of clinical care, confidentiality of patient information, informed consent and business practices
  • Demonstrate sensitivity and responsiveness to patients’ culture, age, gender and disabilities

6) Systems-Based Practice
Residents must demonstrate an understanding of the contexts and systems in which health care is provided, as well as the ability to apply this knowledge to improve and optimize health care. Residents are expected to:

  • Understand how their patient care and other professional practices affect other health care professionals, the health care organization and the larger society, as well as how these elements of the system affect their own practice
  • Know how types of medical practice and delivery systems differ from one another, including methods of controlling health care costs and allocating resources
  • Practice cost-effective health care and resource allocation that does not compromise quality of care
  • Advocate for quality patient care and assist patients in dealing with system complexities
  • Know how to partner with health care managers and health care providers to assess, coordinate and improve health care and know how these activities can affect system performance

 

Learn more about the internal medicine residency program by contacting us today!