Education and Curriculum


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  • Education and Curriculum

    Residents at UMMC have a wide variety of educational experiences in the clinic and on the inpatient wards as the primary physician or as the consultant.  Monthly rotations in the intern year of training are weighted towards inpatient experiences as a part of the primary team, while the R2 and R3 years shift more to consultant, outpatient, and elective experiences. Throughout the entire three years of training, unless working in the intensive care unit or on nights, residents see patients in a weekly continuity of care clinic. Our primary care track residents have additional continuity of care clinics to enhance their outpatient training.

    To supplement direct patient care education, residents participate in a daily morning report led by the chief resident, attend daily noon conferences that cover both core curriculum and board preparation, complete monthly online ambulatory modules, produce scholarly activity in close cooperation with fellows and attendings, and participate in quality improvement projects. These additional educational activities provide our residents with deeper knowledge in a variety of areas, opening doors for a wider selection of career opportunities upon completion of training. 

    Throughout all of these experiences, the primary goal of our education is to prepare each resident for independent practice in both the inpatient and the outpatient setting. To ensure we accomplish this goal, the program leadership and the faculty focus on giving honest feedback and both verbal and written evaluations of performance. Additionally, we place an emphasis not only on faculty led discussions of core concepts of medicine, but also on residents becoming excellent teachers of those concepts. We encourage students, residents, and fellows to engage in independent reading of the literature, to share that knowledge with their colleagues, and to apply it in a professional, patient-centered manner. 

     Below is a sample rotation schedule for a categorical resident in our program:

    Sample Residency Schedule

     

    Year

    Rotation

    # of

    Months

    Call

    Frequency

    R1

    University Medicine Wards

    2

    Q5 day call

    VA Medicine Wards

    2

    Q8 night call

    Emergency Medicine

    1

    Shift work

    Cardiology Wards

    1

    One week of nights

    Intensive Care Unit

    2

    Shift work

    Ambulatory Medicine

    1

    No call

    Neurology Wards/Clinic

    1

    No call

    Night Float

    1

    15-16 night shifts/month

    Hematology Wards

    1

    No call

    R2

    University Medicine Wards

    2

    Q5 day call

    VA Medicine Wards

    1

    Q4 night call

    Subspecialty Wards

    2

    One week of nights

    VA Intensive Care Unit

    1

    Shift work

    University Intensive Care Unit

    1

    Shift work

    Ambulatory Medicine

    1

    1 night call/month

    Elective/Consult Month

    4

    1 night call/month

    R3

    University Medicine Wards

    1

    Q5 day call

    VA Medicine Wards

    1

    Q4 night call

    Cardiology Wards

    1

    One week of nights

    Intensive Care Unit

    1

    Shift work

    Ambulatory Medicine

    1

    1 night call/month

    Elective/Consult Month

    6

    1 night call/month

    Night Float

    1

    15-16 night shifts/month


    Inpatient services include General Medicine Wards (University Hospital and VA), Cardiology Wards, Hematology Wards, Oncology Wards, Geriatrics (small inpatient census plus consults) and ICU (University Hospital and VA). 

    Consult/elective services include Allergy/Immunology, Cardiology, Dermatology, Endocrinology, Gastroenterology, Hematology, Hypertension, Infectious Diseases, Medicine Consults, Nephrology, Oncology, Pulmonary, Sleep Medicine, Research, and Rheumatology.