The second and third years are divided between electives in medicine and meaningful patient care responsibilities as defined by the American Board of Internal Medicine. The resident completes a total of 9 months as a supervising resident on inpatient services and one month on the General Medicine Consultation Service. Call during supervising months is every fourth to seventh night. There is no night call on elective services.
Electives are also available in sports medicine, gynecology, and pediatrics.
All R-2's are taken off clinical services so they can work together. The curriculum for Director's Month includes clinical epidemiology and medical decision making, critical assessment of the medical literature, interviewing skills, behavioral medicine, substance abuse, informatics, sports medicine, ambulatory procedures, and practice management. Residents are exposed to self-directed learning and acquire skills in teaching and team management. There is no night call during Director's Month. A Cardiology Skills Month teaches ECG interpretation, stress testing, advanced cardiac physical examination and exposes residents to 2-D echocardiographpy.