To allow the residents to obtain maximum exposure to the faculty, the attending physicians rotate their duties at four-week intervals. The Internal Medicine residency program is organized along traditional lines. The first-year resident spends five or six months providing primary inpatient care on the general medical services and the remaining time on rotations in the emergency room, intensive care units, subspecialites of internal medicine, and ambulatory care, with increasing emphasis being placed on ambulatory training. Each inpatient service is assigned two first-year residents and a senior medicine resident. A senior medical student also may be assigned to the service as an extern.
Night call is required every fourth night.
During the second and third years, residents spend an additional 10 months on elective rotations including the various subspecialities in Internal Medicine. Third year medical students are assigned to the general medical floors, and residents are expected to play a major role in their supervision and instruction. Patients who are discharged from inpatient care, who require outpatient internal medicine follow-up and do not otherwise have a primary care physician, are offered outpatient clinic care by the same physician who provided the initial inpatient care. New patients also are scheduled to be seen in the clinic. Second and third year residents participate in the block rotation for one month at a time.