Curriculum

First Postdoctoral Year

During the first year, each resident alternates three-month assignments in medicine and pediatrics.

Internal medicine rotations include:

• Intensive care
• Emergency medicine
• Inpatient medicine in both community and university hospital settings
• Primary Care block in continuity clinic

In pediatrics, residents care for children of all ages, including infants, toddlers, preschool and school-aged children, and adolescents. Rotations include:

• Newborn and intensive care nurseries
• Outpatient departments at both community and university sites
• Inpatient pediatric services at both community and university hospitals
• Community Advocacy

A two-week skills block halfway through the first year brings all eight Med-Peds PGY-1 interns together to perfect basic skills, including:

• Pediatric development
• EKG and Spirometry interpretation
• Medical ethics and Advance Directives
• Evidence-based medicine
• Procedural skills
• Implicit Bias and Microaggressions
• EHR Efficacy
• Root Cause Analysis
• Medical Errors and disclosure
• Wellness (financial, psychological, emotional)

In addition, the first year of training also includes a two-week community advocacy rotation.

Second and Third Postdoctoral Years

During the second and third years, each Med-Peds resident:

• Alternates four-month assignments between pediatrics and internal medicine, functioning as a senior resident (PGY-2) on intensive care units (MICU, NICU, and PICU), inpatient units, both adult and pediatric emergency departments, and outpatient rotations. This exposes residents to seasonal variability of diseases (e.g. Respiratory Syncytial Virus and Croup).
• Is directly responsible for supervision of PGY-1s on the ward teams and for the instruction of junior and senior medical students who are members of the team.
• Spends several months on inpatient consultative subspecialty services and ambulatory specialty practices (Women’s health, sports medicine, adolescent medicine, hepatology, etc.) and primary care experiences.
• Participates in a formal 2-week rotation in both geriatrics and palliative care
• Participates in a formal one month developmental and behavioral pediatrics rotation
• Participates in a 2-week rotation in transition of care from pediatric to adult providers.
• Participates in a 2-week adolescent medicine rotation.

Fourth Postdoctoral Year

As a senior resident during the fourth postdoctoral year, responsibilities are the same as the categorical PGY-3s, spending:

• Six months on pediatrics, where the resident's time is divided between subspecialty elective services, ambulatory rotations, and inpatient responsibilities, including supervisory roles in delegating and completing admissions and pediatric hospital medicine consults.
• Six months on medicine, where the resident's time is divided between subspecialty elective services, ambulatory rotations, and inpatient responsibilities, including supervisory roles in delegating and completing internal medicine admissions and consults.

Electives

• Two one-month "away electives" are allowed over the four years of training. During this time, the resident's salary, benefits, and malpractice insurance are continued. Past residents have rotated in a variety of U.S. and International sites during this time, as well as rotating with our vast array of alumni.
• We offer Med-Peds combined electives in Rheumatology/Allergy/Immunology, Pulmonology, Hematology-Oncology, and Neurology.
• We offer opportunities for rural medicine hospitalists and primary experiences.
• "Create Your Own Adventure": We encourage our residents to innovate and explore novel rotations to best prepare for their future careers.

Vacation

The resident is granted 4 weeks of vacation during each academic year. The vacation is scheduled in two blocks of two weeks and is split evenly between medicine and pediatrics.