Educational Activities

Med-Peds residents participate fully in the teaching rounds and educational conferences of both the Pediatric and Internal Medicine categorical programs.

In addition to these opportunities, the Internal Medicine-Pediatrics residency program also offers some unique educational experiences.

Conferences

• Med-Peds Noon Conference—Once per month a combined noon conference is held for the categorical pediatric, internal medicine, and Med-Peds residents. These conferences address a medical topic that affects both pediatric and adult populations. A common focus of the conference is the smooth transitioning of adolescent patients with chronic disease from pediatric to adult medical practice.
• Med-Peds Journal Club—Eight evenings per year the Med-Peds residents and faculty meet to appraise and discuss a recent medical journal article. An R4 chooses the article and leads the discussion. This forum provides residents with the opportunity to review basic concepts of evidence based medicine, to practice the skill of critical appraisal, and to gain understanding of the process of incorporating new research into practice.
• Med-Peds Ambulatory Conference—For one half-hour prior to each resident clinic session, residents and their faculty preceptors meet to discuss the clinical presentation, diagnosis, and management of a common ambulatory problem. The curriculum alternates yearly in order to cover a wide spectrum of both pediatric and adult primary care topics.
• Class Career Meetings—Throughout the year, each class meets as a group with the program director to discuss their post-residency plans, including mentoring, CV preparation, job applications and interviewing.

Special Rotations

• Skills Blocks
  • Med-Peds—In late fall, all Med-Peds R1s are scheduled for a two-week skills block rotation. During this distinct rotation, the interns are exposed to a variety of medical and psychosocial themes. Experiences include interactive sessions on child development, advanced directives, medical ethics, professionalism, Nexplanon placement, billing and coding, mentoring, EKG and PFT interpretations, evidence-based medicine, quality and safety, implicit bias and microaggressions.
  • Residents as Teachers—A half day is dedicated to training all URMC interns.
  • Pediatrics—In the fall of the R2 year, two weeks are spent learning about teaching, managed care, practicing procedural skills like splinting, casting, and IVs, participating in ICU simulations, and discussing life skills for after residency including financial wellness.
  • Combined Electives—We offer combined Med-peds electives in rheumatology/allergy/immunology, pulmonology, neurology, and heme/onc that involve both adult and child subspecialty services.
  • Other combined experiences are encouraged and can be arranged.
  • Practice-Based Experiences—Residents are assigned to two one-month blocks of practice-based experience (PBE) in a Med-Peds office over the course of their PGY2 and PGY3 years. During these months, the resident functions as a junior partner of the practice, seeing both children and adults, thus emulating the "real life" of a primary care Med/Peds practitioner. Some residents have chosen to spend these months with graduates in locations outside of Rochester.
  • Medicine-Pediatrics Links to the Community (M/PLC)—M/PLC is a two-week community advocacy educational rotation that introduces first-year residents to local advocacy and public health resources through site and home visits.
  • Transition Medicine - A two-week rotation focusing on the care of the adolescent and young adult with chronic illness(es) who is transitioning to the adult health care world. This rotation is anchored in our Complex Care Center, located adjacent to the residency continuity practice, Culver Medical Group. It is staffed by Med-Peds faculty who are graduates of our Med-Peds Residency Program. For those who envision this as a potential career path, the Complex Care Center offers a 1-year post graduate fellowship in transition medicine.

Ambulatory Experience

A continuity experience in an ambulatory setting is a fundamental part of the Med-Peds program. Residents begin continuity experiences in a combined Med-Peds practice and continue in that practice throughout their four years. In the first postdoctoral year, one half day each week is spent in the practice. In the remaining years, this increases to two half days per week, except during intensive care and overnight rotations when residents do not attend their ambulatory continuity clinic.

• Culver Medical Group: Residents receive their internal medicine- pediatrics ambulatory training at the Culver Medical Group (CMG), where seven full-time Med-Peds faculty teach residents in addition to seeing their own ambulatory patients.