Curriculum - Internal Medicine Residency
UM Cap Region Internal Medicine transitioned to a 4+2 block system in 2022 with the goals of ensuring more time in the ambulatory setting, and providing separation of inpatient and ambulatory rotations. In general, the year takes the cadence of 4 inpatient weeks, followed by a 2 week ambulatory block.
During inpatient time, residents rotate through general medicine and cardiovascular wards, ICU, nights, and our subspecialty consult services (Heme/Onc, Cardiology, Infectious Diseases, Pulmonary, Nephrology, Neurology, and Gastroenterology). In addition there are 4 weeks in Emergency Medicine and (2) 4-week outside electives.
The ambulatory block has a "theme" – the majority of time that theme is continuity clinic, but other themes consist of rheumatology, addiction medicine, palliative care, cardiology, or pulmonology. During the ambulatory block there is 1 half day of protected didactic time, as well as some administrative half-days allowing for catching up on clinic work, or allowing personal time to schedule needed appointments, etc.
PGY1
- ICU: 8-10 weeks
- General floors: 10-12 weeks
- Cardiovascular Unit: 4-6 weeks
- Nights: 6 weeks
- Subspecialty: 6 weeks
- Clinic: 12 weeks
- Vacation: 4 weeks
PGY 2
- ICU: 8 weeks
- General floors: 8 weeks
- Cardiology consults: 6 weeks
- Subspecialty: 10 weeks
- Admitting: 2 weeks
- Clinic: 10 weeks
- Elective: 4 weeks
- Vacation: 4 weeks
PGY 3
- General floors: 4 weeks
- Cardiovascular Unit: 4 weeks
- Cardiology consults: 2 weeks
- ED: 4 weeks
- Nights: 4 weeks
- Subspecialty: 8 weeks
- Admitting: 2 weeks
- Clinic: 12 weeks
- Elective: 4 weeks
- Vacation: 4 weeks
Didactics and Conferences
We offer a growing and robust noon conference series which is mapped to the ABIM exam blueprint and is organized in weekly themes to encourage related self-study as possible. Grand Rounds replaces Noon Conference on Wednesdays and brings outside expert speakers on special topics. Monthly we replace a noon conference with Journal Club, Morbidity and Mortality conference, as well as our Town Hall open forum discussion for resident feedback on the program.
Morning report occurs from 9:00a-9:30a to allow time for pre-rounding and give some focused teaching prior to floor rounds beginning at 9:30.
Dr. Chhabra, one of our APDs and an oncologist, leads monthly tumor board, and Dr. Akomeah one of our ED attendings leads our highly interactive simulation lab.
Our Ambulatory Academic Half Day was started Academic Year 22-23 and allows protected time for clinic based didactics. Interns participate in a research curriculum and the Yale Office-Based Curriculum. Seniors participate in board review, Yale Office-Based Curriculum, and an innovative Process Improvement curriculum led by UM Cap Project Managers.