Internal Medicine Curriculum - FAQs
What recent changes have you made to the curriculum?
- A dedicated educational hour at noon every day -- with lunch provided every day except when we have Grand Rounds. Nurses know not to page (Doc Halo) residents during their educational hour. To facilitate attendance for the whole hour, clinics do not start until 1:30 PM. We are changing the culture -- Come. Eat. Learn.
- New FleX+Y system for scheduling. The Flex system (as we call it) is described in detail in the Ambulatory Program section. It is a variation of the X+Y system that gives residents concentrated time for either their continuity clinic Y blocks) and all their other rotations (inpatient, ER, electives), while providing flexibility so residents can attend personal events, go on fellowship or job interviews, and accommodate requests throughout the year. Residents get to spend 1:1 time with faculty and learn about the management of patients outside the hospital -- which is where most care is delivered. The metamorphosis this year has been incredibly well received!
- Academic GIM for interns. Started in 2016 as only a 2-week rotation in the fall, we expanded it to a fall and spring block for interns in 2017. Interns attend their continuity clinics in the afternoon in each block. In the fall, mornings are spend doing ultrasound, simulations, literature in medicine, wellness activities and shadowing a nurse in the MICU or Cancer Center. In the spring, interns attend subspecialty or GIM clinics in the morning which gives them a chance to either solidify their career choice or get exposure to a variety of subspecialties to help make their career decision and learn the breadth of internal medicine.
Some other changes in the last few years include expansion of our core curriculum in internal medicine, longitudinal group QI projects for second year residents, and web based modules in diabetes, rheumatology and palliative care.
Anything else new in the program?
We started a new rotation for interns called Academic GIM. During this 2-week block that is held early in the year, interns immerse themselves in their continuity medical clinic every afternoon and thus jump start their ambulatory skills. In the morning, they attend conferences, learn ultrasound guided procedures, do ACLS simulations, learn the basics of quality improvement, engage in interprofessional activities with nurses in the MICU and Cancer Center, engage in service learning at a community shelter, and relax with classmates in Literature in Medicine. This new rotation has been a huge success with the interns.
In addition, we held our first Intern Retreat where interns boosted their skills in hand-offs, efficiency and other areas. The retreat was capped off with a dinner at a local restaurant to they could enjoy some time with each other. We have an enhanced academic mentoring and research system to allow residents to develop their research skills and secure the best fellowship positions. We hold a Research Forum where residents present their ongoing research and upcoming abstracts. Faculty mentors join in the discussion, making this an incredibly well-received conference. We post the audio and slides for all of our conferences on line, making them easily accessible to residents for review. Check out our spectacular web site using Username = UMMC, password = applicant. We also update a compendium of landmark articles for our residents that are distributed on flash drives for their use.
All these methods allow our residents to do distance learning at their own pace.