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What recent changes have you made to the curriculum?

  1. A dedicated educational hour at noon every day -- with lunch provided every day except when we have Grand Rounds. Nurses do not page (Doc Halo) residents during their educational hour. To facilitate attendance for the whole hour, afternoon clinics do not start until 1:30 PM. We stress our culture of -- Come. Eat. Learn.
  2. FleX+Y system for scheduling. The Flex system (as we call it) is described in detail in the Ambulatory Program section. It is an X+Y system that gives residents concentrated time for either their continuity clinic (Y blocks) and all their other rotations (inpatient, ER, electives in X blocks), 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.
  3. Academic GIM for interns. Started in 2016 as a 2-week rotation in the fall and because of tremendous positive feedback, interns now have a fall and spring block. Interns attend their continuity clinics in the afternoon in both blocks. In the fall, mornings are spent 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. Led by residents and GIM faculty, all residents on Flex or Academic GIM gather each week for seminars on essential primary care topics.

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.