Rotations

General Internal Medicine Service:

Rotations are 2–4 weeks in duration. During the inpatient General Medical Floor service, residents work in teams that may either be "mega teams" (one senior resident and two interns) or regular teams (one senior resident and one intern), with a variable number of medical students. An attending physician is assigned to each inpatient service, acting as a mentor while conducting daily patient rounds and formal teaching rounds.

Inpatient teams are responsible for responding to rapid response calls from 7 a.m. to 7 p.m. every four days. We operate using the night float system, so overnight patients are admitted by the night float team. We do not have 24-hour calls.

As a PGY1, responsibilities include taking primary responsibility for patient management in collaboration with the senior resident and attending physician. The intern is expected to write all orders, document care in the chart, perform daily work rounds, and attend all conferences.

As a PGY2, the main responsibility is supervising PGY1 residents in the management of patients. Second year senior residents are expected to ensure quality of care for each patient, take leadership roles during work rounds, and participate in all conferences. They also play a major role in the education of students and present Morbidity and Mortality as part of their scholarly activities during this year.

As a PGY3, the main responsibility is to ensure the appropriate functioning of the entire team. This year is focused on developing teaching skills and practicing evidence-based medicine. The third-year senior resident is expected to lead rounds, supervise the education of students, and present a Senior Research Project as part of their scholarly activities.

Outpatient Ambulatory Continuity Clinic:

Our program follows an X (6 weeks inpatient) - Y (2 weeks outpatient) schedule. Residents have a two-week outpatient primary care clinic rotation every six weeks. From the beginning of residency through to the end, residents are expected to develop and maintain continuity of care with their patients.

Our program is proud to serve a diverse community with a wide range of primary care concerns. Residents are supervised by faculty members, who act as preceptors throughout the clinic rotation. The clinic schedule is divided into morning and afternoon sessions. During this time, residents are expected to participate in morning reports and the noon conference as part of their outpatient educational experience.

MICCU:

The Medical Intensive and Coronary Care Unit (MICCU) rotation offers hands-on experience with critically ill patients, under the direct supervision of intensivists. Rotations typically last 2–4 weeks and involve working in a team of four senior residents and four interns.

During the rotation, you will be exposed to a diverse range of complex cases, with opportunities to become proficient in key procedures such as central line placement, arterial lines, lumbar punctures, thoracentesis, and paracentesis. Additionally, you will gain valuable experience managing mechanically ventilated patients and caring for those with advanced circulatory support, including transvenous pacemakers and pulmonary artery catheters.

Teaching is integrated into daily rounds with a multidisciplinary team, including nurses and pharmacists. A structured MICCU curriculum is in place, and our dedicated team of intensivists ensures high-quality educational experiences, offering expert lectures on pulmonary and critical care topics.

Nights:

The Night Float Rotation lasts for 2 weeks and offers a unique opportunity for residents to develop their clinical skills and decision-making capabilities. The night float team consists of two interns and two senior residents, with responsibilities alternating throughout the night to ensure patient care. During this rotation, interns are responsible for cross-covering patients assigned to morning teams, admitting new patients, and responding to Rapid Response.

Electives:

First year: Nephrology, Neurology, Cardiology and Infectious diseases

Second and Third years, and Preliminary: Allergy and Immunology, Radiology, Cardiology, ENT, Research, Infectious Diseases, Administration, Rheumatology, Psychology, Nephrology, Pulmonology, POCUS, Endo, Outside

*Exception: Preliminary do not have Outside/Away rotations.