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Internal Medicine Residency Program

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4+1 Rotation

Our residency program will utilize a “4+1” rotation format, which will allow our house staff to minimize conflicts between inpatient and ambulatory rotations and focus on the setting in which they are rotating. Residents will spend 4 weeks on a given rotation followed by 1 week in the ambulatory environment.

During the ambulatory week, residents will have 5 half-day continuity sessions. In addition, they will have one half-day session in an Internal Medicine subspecialty of their choice and an additional half-day in a non-IM subspecialty experience (Ophthalmology, Office Orthopedics, Gynecology, Otolaryngology, etc.).

These non-continuity sessions will change every six months, allowing residents to experience a breadth of outpatient subspecialty practices that they feel will complement their primary care continuity experience.

During ambulatory weeks, residents will also be given time to complete online modules and administrative tasks related to their primary care panel. In addition, they will have protected time to engage in quality improvement activities.

These QI activities will be overseen by our faculty and will coordinate with institutional and practice goals.

Rotation Schedule PGY-1

Rotation NameWeeks
Inpatient General Medicine 16 Weeks
Ambulatory Medicine 10 Weeks
ICU/CCU 6 Weeks
Night Medicine * 4-6 Weeks
Neurology 4 Weeks
Elective * 6-8 Weeks
Vacation 4 Weeks

Rotation Schedule PGY-2

Rotation NameWeeks
Inpatient General Medicine 8 Weeks
ICU/CCU 8 Weeks
Ambulatory Medicine 10 Weeks
Emergency Medicine 4 Weeks
Night Float 4 Weeks
Elective * 10 Weeks
Quality and Safety 4 Weeks
Vacation 4 Weeks

Rotation Schedule PGY-3

Rotation NameWeeks
Inpatient General Medicine 8 Weeks
ICU/CCU 8 Weeks
Night Float 6 Weeks
Ambulatory Medicine 10 Weeks
Medicine Consults 4 Weeks
Geriatrics/Palliative Med 4 Weeks
Quality and Safety 4 Weeks
Elective * 4 Weeks
Vacation 4 Weeks

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