Internal Medicine Residency

We believe that excellent internal medicine physicians are curious, thoughtful, and critical problem solvers who are committed to lifelong learning. They believe in and practice both the art and science of medicine. They recognize that an individual's health and well-being cannot be abstracted from the environment in which they live. Thus, issues of relationship, family, culture, psychosocial health, spirituality, economic status, and life stressors are always relevant and often critical to the well-being or illness of a given patient.

Implicit in our educational curriculum are these assumptions:

  • Residents are adult learners each with individual learning styles. Though not all residents come to us having developed an understanding of their particular educational needs, part of our work as faculty is to facilitate this knowledge in order to maximize individual growth.
  • Residents must feel both supported and challenged in their clinical learning.
  • Independent clinical decision-making, properly supported, is the best and fastest road to competence.


The program will train two Osteopathic residents enrolled in the program during each training year for a total of six residents.

Most of the inpatient and major curricular topics are organized in 4-week blocks. Residents also have office hours in the residency clinic, maintaining continuity with their own panel of patients, and they follow patients who are in nursing homes or are home-bound. In addition to the block curriculum, several other topics are covered in a longitudinal curriculum – including psychiatry, osteopathy, and integrative medicine. We will offer a wide variety of electives, some of which are established and others of which have significant room to be tailored to the resident’s individual learning goals.

The rotational curriculum is designed so that each resident will satisfy all the certification requirements of ACOI.

Weekly didactics will include both live and teleconference presentations.  In addition, there will be an Internal Medicine Journal club, regular OMM practice labs, and Quality Grand Rounds.  

This curriculum promotes learning via structure and supervised exposure based on an educational rather than service model. Supervision and mentoring are hallmarks of the program, with the resident given additional responsibilities and opportunities as his/her training and experience warrant. Evaluation is integrated and organized throughout the training. On-call is limited and designed to provide specific training required of an osteopathic physician. A qualified medical preceptor is always available for consultation and assistance to the resident.

Curriculum by year:

Primary Care Track

OGME I
# Weeks
OGME 2 and 3
# Weeks
Ambulatory Time
General Internal Medicine
16
General Internal Medicine
64
 
 
 
Minimum of 50% and maximum of 65% of the program required to be spent in ambulatory rotations, including the continuity ambulatory experience.
ICU
4
Pulmonology
4
Cardiology
4
Endocrinology
4
General Surgery
4
Gastroenterology
4
Emergency Medicine
4
Hem/Onc
4
Women’s Health
4
Infectious Disease
4
Selectives
12
Nephrology
4
Vacation
4
Rheumatology
4
 
 
Neurology
4
 
 
Vacation
8
TOTAL
52
 
104

 
 
Traditional (Hospitalist) Track
OGME I
# Weeks
OGME 2 and 3
# Weeks
Ambulatory Time
General Internal Medicine
16
General Internal Medicine
64
 
 
 
Minimum of 20% and maximum of 40% of the program required to be spent in ambulatory rotations, including the continuity ambulatory experience.
ICU
4
Pulmonology
4
Cardiology
4
Endocrinology
4
General Surgery
4
Gastroenterology
4
Emergency Medicine
4
Hem/Onc
4
Women’s Health
4
Infectious Disease
4
Selectives
12
Nephrology
4
Vacation
4
Rheumatology
4
 
 
Neurology
4
 
 
Vacation
8
TOTAL
52
 
104
 
 
 
First-year residents spend one-half day per week seeing their own panel of patients in the Continuity Clinic. Second- and third-year residents spend two to four half days per week in the clinic, depending on track. Faculty supervision/consultation is always available.

Selectives
Three months of selectives are chosen with the program director. Each of the selectives can be for a maximum of one month, except additional general medicine, which may be for two months. Two week rotations may be used. Acceptable selectives are as follows:
 
Any internal medicine subspecialty
Additional general internal medicine
ICU
Geriatrics
Palliative Medicine
Radiology
Anesthesiology
Neurology
Psychiatry
Osteopathic manipulative medicine
Dermatology
Pediatrics
Family Medicine
Any nonmedical surgical ambulatory specialty, such as:
Orthopedics
ENT
Urology
Ophthalmology
Additional Non-Internal Medicine Specialties
Community Medicine
Physical Medicine and Rehabilitation
Podiatry