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Program Schedule
The Emergency Medicine/Internal Medicine resident is considered a resident in both ACGME-accredited Emergency Medicine and Internal Medicine programs. The resident participates in the clinical and didactic educational activities of both departments.
The first year helps build a foundation in EM and IM, starting with a Didactic month in July that also serves as an orientation month. The second year provides increased clinical responsibility and autonomy on both the Emergency Medicine and Internal Medicine services. Elective time is also available. The third year EM/IM resident experiences increased supervisory and clinical responsibilities as residents assume leadership roles in medical and trauma resuscitations in the Emergency Department, or serve as consulting physicians to the rest of the hospital.
The fourth and fifth years offer more flexibility in both Emergency Medicine and Internal Medicine. Supervisory, teaching and research responsibilities continue to expand. There is additional experience in the intensive care units, pediatrics and elective choices. The EM Consult month is unique to the Combined Program. During this month, the combined resident is responsible for the supervision of junior residents during their Emergency Medicine rotation in the units, experiencing what it means to be an academic emergency physician. Similarly, the residents assume junior staff responsibilities on the Internal Medicine floors and will be responsible for academic leadership of their assigned teams.
An Internal Medicine continuity clinic is scheduled during the first four years. Residents will work with a preceptor to learn the subtleties of outpatient medicine and primary care.
Block Schedule
Here is an outline of the distribution of rotations across the five years. Within a year, the EM and IM months are staggered so as to not have the resident away from one department for a significant period of time.
| EM | IM | |
|---|---|---|
| Year 1 |
Orientation |
IM Floor IM Floor IM Floor IM Floor Outpatient Clinic SICU |
| Year 2 | EM EM EM EM EM EM |
IM Floor IM Floor Geri Ortho CICU MICU NeuroICU |
| Year 3 | EM1 EM EM EM EM EM Elective |
IM Floor IM Floor IM Consult NF/Rheum/Vac Elective ICU Selective |
| Year 4 |
EM |
IM Floor |
| Year 5 | EM EM EM Junior Staff Elective Elective Elective Elective |
IM Junior Staff IM Junior Staff MICU Elective Elective Elective |
Vacation: 4 weeks each year
IM Subspecialty Floors
- Cardiology
- Hematology/Oncology
- Infectious Diseases
- Nephrology
- Pulmonology