Elective Rotations

Overview

We offer a variety of elective rotations to help meet your training requirements and career goals.

During your first year of residency, required electives include: essential skills in internal medicine (ESIM), geriatrics, neurology, and a clinic block elective (Patient-Centered Team Care).

During your second and third year of residency, you have the opportunity to tailor your schedule to your career goals. In addition, there are some required electives including rheumatology, endocrinology, gastroenterology, general medicine consults, and a clinic block elective (Advanced Outpatient Skills).

Below we have divided the electives based on year of training and potential career interest. If you are not sure what type of career you are interested in pursuing- that’s okay! Your exposure to multiple subspecialties during your first year will help to guide you.

In addition to the electives listed below, we allow for 2 research months to be taken during your second and third year of training.

First year electives:

Ambulatory clinic block (Patient Centered Team Care): As an immersion experience in the principles of ambulatory medicine in the setting of a Patient Centered Medical Home, this rotation focuses on in-depth essential skills in ambulatory general medicine, management of chronic disease states, and learning the different team member roles (nurses, medical assistants, case managers, and pharmacists) and how a patient navigates within the Patient Centered Medical Home.

Essential skills in internal medicine (ESIM): This rotation, completed early in the internship year, focuses on topics not often found elsewhere in the residency curriculum. Topics addressed include fundamental communication skills, procedural skills and research. You will go through a variety of work-shops to give you the confidence to communicate with your patients when it comes to breaking bad news, error disclosure, and hand-offs. You will be exposed to a comprehensive evidence-based medicine and quality improvement curriculum. If you have never done research before, this rotation will give you the confidence and essential skills needed for research. Last, you will go through procedural training in our state-of-the-art simulation center to practice on models and gain familiarity with equipment prior to doing procedures in the general wards.

Geriatrics: This rotation emphasizes care delivery and health management of elderly patients. In-depth patient-centered experiences include inpatient consults, Center for Senior Independence (an outpatient alternative to nursing home care for frail, elderly patients), resident nursing home, inpatient Palliative Care, and time spent with the Henry Ford Hospice team.

Neurology: During the Neurology consultative elective, internal medicine residents will learn basic clinical neurology while providing aid to consulting services. Residents will learn anatomy, physiology, clinical presentation, and management of common nervous system disorders, and gain confidence in performing a neurological exam on patients.

Required Second and Third year electives:

Gastroenterology clinic/consults: Inpatient gastrointestinal consults are combined with outpatient management and exposure to scopes. Common conditions include peptic ulcer disease, hepatobiliary disease, liver transplantation, and diverticular diseases. Various endoscopic procedures are also done.

General medicine consults: Upper-level residents focus on the intricacies of inpatient consult medicine including preoperative evaluation, perioperative management of VTE prophylaxis or treatment, perioperative management of chronic diseases, and acute decompensation of chronic medical conditions.

Rheumatology: Not often encountered in the inpatient service, this month-rotation offers exposure to diagnosis and treatment of connective tissue disorders.

Endocrinology: Mostly outpatient with some inpatient consult exposure. This will give you confidence in diagnosis and management of diabetes, thyroid disease, pituitary disease, metabolic bone disease.

Advanced outpatient skills: This is a clinic block rotation consisting of mostly acute outpatient complaints and will develop your skills in triaging clinic patients. Common conditions include: skin rashes, eye complaints, heart failure, chest pain, musculoskeletal pain.

Optional Electives: (divided by subspecialty interest)

Research month: We encourage our residents to take research months during their second and third year. This month will allow 4 weeks of dedicated research time, with the only clinical responsibility being continuity clinic (1 day per week).

Cardiology interest: In addition to exposure during inpatient floors and the CICU, you have the option to take the following electives:

  • Cardiology consults
  • Cardiology electrophysiology
  • Heart failure service
  • Anesthesiology

Gastroenterology interest: In addition to the required gastroenterology rotation as well as exposure to GI during your inpatient general medicine floor rotations, you have the option to take the following electives:

  • Hepatology clinic

Hematology/oncology interest: In addition to exposure during inpatient floors, you have the option to take the following electives:

  • Hematology consults
  • Oncology clinic
  • Blood bank

Pulmonary/Critical Care interest: In addition to exposure during your 3 MICU months, you have the option to take the following electives:

  • Pulmonary clinic
  • Anesthesiology
  • Palliative medicine consults
  • Pulmonary Hypertension
  • Sleep medicine

General internal medicine interest: In addition to your continuity clinic and 2 clinic block rotations, you have the option to take the following electives:

  • Allergy/immunology
  • Dermatology
  • Sports medicine
  • Gynecology
  • General Medicine Subspecialty Exposure Elective
  • Infectious disease clinic/ HIV clinic
  • Pulmonary clinic

Other electives:

  • Infectious disease consults
  • Nephrology consults
  • Renal transplant service
  • Transplant infectious diseases
  • Tropical medicine
Information for Applicants
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