Internal Medicine Residency Curriculum
The curriculum has been carefully planned to fulfill the specialty requirements of the Medicine Residency Review Committee (RRC) of the Accreditation Council for Graduate Medical Education (ACGME). The curriculum offers broad and balanced experience in both inpatient and outpatient settings, which prepare the graduate for a career in general internal medicine or further training in any of the medical subspecialties. By the end of the three year program, graduating residents leave as expert practitioners in the care and treatment of major acute and chronic diseases.
Inpatient rotations include assignment to the general medical floors and intensive care units as well as our specialty divisions. These required rotations are illustrated in the rotation schedule. The residency program incorporates training in preventive medicine, interviewing skills, cultural diversity, cost-effective management and computer skills.
Under the supervision of the full-time faculty and attending staff, residents participate in daily rounds on each unit. Residents complete patient evaluations, develop treatment plans, perform procedures and write all patient orders. Residents are also responsible for the ongoing care and monitoring of the patients in the 20-bed Medical Intensive Care Unit and the 10-bed Cardiac Intensive Care Unit.
The structure of the program allows residents exposure to other medical specialties such as ophthalmology, gynecology, adolescent medicine, and psychiatry. Additionally, it enables the resident to work with an inter-disciplinary team including social services, case management, home care, and nutritional support staff. This experience provides the resident with an understanding of the full range of care and support services available to patients, preparing the resident for the complexities of health care delivery in todayâ€™s world. Maimonides also has a modern simulation lab, which is incorporated into many aspects of the education of our residents.
The curriculum offers significant outpatient and ambulatory care "continuity" experience in both the outpatient clinic and private office practice settings. Every resident is assigned to an outpatient primary care team, supervised by an attending faculty physician. Each team is assigned a panel of patients. The outpatient continuity experience allows the resident the opportunity to establish a relationship with a panel of patients throughout the three years of training. The academic year for the categorical residents is scheduled as a "4+1" system, allowing one week of dedicated primary care and ambulatory subspecialty time every fifth week throughout the year. This new schedule was implemented for the 2013-2014 year and has been popular with our current residents. It provides for a separation between the inpatient and outpatient experiences, thus enhancing the education in both settings and permitting the residents to focus on the task at hand.