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CATEGORICAL PROGRAM

Core Rotations

Rotations which all residents must complete include inpatient medicine, critical care, infectious disease consults, renal consults, general medicine consultation service, geriatrics, emergency room and an ambulatory block.

 

Rotation Schedule

R1

Inpatient Units
6 months

Critical Care
1 mo
ETC
1 mo
Geri
1 mo
Cross
Cover Rotations*
1 mo

Outpatient
1 mo

Ambulatory
Block

1 mo

R2

Inpatient Units
4 months

Critical Care
1 mo

Cross
Cover Rotations*
1 mo

G Med
Consults
or
Community
Rotation
1 mo

Electives
2 mo

Ambulatory
Block

3 mo

R3

Inpatient Units
2 months

Critical Care
1 mo

ID
1 mo

Renal
1 mo

Cross
Cover Rotations*
1 mo

Electives
3 mo
Ambulatory
Block

3 mo

* Cross cover rotations include VA Cross Cover, Night Float and Day Float.

Inpatient Rotations. The inpatient rotations take place at the VA and University Hospitals and include general medicine, cardiology, and hematology-oncology units. Our general medicine team at the VA Hospital consists of a single attending, a senior resident, 1 intern, a subintern, and 2 junior students. General medicine teams at the University Hospital are the same, with the exception of the addition of a second intern. On cardiology and hematology/oncology, teams consist of an attending, 1 senior resident, 2 interns and 2 students. Our inpatient services are categorized as teaching or attending directed. Residents rotate only on the teaching services.

Call Schedules:
  • General Medicine Inpatient:
     - Team call every 4th night at the VAMC
     - Intern call every 8th night at the UIHC
     - No overnight call for senior
  • Cardiology and Hematology-Oncology Inpatient:
    - R1 call every 8th night
    - No R2/R3 call
  • Critical Care Units:
    - Call every 4th night
  • Subspecialty Consults:
    - Beeper call from home
  • Night Float:
    - 2-4 weeks per year
  • General Medicine Inpatient Float

Electives. Flexibility is the key word for our electives and we have time in the 2nd and 3rd years to allow each resident electives that meet his/her career needs. Many residents choose electives in one of the subspecialties, but electives are not limited to clinical rotations. A research elective is offered for up to 2 months to allow residents to gain experience in clinical or bench research. Some residents have spent a month in a medically underserved area or medical mission . Click here for more information on electives.

Teaching Rotation. Teaching residents are specially selected third-year residents who teach in the M3 clerkship and subinternship programs. Teaching residents are responsible for M3 morning report/evidence-based medicine, physical diagnosis rounds, case-based and patient problem-based small group discussions. They are also responsible for weekly teaching sessions for the subinterns. Teaching residents receive instruction on how to teach in small group settings and how to evaluate learners through the Office of Consultation and Research in Medical Education.

Continuity of Care Clinics. ½ day per week for all residents. At the UIHC, each resident is paired and works one-on-one with a faculty physician to allow for continuity and individualized learning experience.

Ambulatory Block Rotation. The Ambulatory Block rotation is designed to ensure that all residents have adequate exposure to outpatient medicine. Interns have 1 month of the block and second and third year residents have 3 month blocks each year. Assignments in the block may include:

Medicine
Subspecialty Clinics
Other
Subspecialty Clinics
Medicine Clinics
  • Allergy
  • Endocrine
  • GI
  • Hematology-Oncology
  • Rheumatology
  • Dermatology
  • Neurology
  • Orthopedics
  • Urgent Care Clinic (VA)
  • Acute Care Clinic (UI)

While on the ambulatory block the residents are excused from clinical duties on Thursday afternoons to participate in an Ambulatory Curriculum which highlights physical examination skills and common outpatient problems.

 

Medicine-Psychiatry Program

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