Curriculum

Our goal is to produce physicians with a depth and breadth of knowledge that serves as a foundation for the provision of the highest quality comprehensive, compassionate care over our patients’ entire developmental spectrum and life span.

Our graduates are prepared to follow a career in primary-care medicine or to continue into fellowship training in any of the subspecialties, though we strongly encourage that any further training encompass the care of both pediatric and adult age groups. The Internal Medicine / Pediatrics residency training program strives to provide an optimal mix of primary- and tertiary-care learning experiences in a community-hospital setting.

Combined Internal Medicine/Pediatrics Residency Roadmap

The Med-Peds residency is a four-year program. The curriculum is composed of two years of Pediatrics and two years of Internal Medicine. It is designed to give in-depth training in both fields. During the first 18 months of training (as shown in sample schedule, below), residents acquire skills to gather and interpret data, present cases, analyze ethical issues and make medical decisions. The remaining years provide progressive responsibility with the residents functioning as supervisors in the categorical rotations.

Each rotation block is four weeks long. The rotations are sequenced roughly into three consecutive blocks, alternating between Internal Medicine and Pediatrics. Our goal is to schedule rotations in a manner that enables residents to see each of the seasons in Pediatrics. One vacation block (or two half-blocks) per year is scheduled.

A diagram of the current curriculum is shown below, with a suggested sequence that will be adapted to each resident individually. We believe it is important for the resident to have a clear view of their personal training goals and study plan, and we work to help them develop a specific program to meet these needs. Combined electives are strongly encouraged to maximize exposure to the full spectrum of medicine, pediatrics and other associated specialties, including ophthalmology, otolaryngology, dermatology, orthopedics, urology and radiology, among others.

Sample Schedule

PGY1 PGY2 PGY3 PGY4
MEDICINE
Jr Floor (2.5)
ICU Jr (1)
Night Float (.5)

MEDICINE
CCU Jr (1)
Infect Dis (1)
Floor Jr/Sr (1)
IM Sr (1)
Neph (1)
MEDICINE
Geri (1)
Hem/Onc (1)
Floor Sr (1)

MEDICINE
Cardiology (.5)
CCU (.5)
Floor Sr (1.5)
Night Float (.5)
ICU Sr (1)
MED/PEDS
ED (1)
Elective (1)
Vacation (1)

MED/PEDS
Mngd Care (1)
Elective (1)
Vacation (1)

MED/PEDS
Mngd Care (4)
Elective (1)
Vacation (1)

MED/PEDS
Mngd Care (2)
Indiv Curric (1)
Emerg Dept (1)
Elective (1)
Vacation(1)
PEDS
Com Med (1)
Devel Behav (1)
NICU Jr (1)
Nursery (1)
Floor Jr (2)
PEDS
Floor Sr (1)
Hem/Onc (1)
NICU (1)
PICU (1)
Selective
PEDS
PICU Sr (1)
Adolsc Med (1)
Cardiology (1)
Night float (1)
PEDS
Floor Sr (1)
Selective (1)
Subspec Clin (1)

Procedure week will be scheduled during 1st and 2nd year vacation blocks.

Selective must include at least ½-month of Pediatrics in the following specialties:

  • Allergy/Immunology
  • Endocrinology
  • Genetics
  • Gastroenterology
  • Infectious Diseases
  • Nephrology
  • Neurology
  • Pulmonary
  • Rheumatology

Internal Medicine/Pediatrics Residency Training Program Features

During the third-year ambulatory block rotation, residents see both adult and pediatric ambulatory patients, follow these patients as “courtesy attendings” when they are admitted, and conduct lectures and case conferences on ambulatory topics. Curricula for ambulatory medicine and pediatrics — as well as skills to successfully practice in a managed-care environment (didactics and feedback about utilization and quality profiles) and office practice management — have also been developed.

Teaching on office-based procedures is also implemented during the third year. Internal Medicine / Pediatric residents are given a thorough grounding in the principles of evidence-based medicine and the development of computer skills, which are taught through our Medical Informatics curriculum and practiced during the block rotation and beyond. In order to better understand the principles of evidence-based practice and clinical coordination, each Med-Peds resident is required to design a systems-improvement project under guidance from the faculty. In addition, each resident will be responsible for one project in which he or she collaborates with a community group, with opportunities to continue involvement after the ambulatory block.

The block rotation and continuity clinic is precepted by Med-Peds trained physicians, including full-time faculty and those Med-Peds physicians who practice in this community, as well as selected categorical faculty members.

Research focused on and developed around the above-described projects is strongly encouraged. All Med-Peds residents must complete a research project before graduation. Our full-time research department staff provides training in research methodology and computer skills, and is available along with teaching faculty to assist in the development of clinical research projects.

In addition to the curricula outline above, Internal Medicine / Pediatric residents are also certified in BCLS, ACLS, PALS, NALS, and in nutrition and respiratory therapy skills.

Program Application and Additional Information

To apply to our residency training program, candidates must utilize the Electronic Residency Application Service (ERAS). For more information about applying to our institution, visit our Application Process page.

For more information about our residency and Hurley Medical Center, contact the Combined Internal Medicine/Pediatric office at (810) 262-9283.