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.
Conferences
Med-Peds residents meet every Friday for the Ambulatory Conference. In addition to this, Med-Peds residents also attend the Pediatric Lecture Series. Throughout the block, residents attend Grand Rounds and Noon Conferences with Internal Medicine and Pediatrics with whom they’re working.
Curriculum
The four-year Med-Peds residency 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.
4-WEEK BLOCKS
Rotation Schedules
Rotation Schedules
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.
Selectives must include at least ½-month of Pediatrics in the following specialties:
- Allergy/Immunology
- Endocrinology
- Genetics
- Gastroenterology
- Infectious Diseases
- Nephrology
- Neurology
- Pulmonary
- Rheumatology
Training features
Solid foundation: From primary care to quality measures
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 members provide training in research methodology and computer skills, and are available -as are 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.
More information
Contact Med/Peds by email
If you've read our FAQs and our website and still have questions, email is the best way to reach us.
Contact Med/Peds by phone
When email just won't do it, contact the Med/Peds Residency Program office at 810-262-7045.
How to apply to OB
Our program participates in the Residency Centralized Application Services (ResidencyCAS). Visit our Apply page for more information.
Combined Internal Medicine/Pediatrics residency site locations
Most resident rotations and educational activities take place at the main Hurley location in Flint, Mich. The weekly continuity clinics take place in the Hurley Medical Office Building connected to the main Hurley Medical Center building. Some rotations take place at the outpatient Hurley Children's Clinic atop the Flint Farmers' Market, 1.4 miles away, where residents can grab a delicious lunch while they're there. Most residents drive to and from the locations to make sure they're on time. Other rotations take place on Hurley's West Flint Campus or at Hurley Pediatric Specialists-Rashelle Drive. Use the arrow at the top left of the map to see a list of locations.