Curriculum

The goal of the Internal Medicine Residency Program is to develop physicians with the skills, knowledge and experience necessary to pursue a successful career in primary-care medicine or to continue their training in a range of medical subspecialties.

Internal Medicine Residency Program Features

Brief clinic talks, bite-sized education, bedside teaching, QI, research ...

Throughout each year, residents are scheduled for a weekly half-day outpatient clinic, regardless of their assigned block rotation (with a few exceptions), which helps to develop continuity-of-care skills. Year-round brief clinic talks provide bite-sized education on outpatient topics. Formal conferences include scheduled bedside-teaching sessions, occasional grand rounds, daily core curriculum discussions in general medicine and the sub-specialties, residents reports, and periodic journal club meetings interspersed with morbidity/mortality and clinical pathological conferences. Residents also are actively encouraged to conduct clinical research activities, including submission of case reports and design and implementation of clinical protocols. Quality-improvement (QI) skills begin with online courses and then immersion into new or existing quality-improvement projects related to Internal Medicine, often in interprofessional settings with aims aligned to institutional goals, allowing residents to discover how large institutions can manage systemwide improvements. Dedicated QI time allows residents to complete projects or to more deeply examine areas of interest.

Focus on evidence-based medicine

Internal Medicine Residency Roadmap

Residents’ first year of residency training is focused on the acquisition of basic clinical skills under faculty supervision, with emphasis on medical data-gathering, case presentation, data interpretation and medical decision-making. The second year offers increased exposure to subspecialty medicine, greater responsibility for patient care, and participation in the training of junior residents and medical students. The third year of the residency training combines general medicine with subspecialty experiences, emphasizes evidence-based medicine, and provides seniors with attending-like experiences. Residents also begin the transition into post-residency medical practice or further subspecialty training. A strong emphasis is placed on evidence-based medicine. Since 55% of Hurley’s medical clinic patients belong to a managed-care plan, residents gain extensive experience caring for managed-care patients

Internal Medicine Residency Sample Curriculum

Number of rotations in each area

PGY I
No. of Rot.

PGY II
No. of Rot.

PGY III
No. of Rot.

General Medicine

5

4.5

3.5

ED

1

Endocrine

0.5

ICU

2

1

1

CCU

1

1

1

Infec. Dis.

0.5

0.5

Nephrology

1

0.5

Geriatrics IP

0.25

1

Neurology

1

Allergy

0.25

Rheum/Hem

0.5

Electives

1

2

3

Vacation

0.75

0.75

1

Sick Call OP

1

Quality Improv.

0.5

0.5

Proced. Week

0.5

Research

0.25

0.5

TOTAL

13

13

13

The residency program rotations include experience in the following required areas:

Cardiology PreceptorshipGeriatricsOffice Gynecology
Coronary CareHeme-OncologyOffice Orthopedics
DermatologyInfectious DiseasesPsych/Behav. Medicine
Emergency MedicineIntensive CareResearch
ENT/OphthalmologyNephrologySick Call
General Medicine

Neurology

Urgent Care

Subspecialty electives are available in the following areas:

Allergy and ImmunologyHematologyPulmonary Medicine
CardiologyInfectious DiseasesRadiology
Critical Care MedicineNephrologyResearch
Emergency MedicineNeurologyRheumatology
EndocrinologyPathologyPediatrics
GastroenterologyPsychiatry
Dr Subash Subedi of Hurley Internal Medicine talks about his experience working in local homeless shelters 2019
Social determinants of health

Homeless Shelter Curriculum

Our Internal Medicine and Transitional Year residents and faculty make monthly visits to three area homeless shelters in the Flint area, providing health education, health counseling, and health-screening fairs, the latter with the help of community partners. (Some activities are on hold due to the pandemic.)

Our shelter partners provide meals, housing, and other services for multiple shelter residents, which allows resident physicians to see first-hand some of the social determinants of health in the community. They also learn how community partners can work together to help people get back on their feet again after experiencing the crisis of homelessness.

Shelter locations

The shelter locations are all near to Hurley (though resident physicians drive to their assigned location to make sure they arrive on time). The sites also are safe and have available parking spaces. Select the arrow at the top of the map to see a list of locations.