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Years | Rotations | Firm System | Conferences | Research
The Einstein Medical Center Internal Medicine Residency Program is structured to provide a comprehensive core curriculum in internal medicine. This is accomplished through supervised daily patient care activities as well as an extraordinary number of high-quality didactic educational experiences.
The residency program is structured to ensure that each resident has the opportunity to acquire the knowledge, clinical skills, interpersonal skills, professional attitudes and behaviors, and experience required to become a outstanding general internist or subspecialist.
For each required and elective rotation, our written curriculum defines the educational purpose, training objectives, principal teaching methods, educational content, educational methods, and evaluation methods.
Our curriculum covers the full range of general internal medicine and all subspecialties. It also provides an educational framework for clinical experiences in the related specialties of dermatology, neurology, obstetrics and gynecology, physical medicine and rehabilitation, ENT, orthopedics, ophthalmology, and women’s health. The curriculum structures the educational content of training in medical ethics, behavioral science, continuous quality improvement, medical informatics, legal medicine, preventive medicine, and environmental and occupational medicine.
The PGY-1 year focuses on fundamentals of differential diagnosis and clinical problem solving. Residents in the first year master the techniques of history-taking and physical examination, gain expertise in the care of patients in a variety of inpatient and ambulatory settings and develop competence in procedural skills. At the conclusion of the PGY-1 year, residents are prepared to assume responsibility for supervising patient care and providing leadership for the medical team. In addition to rotations on the general medical floors and critical care units, our PGY-1 residents have an opportunity to rotate in oncology, telemetry and ambulatory geriatrics. One of the many highlights of the PGY-1 is the month long research rotation. Under the mentorship of a full-time faculty member, PGY-1 residents have an opportunity to develop, complete, and present their research project.
For their PGY-2 and PGY-3 years, the curriculum provides for ongoing, excellent training in general internal medicine, ambulatory care, subspecialty medicine, and medical consultation as well as variety procedural training opportunities. A highlight of the curriculum is two month long preceptorships in a general internal medicine teaching practice. In this unique rotation, residents assume the responsibilities of a junior partner and gain valuable experience in the practice of medicine. Experience on the medical consult service ensures that residents develop expertise in the clinical and interpersonal skills essential to the practice of internal medicine. Our ambulatory care rotation encompasses areas essential to success in a managed care environment. This block rotation includes endocrinology, ophthalmology, ENT and women's health. Clinical and didactic teaching is integrated into a core curriculum that focuses on the competencies expected of practicing internists. During the ambulatory care rotation residents can complete a quality improvement project. Substantial teaching and extensive experience in office procedures, including flexible sigmoidoscopy and pulmonary function testing, are important components of the curriculum. In addition, residents can participate in community service and home care visits, gaining valuable preparation for primary care practice.
Internal medicine residents have the opportunity design the large elective portion of their curriculum toward a primary care or subspecialty focus. Our curriculum offers a wide range of elective opportunities in all specialties. Additional research opportunities are available and many of our residents have taken advantage of this opportunity to gain experience in research methodology, statistical analysis and manuscript preparation. Scheduled didactic sessions with a biostatistician and monthly research seminars ensure that residents receive the support they need to be successful in their research projects.
Years | Rotations | Firm System | Conferences | Research | Top
The firm system encompasses the teaching and patient care activities of the Internal Medicine Residency Program.
General medicine services are the core of the inpatient experience in the Internal Medicine Residency Program. Residents are exposed to the full range of clinical disorders and gain experience in primary, secondary, tertiary and quaternary care. Because Einstein Medical Center is a referral center for area hospitals, medical residents receive hands-on training in the care of patients with the full spectrum of complex illnesses.
General medicine services are organized by firm and are geographic. Patients referred from the Department of Emergency Medicine are evaluated by the medical admitting resident, who works with a nurse facilitator to admit patients to the appropriate firm. Each firm consists of two inpatient teams, and each team includes one to two medical students, two PGY-1 residents, one to two senior residents and a full-time teaching attending. Each firm is assigned to a single hospital floor. The firm system allows residents to establish collaborative and continuous partnerships with nurses, social workers, pharmacists and clerks.
PGY-1 residents on the general medicine service have primary responsibility for six to ten patients and receive close supervision and substantial teaching. A full-time faculty member supervises patient care activities on each team and conducts bedside daily teaching and management rounds.
In order to ensure that the residency program remains focused on its educational mission, the Department of Medicine sponsors a nonteaching service. Patients admitted for routine procedures and those admitted after the firms are full are admitted to the nonteaching service. The nonteaching service guarantees that residents have responsibility for a limited number of patients and ensures an appropriate workload. Physician assistants and dedicated physicians provide full-time coverage for the nonteaching service.
In the Medical Intensive Care Unit and the Coronary Care Unit, medical residents learn to manage patients with multi-system failure and a variety of life-threatening illnesses. The critical care units offer a challenging patient mix and exceptional learning opportunities. Each unit team includes PGY-1 residents, senior residents, a subspecialty fellow and the teaching attending.
The Minerva and Fred Braemer Heart Center sponsors patient care programs and clinical research in the full scope of interventional cardiology. Equipped with sophisticated technology, the Minerva and Fred Braemer Heart Center integrates digital imaging and hemodynamic monitoring into a cardiac information management system.
In the Medical Intensive Care Unit, our designation as a Level I Regional Resource Trauma Center and participation in a helicopter transport program ensure a broad experience for medical residents. Active programs in pulmonary and hepatobiliary disease, infectious disease and transplantation also ensure outstanding learning opportunities for medical residents.
Daily teaching rounds and conferences supplement the clinical experience for medical residents in the critical care units. The core curriculum ensures that residents achieve competency in a variety of procedural skills, including ventilator management, ECG interpretation, arterial and central line placement and advanced cardiac life support. A nurse facilitator coordinates patient transfers in and out of the units, freeing residents to concentrate on learning and patient care.
A full and robust schedule of conferences contributes to the active learning environment for medical residents.
The Department of Medicine’s commitment to resident education is reflected clearly in the opportunities, encouragement and support provided for resident research.
The PGY-1 research rotation includes supervised experience in computer-assisted literature searching, an introduction to epidemiology and biostatistics and instruction in critical review of the medical literature. Residents select an area of interest and present their findings at the annual Department of Medicine Resident Research Symposium.
A number of research projects initiated in the PGY-1 year have culminated in presentations at national meetings or publications in peer-reviewed journals.
The Department of Medicine encourages all residents to participate in scholarly activity and we are especially proud of their research achievements.
James Cosentino explains what has made his Einstein learning experience so valuable through his first year of the Internal Medicine residency at Einstein Healthcare Network.