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Firm System

The firm system encompasses the teaching and patient care activities of the Internal Medicine Residency Program.

Firm System Highlights

  • All residents, faculty and patients are assigned to a firm.
  • Each firm is structured as a group practice, with shared responsibility for learning and patient care.
  • Firms are geographic, with each firm admitting patients to a single hospital floor.
  • Residents are responsible only for patients admitted to their own firms.
  • Firms have continuity of care responsibility for their outpatients and inpatients.
  • Firms encourage an interdisciplinary team approach to learning and patient care.
  • Firms emphasize collegiality, mutual support, teamwork and camaraderie.


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