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Education

Categorical


Categorical training in internal medicine is a three-year program that provides comprehensive training for individuals interested in primary care or subspecialty careers. First year experiences are intended to expose interns to the myriad of internal medicine disciplines and to help them establish competency in triage, resuscitation and management of a wide variety of patients in both the inpatient and outpatient environment. In the second and third year, residents continue to mature in their clinical problem solving skills and develop skills in leadership, teaching, and systems based practice. In our system of mentored autonomy, residents assume increasing responsibility for establishing accurate differential diagnoses, honing in on the correct diagnosis, using the literature to identify appropriate management strategies and coordinating increasingly complex care plans for our patients. Throughout all years, faculty members are readily available for advice, coaching and supervision. Experiences in the outpatient setting are combined with inpatient service to emphasize the skills needed to diagnose and manage the illnesses routinely encountered in primary and tertiary care settings.

Some of our program's strongest features were initiated through the Educational Innovations Project. We believe that outpatient education can be improved by having residents dedicated solely to inpatient service or outpatient training. We also believe that residents need to learn how to work within a practice group model early in their training, as this is how most physicians function out in practice. The residents are part of a 3 physician practice group, establish a panel of patients, and alternate continuity clinic responsibilities every 3 blocks. During Continuity Practice Blocks trainees have 3-4 half days of continuity clinic per week. The rest of this 4 week block is dedicated to an outpatient elective or other special elective.

Graduates of our categorical program make excellent hospitalists, specialists and primary care providers—the choice is up to them. The goal is to prepare them to be leaders in whatever field they choose, whether their ultimate practice environment is in academics or community-based. 
 

Categorical

 

PGY1

Number of 4-wk. Blocks

General Medicine Service

1-2

Subspecialty Medicine Service

3-4

MICU

1

Elective with Continuity Clinic (includes career development elective and Junior Ambulatory Block)

4

Inpatient Consult Elective

1

Night Team

1

PGY2

Number of 4-wk. Blocks

General Medicine Service

1-2

Subspecialty Medicine Service

3-4

MICU

1

Emergency Medicine

1

Elective with Continuity Clinic (includes VA clinics and options for research)

4-5

Inpatient Consult Elective

1

Night Team

2

PGY3

Number of 4-wk. Blocks

Subspecialty Medicine Service

General Medicine

2-3
0-1

MICU or other critical care

1

Electives with Continuity Clinic 

(includes experience in geriatric medicine)

4

Electives without Continuity Clinic

2

Senior Medical Consult (night)

0-1

Night Team

0-1

Neurology

0.5