Residency Programs in the Department of Internal Medicine at Rush University Medical Center

Residency in Internal Medicine

Curriculum - First Year Residents

Rotation Schedule

There are 13 four-week rotations for the first year, consisting of 8-9 medical floors (including the intensive care units), an emergency room rotation, an elective rotation, a general medicine ambulatory care block, an ambulatory gynecological rotation and a vacation/educational leave block. The vacation may be taken all at once, or it may be split into two week blocks between the vacation and elective blocks.

Outpatient Experiences

One third of each resident’s training experience is required to be in the outpatient setting. Each categorical medicine resident has one half day a week continuity clinic. This experience takes place at Rush University Internists Clinic and selected private practice offices. Additionally, every resident spends at least one rotation each academic year in a general internal medicine ambulatory practice.

Procedures

During orientation, interns participate in a procedural course led by the chief residents. Residents are provided with a logbook to record procedures done on clinical rotations. The supervising senior resident, fellow, or attending physician must sign off on each procedure recorded. This documentation is increasingly important in meeting the requirements for ABIM certification as well as in applying for hospital privileges in future practice. A list of the procedures and their corresponding minimum requirement is provided with the logbook.

Evaluation and Promotion

Interns on the medical floors are evaluated by their respective senior residents and teaching ward attending physicians at the end of each rotation, while interns on the elective rotation and the ambulatory general medicine rotation are evaluated by their supervisory attending physicians. All evaluations are reviewed during the semiannual meetings with the program directors. If problems are perceived with a resident’s performance, a remediation plan will be formulated and implemented by the program directors and the chairman based on the recommendations of the Resident Evaluation Committee.

Every first year resident must perform four observed patient encounters (mini-CEXs) under the supervision of an attending physician, during the academic year. Completion of these teaching exercises are a requirement for promotion.

By the completion of the first year, the intern should have acquired the skills necessary to assume a leadership role on a medical floor. After completion of the first year of residency training, residents will be eligible to sit for Step 3 of the US Medical Licensure Examination (USMLE).



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