A. General
The categorical internal medicine program is a three-year experience that
provides Housestaff with opportunities to assume ever-increasing levels
of responsibility as their years of training advance. Residents interested
in careers as physician scientists, either in the biomedical sciences
or in health evaluations sciences, are given the opportunity to organize
their second year of training to meet the requirements of the American
Board of Internal Medicine's Clinical Investigator Pathway. All house
officers are trained in general internal medicine. Within that boundary,
houseofficers are encouraged to distinguish themselves by tailoring
their individual traianing to meet their particular career goals.
The program is administered by the Vice Chair for Education,
Lisa Bellini, MD. She reports directly to the Chair of Medicine.
The Office of Education is located in 100 Centrex at HUP.
For academic year 2009-2010, there are 3 chief medical residents;
one for HUP, the PVAMC, and PPMC. They are Judd Flesch, Erin Ney and Jason Wagner.
Other faculty members of the program administration include:
| Matthew
Rusk , M.D. |
Primary
Care Program Director
Associate Director, IM Training Program |
| Todd
Barton , M.D. |
Associate
Director, IM Training Program |
| Ilene
Rosen, M.D. |
Associate
Director, IM Training Program |
| Karen Warburton , M.D. |
Associate
Director, IM Training Program |
Jessica
Dine, M.D. |
Associate
Director, IM Training Program |
Michelle
Klaus-Hernandez, M.D. |
Associate
Director, IM Training Program |
| Gary
Koretzky, M.D. |
Director,
Physician-Scientist Program |
Jennifer Cohn, M.D. |
Director, Global Health Program |
| Serena
Cardillo , M.D. |
Director
of Ambulatory Medicine |
The administrative support staff include:
|
Mary Beth Forte |
Assistant
Director for Graduate Medical Education |
|
Sue
Giangrasso |
Director
of Evaluations |
|
Anne
Marie Hunt |
Assistant
Director for Undergraduate Medical Education |
|
Denise Minerva |
Administrative
Coordinator |
|
Kathleen
Lynch |
Primary
Care Program Coordinator |
B. Levels of Training
PGY 1
First year residents spend two months in intensive care unit
rotations; six months
in inpatient general medicine ward experiences; one month
in an oncology rotation; and two
months in ambulatory care block rotations. There is one month of vacation.
Primary responsibilities include:
- Direct care for 8-10 patients on the general wards and 4-6
in the ICU’s, including all order writing, test ordering,
relevant procedures and documentation;
- Functioning as an integral team member;
- Providing continuous primary care to a panel of between 50
to 70 outpatients through their continuity practices;
- Attending a minimum of the required departmental
conferences.
- Evaluating their supervising faculty and residents at the conclusion
of each rotation.
PGY 2:
The second year curriculum includes rotations in emergency
medicine, geriatrics, neurology and an ambulatory based firm rotation,
in addition to further training in intensive care
and inpatient general medicine. The second year curriculum also
includes opportunities for electives.
Primary responsibilities include:
- supervision for 2 interns and thus indirect care
for 12-20 patients on the general wards and 8-12 in the
ICU’s;
- supervision of 1-2 medical students each month, including
modeling and teaching oral presentation and documentation
skills as well as history taking and physical exam skills;
- provide major objectives
for the educational content of resident teaching and attending
rounds, including
the liberal use of literature for the practice of evidence based medicine
and the preparation of short talks for interns and students
apart from attending rounds;
- mastery of the organizational skills necessary to
manage an inpatient team or a consult service;
- providing continuous primary care to a panel of between 70
to 90 outpatients through their continuity practices;
- ensuring
that department work hour policies are met;
- functioning
as an integral team member;
- attending a minimum of the required
departmental conferences.
- evaluating their supervising
faculty and the interns and students they supervised at the conclusion
of each rotation.
PGY 3
The third year curriculum includes two weeks of medical consultation;
an optional month as teaching resident; additional weeks in the emergency
room, as well as inpatient general medicine ward experiences and
electives.
Primary responsibilities in addition to those listed
for the PGY 2 year include:
- Develop a comprehensive approach to learning based on one's
own perceptions of gaps in fund of knowledge as well as the
results of objective assessments, including the Intraining Exam
and summative evaluations;
- Enhance feedback and evaluation skills;
- Function as role models and mentors for younger trainees;
- Engage in scholarly pursuit.
