Program overview and curriculum
Overview
Wayne State University/Ascension Providence Rochester Hospital Internal Medicine Residency Program is an ACGME- accredited program. Our program has been providing inpatient and outpatient care to the Rochester community since 2011. We offer 12 categorical positions annually, currently training 36 residents.
The main training facility for our residents is Ascension Providence Rochester Hospital (APRH), located in beautiful Rochester Hills, Michigan. It is a 224-bed full-service hospital with 24/7 emergency care. Residents have the opportunity to rotate through a number of different subspecialties and work closely with teaching faculty physicians. Our full-time core faculty is dedicated to teaching and providing mentorship to our residents. The faculty and staff continuously provide guidance with resident research and quality improvement projects. The residents also engage with third- and fourth-year medical students, providing guidance and education. Additionally, our residents develop leadership and administrative skills by working closely with hospital committees and leadership.
The program is dedicated to providing comprehensive training to residents in preparation for future work in all subspecialties, academic medicine, community practice, research, and administration. We work closely with each individual resident and offer flexibility in creating the best fit training to achieve their goals. We strive to make continuous advances that will benefit our residents. By providing point of care ultrasound training, mock code training, quality improvement workshops and diversity training we aim to equip our residents with the tools they need to succeed in the future. We have a strong resident wellness committee, focusing on resident well-being and providing many resources to all trainees.
Graduates from our program have achieved success in passing their boards. Our graduates have secured positions in many subspecialties including cardiology, gastroenterology, pulmonary/critical care medicine, nephrology, geriatrics, palliative care, in addition to hospitalist medicine, primary care medicine and academics. The program is proud of this success as we continue to support all our residents in their journey to reach their goals while becoming competent and compassionate physicians.
Curriculum
|
Rotation schedule | PGY- 1 (block) | PGY- 2 (block) | PGY- 3 (block) |
|---|---|---|---|
| Inpatient Floors | 6 | 3 | 3 |
| Critical Care Unit | 2 | 2 | 2 |
| Night Float | 1 | 1 | 1 |
| Continuity Clinic | 0 | 0 | 1 |
| Elective | 3 | 2 | 2 |
| Hematology/Oncology | 0 | 1 | 0 |
| Neurology | 1 | 0 | 0 |
| Infectious Disease | 0 | 0 | 1 |
| Cardiology | 0 | 1 | 0 |
| Geriatric Medicine | 0 | 0 | 1 |
| Emergency Medicine | 0 | 1 | 0 |
| Vacation | 1 | 1 | 1 |
***Outpatient continuity care clinic is scheduled as a 1/2 day weekly session throughout residency training***
Inpatient floors
Description
This is the main rotation during the first year of the residency training. The PGY-1 resident will work under direct supervision of one PGY-2 or 3 residents for the entire rotation. A core faculty member will conduct daily rounds with each team. One faculty member is assigned to each team.
Structure
There are three teams during each block. Each team is composed of two PGY-1 and two PGY-2 or 3 residents. One faculty member will round and supervise each team during the rotation.
Day call
Each team will share one day call every third day. All team members are expected to start their call at 7:00 a.m. The team on call is divided into a short call and long call group. The long call group will be on call until 8:00 p.m. At that time, the long call team will provide sign out to the nightfloat team who will continue the admissions overnight. The team is also responsible for coordinating the sign out sessions with the other teams and the night float residents. Total number of admissions during the day call should not exceed five admissions for each PGY-1 resident.
Night call
No night calls during this rotation
Days off
Each resident is expected to have on average one day off every week.
Patient's load
The PGY-1 resident should not carry more than eight patients on her/his daily list. Senior residents should not supervise the care of more than 20 patients daily.
Didactics
All residents are expected to attend and participate in the daily Noon conference (11:00 a.m. to 1:00 p.m.)
Critical Care Unit
Description
The rotation is structured to provide training in managing critical care patients who are admitted to the Intensive Care Unit (ICU) and the Cardiovascular Intensive Care Unit (CVICU). The PGY-1 resident will work under direct supervision of four PGY-2 or 3 residents and an intensivist for the entire rotation.
Structure
The Critical Care team is composed of two PGY-1, two PGY-2, and two PGY-3 residents. Four intensivests will share direct and indirect supervision of the residents.
Night call
The PGY-1 resident is not expected to have any night calls. The four senior residents are expected to have one night call every fourth day. The senior resident on call is expected to start his/her 24 hour call at 8:00 a.m. and be free of duties after signing out at 8:00 a.m. the next day. No more than four hours extra are allowed for signing out during the morning rounds.
Days off
Each resident is expected to have on average one day off every week.
Patient's load
The PGY-1 resident should not carry more than five patients on her/his daily list. Each senior resident should not supervise the care of more than 10 patients daily.
Didactics
All residents are expected to attend and participate in the daily Critical Care didactics.
Night float
Description
The team is primarily responsible for admission, urgent medical consultations, cross-covering teams, rapid responses and codes, as long as you are not in a procedure or tending to a critically ill patient.
Structure
The nightfloat team consist of one PGY-1 resident and one PGY-2 or PGY-3 resident, providing service seven days a week.
Days off
Each resident has four days on and four days off.
Schedule
At 8:00 p.m., the nightfloat senior resident will take sign out from the day team. The nightfloat team will take admissions until 6:00 a.m. Sign out of cross-coverage from the nightfloat to the day resident and interns.
Patient load
Not to exceed 10 admissions in one night.
Didactics
All residents are expected to attend and participate in the daily Noon conference (11:00 a.m. to 1:00 p.m.)
Continuity Clinic Month
Description
This rotation is for PGY-3 residents. During this month the resident is expected to gain and utilize her/his skills as a medical educator. The resident is expected to organize and deliver topic reviews on a weekly basis, organize and moderate daily case presentation and participate in the design and the management of behavioral studies that address adult learning.
Night call
No night calls during this rotation
Days off
The resident is expected to have all weekends off.
Didactics
All residents are expected to attend and participate in the daily Noon conference (11:00 a.m. to 1:00 p.m.)
Ambulatory specialties
Description
These two blocks of outpatient rotations are distributed throughout the second and the third years of training. The objective of these rotations is to provide training in ambulatory specialty medicine. These include dermatology, ENT, ophthalmology, outpatient gynecology, and outpatient rehab medicine. The resident is expected to rotate among the specialty and spend a minimum of 10 workdays in each of them during the two blocks rotations.
Night call
No night calls during these rotations
Days off
Each resident is expected to have all weekends as off days.
Didactics
All residents are expected to attend and participate in the daily Noon conference (11:00 a.m. to 1:00 p.m.)
Subspecialty electives
(Pulmonology, Nephrology, Rheumatology, Endocrinology, Geriatrics, Neurology, Cardiology, Addiction Medicine, Hospice/Palliative Care, Hematology/Oncology, and Infectious Disease)
Description
Mandatory and elective subspecialty rotations are distributed throughout the three years of residency training. During these rotations the resident will be managing patients under the direct supervision of the subspecialty consultant, in both outpatient and inpatient settings. The description of each subspecialty rotation varies among different electives.
Night call
No night calls during this rotation
Days off
The resident is expected to have at least one day off duty every weekend.
Didactics
All residents are expected to attend and participate in the daily Noon conference (11:00 a.m. to 1:00 p.m.)
Research Elective Month
Description
This is an optional rotation for the second year of residency training only. The rotation is designed to give the resident the hours and the resources needed to complete research/CQI projects. This rotation needs to be approved by the program director. The resident is expected to develop and deliver a scholarly product during this rotation. Only one research block is allowed during the second year of the residency training.
Night call
No night calls during this rotation
Days off
The resident is expected to have all weekends off.
Didactics
All residents are expected to attend and participate in the daily Noon conference (11:00 a.m. to 1:00 p.m.)