Internal Medicine Rotation Schedule
The Internal Medicine Program at Huron Valley-Sinai Hospital is a three year program. All AOA and ACOI guidelines are followed. An example of a three year program is listed below. Residents are encouraged to work with the Program Director to focus to develop a personalized internal medicine curriculum to meet their future practice goals.
Internal Medicine- PGY-1
4 months: internal medicine
1 month: critical care
1 month: cardiology
1 month: surgery
1 month: ER
1 month: OB/GYN
3 months: selectives, chosen by the Program Director. Possible rotations are: Geriatrics, Radiology, Anesthesia, Neurology, OMM, Dermatology, Adolescent Medicine, Urology, ENT, Ophthalmology, G.I., Pulmonary Medicine
PGY-2/ PGY-3
Residency Years Two and Three (R-2, R-3). For the second and third years of the residency, either a primary care track or a traditional (hospitalist) track must be selected. A model curriculum for enhanced training in hospitalist medicine is available on the ACOI website (www.acoi.org).
a. General Internal Medicine. General medicine services must comprise no fewer than eight (8) months and no more than 16 months of the second and third years of the residency.
b. Subspecialty medicine. A minimum of one month experience with each of the following subspecialties must also be provided: pulmonology; endocrinology; gastroenterology; hematology/oncology (combined or separate); infectious disease; nephrology; rheumatology; neurology. The subspecialty experiences may be in either an inpatient or an outpatient setting. If the ICU requirement has not been met as a one month rotation during the first year, then it must continue to be integrated throughout the second and third years of the residency.
c. The primary care track requires that a minimum of 50 percent and a maximum of 65 percent of the program be spent in ambulatory rotations, including the continuity ambulatory experience. The traditional/hospitalist track requires that a minimum of 20 percent and a maximum of 40 percent of the program be spent in ambulatory rotations, including the continuity ambulatory experience.