Residency Program

Internal Medicine Residency

Educational Goals

During training, under the direct supervision of an attending physician, the trainee will attain a level of competence that will qualify them to become a certified physician in internal medicine or allow the trainee to seek specialized training. Satisfactory levels of accomplishment must be demonstrated in the cognitive, psychomotor, and affective aspects of patient management. Upon satisfactory completion of the Internal Medicine Residency Program at our institution, the trainee at each level should by the end of each year:

PGY 1

  • Perform complete history and physical examinations on all new patients for whom the trainee has primary responsibility.
  • Examine all data related to the management of the trainee’s patients.
  • Synthesize all available information to generate differential diagnoses and subsequent diagnostic and therapeutic plans.
  • Communicate the synthesis of the above information in both an oral and written format to the supervising faculty member.
  • Follow-up on all tests and procedures ordered for patients under the trainee’s care.
  • Communicate as a professional with patients, hospital staff, students, fellow residents and attending staff.
  • Arrive timely and ready for work.
  • Participate in sign-out at the beginning and end of each shifts and as needed to assure continuity of patient care.
  • Step 3 of the Boards completed.
  • All post-tests completed.
  • Patient and procedures are logged into New Innovations.
  • Medical Records are up to date.
  • Satisfactory completion of rotations.
  • Research requirements completed as necessary.
  • In-Training Exam scores above the 50th percentile (for their respective year of training) or Clinical Competency Committee individual education plan requirements completed.

PGY 2

  • Perform complete history and physical examinations on all new patients for whom the trainee has primary responsibility.
  • Examine all data related to the management of patients the trainee has evaluated.
  • Synthesize all available information to generate differential diagnoses and subsequent diagnostic and therapeutic plans.
  • Communicate the synthesis of the above information in both an oral and written format to their supervising faculty member.
  • Provides direct care of patients including all order writing, test ordering, and documentation.
  • Follow-up on all tests and procedures ordered for patients under the trainee’s care.
  • Demonstrate competence in the care of more complex or severely ill patients including critical care and trauma.
  • Demonstrate the application of basic medical knowledge during evaluation and care of patients with more complex problems.
  • Demonstrate basic knowledge of medical specialties while caring for critically ill and multi-injured patients.
  • Demonstrate competence in performing more advanced procedures including central lines, lumbar puncture, and chest tubes.
  • Demonstrate increased competence in airway management including intubation and the use of other advanced airway techniques under the direct supervision of the attending physician.
  • Communicate effectively with patient care team, begin to assume leadership position within the team, show foresight and planning in regards to patient care, concise and effective presentations, and development and execution of a cogent treatment plan.
  • Demonstrate the ability to manage an increasing number of patients simultaneously.
  • Licensure application completed.
  • Medical records are up to date.
  • Patient and procedures are logged into New Innovations.
  • Satisfactory progress of ultrasound procedures logged.
  • Satisfactory progress of critical care resuscitations logged.
  • PGY 2 research requirements completed.
  • Satisfactory completion of rotations.
  • In-Training Exam scores above the 50th percentile (for their respective year of training) or Clinical Competency Committee individual education plan requirements completed.

PGY 3

  • Function in the role of senior resident with its associated increase in responsibility.
  • Lead assigned didactic sessions.
  • Demonstrate competence in teaching and supervising more complicated presentations.
  • Demonstrate significant knowledge and mastery of care delivery across the continuum of internal medicine.
  • Exhibit the lead in the resuscitation and continued management of the critically ill and multi-injured patient.
  • Demonstrate an expertise in airway management and all levels of emergency medicine procedures.
  • Medical records are up to date.
  • Patient and procedures are logged into New Innovations.
  • Research requirements completed.
  • Satisfactory completion of rotations.
  • In-Training Exam scores above the 50th percentile (for their respective year of training) or Clinical Competency Committee individual education plan requirements completed.