Internal Medicine Residency Curriculum

Rotation Schedule

PGY1

Intern year is both challenging and exciting.  Building on the knowledge learned in medical school, you will learn new skills in patient care and other aspects of the practice of medicine. For the first time, you are the patient’s primary physician and manage their acute and longitudinal care; helping them to navigate the complex and sometimes frightening healthcare system.  This doctor-patient relationship is one of the most sacred and rewarding aspects of intern year.

Categorical Track

Preliminary Track

 

PGY2

As you progress to an upper level resident, you take on a different role and develop additional skills as a teacher and leader. Interns and students will depend on you for supervision and guidance in delivering quality patient care. Leading a team, overseeing the care of all the patients and teaching both students and interns make for a challenging and fulfilling year.

PGY3

The final year of training is an opportunity for continued growth. As you build and hone your skill set, you develop additional confidence and prepare for independent practice. Your leadership and supervisory responsibilities grow as you are often the most senior internal medicine resident in the hospital.  Realizing your growing independence from the attending physician is a tremendous leap along your career trajectory.

 

Continuity Clinic

Housestaff provide comprehensive, ongoing care in the primary care setting.  At the beginning of the year, interns are assigned to a continuity clinic site.  Sites include Hofheimer Hall, Sentara Ambulatory Care Center (ACC), and Veterans Administration Medical Center (VAMC).  Each clinic has a designated faculty to supervise and mentor residents as they develop a growing primary care practice.  During inpatient months, residents and interns see patients one half-day per week.  During the Ambulatory Medicine rotation, clinic time increases to three half-days per week.  Clinics do not occur on post-call days or during ICU rotations.

 

Core Rotations

SNGH General Medicine Wards

The Inpatient Wards team consists of 1 upper level resident, 2 interns and 3rd and 4th year medical students.  The team takes call every fourth night.  However, one unique aspect of call at EVMS is the short-call system.  The short call intern takes admissions from noon until 8pm.  The long-call intern then begins admissions after 8pm.  The two interns on the team alternate between long-call and short-call.  Ultimately, each intern only takes overnight call every 8 nights.  The senior resident arrives at noon each call day.  The hours of 8am until noon are protected from admissions in order to focus on teaching rounds with the attending.

Intensive Care Unit

The ICU team is a busy service, responsible for the care of patients in the Cardiac ICU, General ICU, Vascular ICU and Neuro ICU.  As a Level I tertiary care center, SNGH provides a wide range of pathophysiology and experiences.  Procedural experience is another important aspect of the ICU rotation.  You will gain the experience needed to perform procedures such as LPs, paracentesis, thoracentesis, central lines, and arterial lines.

Ambulatory Medicine

This clinic rotation is based in the Ambulatory Care Center (ACC) affiliated with SNGH.  Morning clinics consist of a wide variety of subspecialties including Rheumatology, Cardiology, Women’s Health, Pulmonary, Podiatry, Dermatology, Heme/Onc, Neurology, Ophthalmology and HIV/Infectious Disease.  Afternoons are spent in the resident's assigned continuity clinic.

Advanced Ambulatory (for senior residents)

During this clinic rotation, the resident works one-on-one with an attending developing a management plan for patients following hospital discharge. One of the rewarding aspects of this rotation is witnessing the dramatic clinical improvement as patients transition from the inpatient setting to the outpatient setting.  This rotation also features HTN, DM and Asthma clinics to further enhance your management skills in these common problems.

Night Float/Consults (VAMC)

2 weeks are spent as night float, admitting patients from 4pm – 8am every other day.  The next two weeks are spent on the consult service 8am-4pm Mon-Fri.

Electives*

Allergy/Immunology                              Nephrology
Anesthesia   Neurology
Cardiology    Ophthalmology
Dermatology   Orthopedics/Sports Medicine
Endocrinology    Palliative Care
Gastroenterology   Pulmonary/ Critical Care
Geriatrics   Radiology
Hematology/Oncology Outpatient   Rheumatology
Hospitalist Medicine   Sleep Medicine
Infectious Disease   Ultrasound
    Women’s Health

 * One "Away Elective" may also be arranged once during residency