Program Overview

One of the unique features of the program is the balance between inpatient and outpatient experiences. We follow an 'x+y' schedule with 1 week of Continuity Clinic and 4 weeks of inpatient or specialty rotations, allowing the residents to benefit from uninterrupted collaboration with inpatient and outpatient faculty. Residents on inpatient rotations enjoy graduated responsibilities, with first year residents providing much of the direct patient care, while second and third year residents assume increased responsibility for teaching, and supervision, under the supervision of an attending physician. Throughout both inpatient and outpatient environments, the strong sense of collegiality built over the course of training is evident.

By the end of their training, we expect our residents to fulfill the mission of Eisenhower Health to serve the changing healthcare needs of our region by providing excellence in patient care.

• Residents will communicate effectively with patients, obtaining clinical data through interviews and physical exam skills and utilizing this data to develop differential diagnoses as well as diagnostic and therapeutic plans.
• Residents will achieve competency in performing the procedures relevant to their future practices, whether in outpatient primary care, hospitalist medicine, or a subspecialty.
• Residents will understand the impact of social determinants of health and incorporate this knowledge into discussions surrounding the risks, benefits, and costs associated with different treatment options.
• Residents will demonstrate respect, compassion, and integrity when communicating with patients, their families, and all members of the healthcare team.
• Residents will demonstrate the highest level of professionalism and commitment to their responsibilities.
• Residents will embrace the principles and practice of lifelong learning and be proficient in searching and critically appraising the medical literature to maintain a broad knowledge base and effective clinical practice.

The competencies listed above are achieved through a required set of rotations, didactic curriculum, and scholarly activity. Our residents, faculty and program are continuously evaluated to ensure success in achieving these goals.

In accordance with ACGME requirements, all residents have rotations in General Internal Medicine (inpatient wards), Emergency Medicine, ICU, and all of the specialties of Internal Medicine, along with rotations in Neurology, Geriatrics, Palliative Care, and exposure to Addiction Medicine. Additionally, residents have the opportunity to participate in elective rotations, including Allergy & Immunology, Anesthesiology, Interventional Radiology, LGBTQ+ Health, Physical Medicine & Rehabilitation, Psychiatry, Radiology, Sleep Medicine, Sports Medicine, Urgent Care, and Women’s Health. Residents develop longitudinal relationships with their own patient panels in their Continuity Clinic and also have the opportunity to rotate with a subspecialist for 1 session during their Continuity Clinic week to develop a longitudinal relationship with subspecialty patients as well.

Residents also participate in a longitudinal Research & Quality Improvement (QI) curriculum over the course of their training to further develop their research skills and provide a foundation for their scholarly activity. Our residents have gone on to present their work at local and regional conferences as well as national conferences, both with posters and podium presentations.

The didactic curriculum is comprised of 3 main components: Morning Report, Noon Lecture, and Ambulatory Didactics.

• Morning Report is moderated by our faculty and consists of an interactive case presentation by one of the residents with an emphasis on cultivating the diagnostic reasoning skills of the residents in the audience.
  • Morbidity & Mortality Conference – monthly GME-wide conference focused on root cause analysis & opportunities for quality improvement
• Noon Lectures are divided into several series:
  • Grand Rounds – weekly lectures for the medical staff provided by visiting presenters
  • Faculty Lectures – in-depth topical reviews relevant to clinical practice and board review presented by Internal Medicine and Subspecialty faculty
  • Senior Lectures – an in-depth topical review presented by each of our third year residents
  • Journal Club – presented by a first & second year resident paired together to review an article and evaluate the strengths and weaknesses of the study, the statistical methodology of the study, and the impact of the study on current clinical practice
• Ambulatory Didactics are scheduled as a 4-hour block of time during the Continuity Clinic week. The focus is on topics essential to the practice of ambulatory medicine and are presented as a combination of faculty lectures and interactive case discussions led by the residents.