Curriculum

As a resident in our program you'll become an active participant in your own education and learn to:

  • Refine your data gathering skills.
  • Provide excellent patient care.
  • Hone your clinical judgment.

Customized rotations are often possible in order to help residents achieve their professional goals.

PGY-1 Schedule

Blocks Rotation
1 Ambulatory Medicine-WMed Clinic
1/2 day each week Continuity Clinic
2 Critical Care
3 Electives
1 Emergency Medicine
4 General Ward Medicine
2 Infectious Disease


PGY-2 Schedule

Blocks  Rotation
1 Ambulatory Medicine-VA
1/2 day each week Continuity Clinic
2 Critical Care
5 Electives
2 General Ward Medicine
1 Geriatric Medicine
1 Night Float-Borgess
1 Palliative Medicine


PGY-3 Schedule

Blocks Rotation
4 Academic/Ambulatory Medicine-WMed Clinic
1 Ambulatory Medicine-VA
1/2 day each week Continuity Clinic
1 Critical Care Supervisor
4 Electives
1 Essential Services Selective
1 Night Float-Bronson
1 Scholarly Activity/CPC


Outpatient & Inpatient Rotations & Procedures

Together, we believe that experience in outpatient and inpatient settings helps our residents gain a well-rounded understanding of the disease process. At least 30 percent of our residents’ training is in ambulatory and outpatient continuity settings, where they learn how to diagnose and treat patients over time. Inpatient rotations focus on learning critical diagnostic management issues in an isolated time frame.

Research

The Internal Medicine residency curriculum includes the principles of research design, methodology, biostatistics and analysis, and the ethical principles of clinical and translational research. Our faculty provide research mentorship with a wide variety of interests in the discipline, and also collaborate with faculty in other departments and programs. Most resident projects are presented at the annual Kalamazoo Community Medical and Health Sciences Research Day, which is the annual research day for the medical school. Many resident projects are also presented at other prestigious regional and national venues, and are published in peer-reviewed journals.

Residents' rotations include:

  • Outpatient rotations involving continuity and ambulatory months with WMed faculty, as well as subspecialty rotations in offices and clinics.
  • Abundant opportunities to develop ambulatory skills and procedural competence.
  • Hands-on experience with several procedures, including cardiac stress tests, point of care ultrasound echocardiography, EKG interpretation, joint arthrocentesis, office gynecology, office orthopaedics/sports medicine, office spirometry, osteopathic manipulative medicine, and skin biopsy.
  • Inpatient rotations with direct patient care responsibility.
  • Daily rounds focused on discussions of patient care plans with senior residents, as well as attending physicians. Formal and informal bedside teaching rounds occur daily.
  • Inpatient procedural experiences such as arterial line placement, chest tube placement, endotracheal intubation, lumbar punctures, paracentesis, thoracentesis, and ultrasound guided central line.

Didactics

Conference Per Week Per Month Description
Block Conference 1   A half-day conference. Lectures covering all Internal Medicine disciplines. Subspecialties lecture, as well as instruct residents in hand-on demonstrations, e.g., central line insertions.
Board Review   1 Based on MKSAP. A comprehensive review of all Internal Medicine subspecialties.
Clinical Pathological Conference (CPC)   1-2 Cases presented in a style similar to the NEJM. Residents study assigned cases and defend their diagnoses to faculty. CPCs emphasize the learning process rather than errors or omissions.
Grand Rounds   4-5 Didactic lecture series with nationally known speakers.
Infectious Diseases Conference   1 Case-based lectures presented by specialists.
Journal Club   1 A structured, case-based literature review presented during Morning Report.
Morbidity and Mortality   1 Interactive conferences reviewing autopsy, biopsy and/or surgical pathology cases. Involves all medicine disciplines. Educational focus is positive (learning from previous cases) rather than negative (pointing out errors).
Morning Report 4   Interactive, case-based conferences presented by senior residents.
Osteopathic Manipulative Medicine (OMM)   1 Required for osteopathic-focused track, but available to all residents. Training sessions are provided in osteopathic manipulative medicine (OMM).


Student Rotations

A Typical Day on an Inpatient Rotation 

Time Tasks
8-8:30 a.m. Morning Report
8:30-10 a.m. Work Rounds
10 a.m.-Noon Rounds with attending physician/senior resident
Noon-1 p.m. Lunch
1-5 p.m. New admissions/patient follow-up