Curriculum
Our Internal Medicine-Pediatrics Residency Program is unique in that University Hospitals Rainbow Babies & Children's Hospital is one of four pediatrics programs selected to trial an "X+Y" model for ambulatory education. Our Internal Medicine program has been following a "six + two" format for several years.
Our residents will be following a general pattern of six weeks of inpatient service time (general floors/ICU/elective time), followed by two weeks of exclusively ambulatory medicine. Continuity clinics, outpatient didactics and other pertinent outpatient experiences (adolescent medicine, outpatient medicine subspecialty clinics, developmental pediatrics) are contained within the two-week ambulatory block. Residents are not expected to attend continuity clinic while on wards, ED or ICU rotations. We are excited to explore the many educational benefits of this curriculum.
Education Curriculum Schedule
In general, our residents complete the following rotations over their four years, in addition to the regularly occurring primary care-focused ambulatory blocks and vacations. For reference, one block=four weeks.
| Year | Internal Medicine | Pediatrics |
|---|---|---|
| PGY 1 |
3 blocks wards
1 block MICU |
3 blocks wards |
| PGY 2 |
2.5 blocks ward senior |
1 block ward junior |
| PGY 3 |
2.5 blocks ward senior |
1 block ward senior |
| PGY 4 |
2 blocks ward senior |
1 block ward senior |
Med-Peds Blocks
Our residents rotate between Medicine and Pediatrics every three months. Since our year is divided into 13 blocks of four weeks each, this allows for complete seasonal variation over the course of four years, as you can see from the sample template below. Since vacation time is drawn from the side on which you spend more time that year, every year you get an even split of clinical time on Medicine and Pediatrics, meaning no one falls behind in one specialty or the other.
Ambulatory Block Schedule
Primary care focused ambulatory blocks occur at regular intervals. These blocks include Peds or Medicine themed outpatient specialty experiences along with primary care clinics.
