Program Overview
Categorical Program
The Residency Training Program places balanced emphasis on both inpatient and ambulatory medicine. The various clinical settings from the primary care practices to the intensive care unit offer a diverse population with patients who come from all economic, social, and ethnic backgrounds. In addition to the clinical opportunities, our program offers an academic setting within a major research department with strengths in all medical subspecialties as well as in general medicine. We encourage trainees to build their clinical expertise and confidence by providing them with a safe environment in which to exercise independent, clinical decision-making. The curriculum promotes the scientific method and teaches residents to think critically about disease, diagnosis, and treatment. The program includes:
- Balance between inpatient and outpatient training
- 800+ bed hospital with over 30 ICU beds
- Patients from around the world
- Breadth of common diseases as well as esoteric, tropical, and rare diagnoses
- Electronic Health Record with physician order entry
- Oncology Inpatient Units at Memorial Sloan Kettering Cancer Center
- Rheumatology Service at Hospital for Special Surgery
- Three different continuity clinic practice sites
- Research Opportunities and Scientific Inquiry Curriculum
- Global Health Rotations: Bugando, Tanzania and Gheskio, Haiti
- Rural Health Rotation in Cayuga County, upstate New York
Footnotes:
* Outpatient Practice is scheduled as 2-week blocks of time, 6 times through the year (at 8 week intervals) for a total of 12 weeks continuity practice.
* Inpatient Subspecialty Medicine PGY1 includes cardiology and oncology services (including Memorial Sloan Kettering). It may also include the renal service.
* Inpatient Medicine PGY2 includes geriatrics, general medicine, neurology, rheumatology, and oncology services (including Memorial Sloan Kettering wards). It may also include cardiology or renal services.
* Inpatient Medicine PGY3 may be general medicine ward or specialty services.
+ General Medicine Consult Service (GMC), Critical Care Triage Service (CCT) and Emergency Medicine are each 2-week blocks of time.
^ Night Float is scheduled as 2 different 2-week assignments during the year.
VAC = vacation
PGY1
On average, interns spend 6 months on inpatient ward medicine including half of this on the general medicine services and half on specialty services including cardiology and oncology. One additional month is spent in the Medical ICU. In addition, each intern rounds on the Diabetes Inpatient Management Service to learn the critical skill of managing blood sugars in hospitalized patients. Intern Morning Reports is once weekly as a case conference with master clinicians as discussants. Finally, during the two-week outpatient assignments, residents learn longitudinal care for a panel of patients and are provided educational workshops on evidence-based medicine, palliative care, health care economics and insurance, addiction medicine, motivational interviewing, and research methods. The two intern retreats provide team building, simulation of codes, and an introduction to teaching others.
PGY2
Junior Assistant Residents (PGY2s) hone their clinical judgment by spending up to 4 months managing critically ill patients in the Medical ICU, Cardiac Care Unit, Emergency Department, and performing Critical Care consultations for the sickest patients in the hospital. Junior residents also learn to lead a team on the inpatient wards and develop their teaching skills. In addition to their elective time, residents spend 12-weeks in their outpatient practices and participate in a longitudinal quality and practice improvement curriculum. They also participate in a musculoskeletal workshop as part of their rotation through rheumatology at the Hospital for Special Surgery. The annual JAR retreat every spring includes leadership training as preparation for their role as senior residents.
PGY3
Our senior residents round out their training with additional rotations on the inpatient units, critical care triage, night float, and the emergency room. In addition, each PGY3 spends time on our general medicine consult service learning about preoperative medicine and co-management of surgical patients. Unique electives for senior residents include a rotation in Weill Bugando, Tanzania, the Teaching Elective, and a Patient Safety Elective.
Conferences
The clinical training is augmented with dedicated academic time developed explicitly for each year of training. These weekly 90-minute sessions are interactive case-based discussions where teams of residents work together using iPads and the medical literature to find best practice evidence for clinical care. In addition to academic time, the Core Conference Schedule provides morning report, journal club, patient safety conference, a collaborative Radiology-Pathology Clinical conference (RPC), and the favorite Chairman's Conference.
Our Graduates
The graduates of the program go on to become highly successful clinical educators, physician-scientists, academic-clinicians, and leaders in academic medicine.