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Message from the Teaching Research
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Internal Medicine
Residency Program
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| Rounding on teaching services provides close interraction with attending staff |
First-year residents typically work as part of a health care team which includes a supervising second or third-year resident, an attending physician, and medical students. First-year residents spend the majority of the year providing primary care for Internal Medicine patients admitted to one of the geographic medical units. Residents also gain critical care training in the Coronary or Medical Intensive Care Unit, ambulatory care experience in block outpatient rotations, and acute experience in the Emergency Department.
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| Senior residents lead work rounds |
Second-year residents act as supervising residents for three or four modules, including one module on a General Medicine Service and one module as a Night Float. Second-year residents rotate on subspecialty and general medicine consult services, gaining expertise in consultative medicine. Junior residents work one module in either the Coronary or Medical Intensive Care Unit, under the supervision of a senior resident, subspecialty fellows, and a full-time intensivist. Second-year residents rotate through outpatient clinics during two to three modules. Junior residents also have the opportunity to do a research module.
Third-year residents act as supervising residents for five modules, including two to three modules on General Medicine Services and one module as a Night Float. Senior residents act as supervisors for one or two modules in the Medical Intensive Care Unit. Third-year residents work one module in the Emergency Department. Senior residents have four to five modules available for electives. One of these electives may be a research module.
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| Interns and residents work closely as a team |
Preliminary residents typically work as part of a health care team which includes a supervising second or third-year resident, an attending physician, and medical students. Preliminary residents spend the majority of the year providing primary care for Internal Medicine patients admitted to one of the geographic medical units. Preliminary residents have elective time to do non-Internal Medicine rotations such as Radiology or Pathology. Preliminary residents also rotate through the Emergency Department.
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| Primary Care residents have additional time in the outpatient setting |
The primary care track is designed for physicians who wish to prepare themselves for the practice of general internal medicine, in both the inpatient and outpatient settings.
The primary care track curriculum includes the following:
Residents in the Primary Care Track participate in a dedicated longitudinal care practice with supervision from General Internal Medicine staff. Residents spend one half-day each week in Longitudinal Care Clinic during their first year and during supervisory months in the second and third years. During elective and consult months in their second and third years, residents spend two half-days per week in their practice
First-year residents typically work as part of a health care team which includes a supervising second or third-year resident, an attending physician, and medical students. First-year residents spend the majority of the year providing primary care for Internal Medicine patients admitted to one of the geographic medical units. Residents gain critical care experience in the Coronary or Medical Intensive Care Unit, ambulatory care experience in block outpatient rotations, and experience in the Emergency Department. Primary Care Track residents also have one module dedicated as a Primary Care Block in the first year.
Second-year residents act as supervising residents for four modules, including one module on a General Medicine Service and one module as a Night Float. Second-year residents rotate on subspecialty and general medicine consult services, gaining expertise in consultative medicine. Junior residents work one module in either the Coronary or Medical Intensive Care Unit, under the supervision of a senior resident, subspecialty fellows, and a full-time intensivist. Second-year Primary Care Track residents have three consecutive modules as a dedicated Primary Care Block.
Third-year residents act as supervising residents for five modules, including two to three modules on General Medicine Services and one module as a Night Float. Senior residents act as supervisors for one module in the Medical Intensive Care Unit. Third-year residents work one module in the Emergency Department. Senior residents have a three-month block dedicated as a Primary Care Block.
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| Residents are the primary physicians for patients in their longitudinal clinics |
All categorical residents are responsible for ambulatory outpatient clinic half a day per week throughout the three years of training. Residents have clinic either at the Cleveland Clinic Foundation main campus or at a clinic Family Health Center. These Family Health Centers are located throughout the greater Cleveland area and make up the Division of Regional Medical Practice. These Family Health Centers provide an excellent setting in which to experience the delivery of primary care in a community setting.