Residency Program: Curriculum
The Providence St. Mary Medical Center Internal Medicine Residency program is designed to graduate competent, compassionate, and professional physicians who deliver high-quality, humanistic care.
The curriculum complies with the Accreditation Council for Graduate Medical Education (ACGME) requirements for a residency in Internal Medicine.
| Resident Rotation | PGY-1 | PGY-2 | PGY-3 |
|---|---|---|---|
| Addiction Medicine | - | - | 2 weeks |
| Ambulatory Internal Medicine | - | 4 weeks | 2 weeks |
| Cardiology | 4 weeks | - | - |
| Community Medicine | - | 2 weeks | - |
| Continuity Clinic | 10 weeks | 10 weeks | 10 weeks |
| Emergency Medicine | - | - | 4 weeks |
| Endocrinology | 2 weeks | - | - |
| Gastroenterology | 2 weeks | - | - |
| General Medicine Wards - Floors (Day) | 16 weeks | 12 weeks | 8 weeks |
| General Medicine Wards - Floors (Night) | - | - | - |
| Geriatrics | 4 weeks | - | - |
| Hematology/Oncology | - | 4 weeks | - |
| Hospice and Palliative Care | - | - | 2 weeks |
| Individualized Curriculum (Electives) | - | 12 weeks | 12 weeks |
| Infectious Disease | 2 weeks | - | - |
| Intensive Care Unit (Day) | 4 weeks | 4 weeks | 4 weeks |
| Internal Medicine Consults | - | - | 2 weeks |
| Nephrology | 2 weeks | - | - |
| Neurology | - | 2 weeks | - |
| Night Float | 2 weeks | 2 weeks | - |
| Non-Internal Medicine Selectives | - | - | 4 weeks |
| Pulmonology | 2 weeks | - | - |
| Quality Improvement/Scholarly Activity | - | - | 2 weeks |
| Rheumatology | 2 weeks | - | - |
| 52 Weeks | 52 Weeks | 52 Weeks |
clinical
ROTATION
Addiction Medicine
This mandatory rotation provides residents with exposure and experience in evaluating, diagnosing and managing patients with chronic pain conditions and substance use disorders. This rotation aims to equip residents with the knowledge and skills required to address these complex medical issues.
Ambulatory Internal Medicine /
Continuity Clinic
Continuity Clinic
These two outpatient rotations will allow residents to develop the skills to treat adults in an ambulatory setting. As an integral member of the healthcare team, residents are expected to diagnose and treat general medical diseases, including common acute problems and chronic diseases. Residents will further develop skills in population management, integrated and coordinated care, and leadership within team-based care.
Cardiology
The Cardiology rotation is mandatory for all residents, encompassing outpatient and inpatient components. Residents become familiar with the basic mechanisms, clinical manifestations, and evidence-based guidelines for patients with acute and chronic diseases of the heart. They will also enhance their ability to interpret electrocardiograms, echocardiograms and stress tests.
Community Medicine
This rotation allows residents to develop an understanding of the role played by community agencies in health promotion and disease prevention endeavors. Residents gain an understanding of the community's medical needs and recognize their role in the wider context of healthcare.
Emergency Medicine
The Emergency Medicine rotation exposes the resident to the diagnostic, therapeutic, and procedural skills required for the management of acute illness and injury. Residents are involved in all aspects of emergency care, including the performance of necessary procedures.
Endocrinology
This mandatory rotation, completed primarily in an outpatient setting, allows residents to become proficient in evaluating, diagnosing and treating common endocrine conditions such as diabetes mellitus and thyroid-related disorders.
Gastroenterology
The Gastroenterology rotation occurs in both inpatient care units and outpatient clinics. Gastroenterology faculty oversee this rotation, in which residents gain proficiency in diagnosing and managing common gastrointestinal, pancreatic, biliary and hepatic diseases.
General Medicine Wards (Floors)
The general medicine rotation is a core rotation for residents in which they learn how to diagnose, treat, and manage various medical problems in admitted patients. Residents learn from hands-on experiences in addition to the teaching and supervision provided by our faculty physicians. Some of the most common conditions seen in this service include septicemia, cardiac disease, respiratory infections, neurologic complications and genitourinary infections.
Geriatrics
In this rotation, residents learn the knowledge, skills and attitudes necessary to evaluate and treat a diverse group of older adults, some of whom may have multiple medical comorbidities. The rotation places a special emphasis on treating the underserved, minority older adults across multiple settings.
Hematology/Oncology
The purpose of the Hematology/Oncology rotation is to provide residents the opportunity to develop their foundational knowledge and skills in treating patients with cancer and hematological disorders. They will evaluate outpatient and continuity cancer patients and conduct inpatient consultations under faculty supervision.
Hospice and Palliative Care
In this third-year rotation, residents develop valuable skills in providing end-of-life care for patients through a lens of compassion and respect for their dignity. They gain a practical understanding of palliative medicine and the legal and ethical issues involved in end-of-life care.
Individualized Curriculum (Electives)/Non-Internal Medicine Selectives
Residents choose from many established electives, which are rotations that allow them to investigate a subspecialty interest more deeply. Selectives are required rotations designed by faculty with specific academic criteria to supplement residents’ internal medicine training.
Infectious Disease
This rotation provides residents with an understanding of the epidemiology, clinical manifestations and pathophysiology of infectious diseases. Residents develop the skills necessary to diagnose and treat diseases caused by viral, bacterial, fungal and parasitic pathogens.
Intensive Care Unit (ICU)
The Intensive Care Unit (ICU) rotation provides residents with a rigorous experience in the assessment and care of the critically-ill patient. This core rotation is closely supervised by a full-time critical care faculty member. Residents acquire competence in caring for critically ill patients by learning invasive procedures, cardiopulmonary resuscitation, mechanical ventilation and hemodynamic stabilization.
Internal Medicine Consults
Mandatory consult service rotation in which residents have the opportunity to work with other disciplines in the hospital. This experience allows residents to manage diverse medical complexities and develop expertise in the clinical and interpersonal skills essential to internal medicine.
Nephrology
The Nephrology rotation allows residents to manage a variety of renal disorders and understand the relationship between systemic processes and the kidney. By the end of the rotation, residents will be familiar with the basic mechanisms, clinical manifestations and treatment guidelines of renal diseases.
Neurology
The Neurology rotation is designed so that residents develop a broad-based knowledge of inpatient neurological problems and chronic medical conditions. Residents are trained to perform an appropriate diagnostic workup, learn the indications for procedures and neuroimaging, and incorporate evidence-based medicine in the treatment of neurological patients.
Night Float
Night Float is a mandatory rotation for residents in which they will be cross-covering and admitting patients during overnight hours under the guidance of an on-call faculty member. Residents gain experience in evaluating and managing acutely ill, complex patients with conditions spanning the entire domain of internal medicine.
Pulmonology
The Pulmonology rotation will provide the resident with an opportunity to manage a number of common pulmonary diseases, be exposed to rare pulmonary conditions, and identify the pulmonary manifestations of systemic disease. This outpatient rotation also involves some inpatient consultation, which will prepare residents for the evidence-based guidelines of acute pulmonary care.
Quality Improvement/Scholarly Activity
Third-year residents will receive a dedicated rotation block to finalize their mandatory scholarly activity/quality improvement project. Please see the Scholarly Activity page for more information.
Rheumatology
In this ambulatory rotation, residents develop the clinical skills necessary to evaluate and manage patients with rheumatological and musculoskeletal disorders. Residents also learn how to incorporate evidence-based medicine in the diagnosis, treatment and long-term management of these patients.
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