During the first 18 months our curriculum alternates between inpatient and outpatient months of basic clinical experience. All residents are introduced into ambulatory care on day one of their training and this includes both our John F. Kennedy charity clinic as well as multiple private ambulatory care settings. Block months of critical care and emergency room experience still occur with the coronary care unit experience integrated into the ward medicine inpatient experience. This actually allows for more cardiology training throughout the 36 months of training.
During the second 18 months of training residents are asked to commit to a career priority and their schedule is tailored to meet those educational goals and objectives. A resident interested in cardiology would spend much more time in hospital and much less time in the ambulatory care setting. The converse is also true — a resident interested in primary care medicine would spend more time in the ambulatory setting and much less time in hospital. Similarly, tailored experiences exist for residents choosing a career in hospitalist medicine. Our residents continue to follow ACGME guidelines regarding working hours and patient limits. Night call averages one out of every four to five nights for R1s and once in every five to six nights for senior residents. All residents except the call team are given every Sunday off. The call team would then receive individual 24-hour day off work during the week. We think this new innovative curriculum will better achieve multiple educational goals and increase resident satisfaction with ultimate career priorities. We actively encourage medical students at all levels to explore this curriculum further with us by visiting our department at any time. |
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