Rotation Fact Sheet - Internal Medicine Residency

Ambulatory Blocks

  • GIM Ambulatory resident imageFour sessions - General Internal Medicine clinic
  • Five sessions - subspecialty clinics (i.e., Cardiovascular Medicine, Dermatology, Gynecology, etc.)
  • Attending to resident ratio of 1:1 or 1:2

Continuity Clinic

  • One half day per week during all rotations except night float
  • Attending to resident ratio in office practice of 1:1 or 1:2
  • Same attending preceptor for duration of training (three years )
  • Pre-clinic conference one day per week dedicated to a specific topic relevant to general medical practice precepted by an attending.

Wards

  • Team - two interns; one resident (PGY 2 or 3); third or fourth year medical students; and an attending physician
  • Long Call is every fourth day until 8 pm. (night float coverage after; no overnight call)
  • Long call - maximum three admissions
  • Short call - maximum three admissions
  • Interns total census averages eight to ten patients, 10 maximum

CCU

  • Team- intern, two residents (PGY 2 or 3), Cardiovascular Medicine fellow and attending physician
  • Eight bed unit and Cardiology floor
  • Call every third night (overnight with either PGY 2 or 3 resident)

MICU

  • Team - intern, two residents (PGY 2 or 3), Pulmonary & Critical Care Medicine fellow and attending physician
  • Twelve bed unit
  • Call every third night (overnight )

ER

  • Work directly with an ER attending physician
  • See the full range of ER patients, including medical, surgical, trauma and pediatric
  • Work four days followed by two days off

Night Float

  • GIM residents imageTwo, 15 day blocks
  • 7 pm to7 am, six days per week (off Saturday or Sunday)
  • Intern night float responsibility confined to cross coverage of hospital.
  • Intern night float responsibility confined to cross coverage of Housestaff patients in the hospital.

Electives

  •  Encouraged to complete electives within Lahey network, but other sites are available
  • No overnight call or weekends

Geriatrics (PGY 2)

  •  Lahey-affiliated sites, including nursing homes, geriatric medicine/psychiatric units, geriatric assessment outpatient clinics and the Veterans
  • Administration Hospital in Bedford, Mass.
  • Multidisciplinary approach, inpatient and outpatient
  • No call during this rotation.

Research (PGY 2 and PGY 3)

  • Select a research mentor and project during intern year. Two week rotation.
  • Present project or submit it for publication by senior year (required)
  • No overnight call or weekends

Medical Consults (PGY 2 and PGY 3)

  • Learn the role of a consultant, including how to recognize and treat medical problems in surgical patients
  • Work directly with hospitalists
  • No overnight call or weekends

Neurology (PGY 3)

  • Outpatient and inpatient consultative Neurology experience as a senior resident.

Shattuck Hospital (PGY 1)

  • Ward based rotation in Boston focused on underserved population and public health.

Program Breakdown

  • Three year distribution of experiences (excluding three months' vacation and five months of elective)
  • 44 percent outpatient
  • 56 percent inpatient
  • If all electives are completed in an ambulatory setting, then program is 52 percent outpatient.