Residents in the Internal Medicine/Pediatrics program follow a curriculum designed to meet the combined guidelines established by the American Boards of Internal Medicine and Pediatrics. The program trains physicians to be effective primary care providers, delivering comprehensive, continuous patient-centered care utilizing the Medical Home and Advanced Medical Home models. Graduating residents have the training to perform as a manager of the biomedical and psychosocial aspects of care within the framework of the patient’s socioeconomic environment and is an expert in growth, development and adaptation across the lifespan of the individual.
Internal Medicine/Pediatrics residents learn to be an advocate in disease prevention, early detection of disease, and health promotion within the community, and they become competent in the management, consultation and resource utilization of patients with undifferentiated or advanced illness and diseases of several organ systems. When residents complete this training, they are competent in the ambulatory, hospital and extended care environments. This program trains physicians to be a skilled participant within diverse cultural environments.
Residents in the combined program spend 13 blocks as PGY1s, each block lasting four weeks. During this time, residents are introduced to rotations on inpatient services at Riley Hospital for Children, IU Health University Hospital, IU Health Methodist Hospital, Eskenazi Hospital and Roudebush VA Medical Center. Inpatient training is interspersed with ambulatory and elective assignments to provide a solid, well-rounded foundation in clinical decision-making.
During the second-, third- and fourth-year of the program, residents continue to switch between departments every four months, allowing for exposure to illnesses with seasonal variation in both adult and pediatric patients. Residents also gain increased supervisory responsibilities during this time, growing as both a clinician and teacher and preparing for a variety of future career options. Elective choices are tailored to individual career needs. Residents can attend conference series in both the internal medicine and pediatrics departments as well as a weekly series specific to these two areas of medicine that includes a lecture, journal club and two board review sessions.
Continuity clinics are located in several community health centers, which are easy drives from the Indianapolis campus hospitals. Internal Medicine/Pediatrics residents provide clinical care in a health center for one half-day per week, where they follow their own patient panel of both children and adults. They are encouraged to participate in the telephone management and inpatient care of their patients. Faculty supervision is also longitudinal and provided by internal medicine/pediatrics-trained faculty who precept in the resident continuity clinics.
Each Internal Medicine/Pediatrics resident must present one grand rounds-style conference in the third or fourth year of residency, utilizing skills in literature review, case presentation and/or research. In addition, residents make presentations during the ambulatory, geriatrics and community pediatrics rotations and for at least one Medicine-Pediatrics Journal Club.
Sample Call and Overnight Schedule
Call for first-year residents occurs as a short call until 9 pm every four to six days, with the structure of the short call varying depending on the hospital and the service. For senior residents, night call varies from every fourth to sixth night. First-year residents are scheduled for two blocks of night float—one each on the medicine and pediatric services—to gain experience in typical overnight call activities. Senior residents may also be scheduled for night float blocks. Residents have a minimum of four days off during inpatient service blocks. There are a number of ambulatory blocks that are call free. The program strictly adheres to current residency training guidelines.
Sample Rotation Schedule
Each program year contains 13 4-week block rotations.
|1||Normal Newborn – Wishard||Elective – Nephrology||Elective – Research||ICU – University|
|2||Pediatric Hospitalist Wards – Riley||Night Float – VA||ED – Methodist – Combined Adlt/Ped||Rheumatology – Comb. Adult/Peds|
|3||Night Float – Riley||General Medicine Wards – VA||NICU – Wishard||General Medicine Wards – Methodist|
|4||Ambulatory Pediatrics||ED – Wishard||Community/Advocacy||Medicine Ambulat’y Advanced|
|5||General Medicine Wards – Wishard||PICU||Night Float – Wishard||General Peds Ward – Wishard|
|6||Hepatology Ward – University||Adolescent Medicine||Geriatrics||Elective – Med/Peds Office Practice|
|7||Ambulatory Medicine||Gastroenterology||General Medicine Wards – VA||NICU – Combo|
|8||ICU – Methodist||ED – Riley||Elective Dermatology||Developmental – Behavioral Peds|
|9||General Medicine Wards – VA||General Pediatric Wards – Complex Care||Hematology Ward – University||ED – Wishard|
|10||Hematology/Oncology||ICU – VA||Elective – Allergy||Pulmonary Wards – University|
|11||Elective – Infectious Diseases||Elective – Combined Adult/Ped. Endo.||Cardiology||Patient Safety – VA|
|12||General Wards – Pulmonary||General Medicine Wards – Wishard||General Peds Ward – IU Health North||General Medicine Ward – Wishard|
|13||NICU – Methodist||Cardiology Ward – Methodist||Elective – Neurology outpatient||Elective – Infectious Disease consults|