The Internal Medicine Residency Program is sponsored by Capital Health, a two-hospital health system based in Mercer County, NJ.
Inpatient rotations take place at Capital Health Regional Medical Center. General Internal Medicine (GIM) Teams are assigned geographically, for telemetry (TELE) and general medical floor (GMF) rotations, and non-geographically in general medicine to mimic a hospitalist track (float). TELE and GMF teams consist of two to three senior residents and three interns. Float teams are comprised of one senior and one to two interns. Critical care teams are comprised of three senior residents and two interns.
Resident teams are supervised by internal medicine faculty or academic hospitalists on GIM rotations, an intensivist in the critical care specialty, and sub-specialists during elective rotations. Teaching and management rounds are conducted daily by faculty, academic hospitalists and intensivists.
Each of the three years of residency is divided into 13 four-week blocks. Our residency program utilizes the New Innovations© Residency Management Suite, which allows our residents and faculty to access their daily, weekly, monthly, and yearly block schedules at any time. The annual master schedule for each of the resident’s rotations is distributed in June before the academic year begins. Individual resident's schedules vary but are adjusted to maintain a balance of experience and fair distribution of workload over the three years of residency.
General Internal Medicine (TELE, GMF and Float Teams)
The inpatient general internal medicine rotations represent the largest quantity of assigned time in a resident's schedule, and therefore, is one of the most significant opportunities for gaining knowledge and experience. Residents are the primary provider of care to their patients, under the supervision of attending physicians. Supervising attending physicians may be general internists or sub-specialists. Many supervising physicians act as attendings of record, while others are consultants. Altogether, there are many opportunities to interact with physicians from a wide array of training backgrounds. Multidisciplinary Rounds led by faculty are held daily.
The critical care rotation is designed to expose residents to the most seriously ill patients in the hospital, with a wide variety of cardiac, pulmonary, infectious and other multisystem diseases. It is an experience that demands particular attention to cultivating skills in patient care and medical knowledge, but the other competencies are highlighted during this rotation as well. Residents may view the critical care rotation as a time when they may bring all their skills to bear simultaneously in the care of the sickest patients in the hospital. Supervision in the critical care areas is by the attending intensivist, board certified in pulmonary/critical care medicine and rounding on all medical teaching service (MTS) and private patients daily. Teaching consultants are also involved in critical care cases to supervise the portions of the case relevant to their specialty. Multidisciplinary teaching rounds are led by the attending intensivist daily. The intensivist is available 24 hours a day, seven days a week to supervise residents directly or indirectly by telephone.
Residents receive their ambulatory experience at the Family Health Center (FHC). Residents spend one half day per week in the clinic for their longitudinal continuity clinic experience and are assigned additional clinic sessions during elective months to meet the 130-clinic session requirement. The residents maintain their own panel of patients and serve as their primary physicians; caring for their acute and chronic problems and maintaining their preventive health. The residents do not have in-patient responsibilities while in the clinic. Residents are closely supervised in the clinic maintaining a faculty to resident ratio is 1:4.
Ambulatory Consult Service Rotation
The ambulatory medicine rotation provides residents with the opportunity to obtain experiences in a variety of venues around the hospital, including the outpatient specialty clinics, the in-patient medical consultation service and INR clinic. Subspecialty experience is provided during elective and ambulatory consult service blocks.
Capital Health and the Internal Medicine Residency work together to provide a learning environment that is free of excess service.
- The Program maintains all ACGME requirements related to Clinical Work and Educational Work Hours
- The Program maintains ACGME caps on number of patients under each resident’s care
- The Program has incorporated an Admit Team to avoid competing responsibilities during floor rotations and teach residents how to navigate the system from admission to inpatient
- The residency program has no 24-hour call
While on night float duties, residents have direct and indirect attending supervision and are excused from weekly clinic and daytime responsibilities.
Other resources provided:
- Dedicated case managers and social workers for each nursing unit to coordinate patient care with residents and attending physicians
- Ancillary services such as IV teams, phlebotomists, EKG/X-ray/ultrasound technicians and transport teams
- Computerized patient record system provides access to patient discharge summaries, consults, prior records, laboratory and pathology reports
- Digitalized web-based radiology system
- Computerized Pharmacy Order Entry System (CPOE)
- Internet service on all computers in the hospital and Wi-Fi
- Copy and fax availability throughout the hospital
In addition to Clinical experience, the Internal Medicine Residency has a strong didactic program providing a well-rounded education for internists in training.