Education
Curriculum
The 4:1 schedule
The innovative 4:1 curriculum consists of 10 inpatient rotations throughout the academic year, each four weeks in duration. Between each inpatient rotation is one week dedicated to outpatient medicine. This system provides the resident a robust outpatient experience by enhancing continuity in the clinic experience while minimizing the outpatient duties of residents when they are on inpatient rotations.
The 4:1 curriculum gives you the best of both inpatient and outpatient worlds.
The benefits of the 4:1 schedule
1. Continuity of Care – You are never pulled off-service, rushing to sign out to leave the hospital for clinic. This improves your patient safety. The primary team will be in house (i.e., in the hospital) to triage acute events rather than letting a covering physician deal with acute problems while you’re at clinic.
2. Better Outpatient Experience – In the traditional system, a resident would have clinic for half a day once a week. Now there will be a dedicated week in which the resident will go to clinic Monday through Friday. There will be a better focus on the outpatient side. In addition, it gives the resident a “break” from the daily hospital life. During this time, the schedule is lighter but still demanding and challenging.
3. Staff Exposure and Teaching Modalities – In the traditional system, teams would be formed and expected to work cohesively until the one-month rotation was over. With the 4:1 schedule, there will be rotating team members. This will allow interns to see different teaching styles of different seniors and expose seniors to more of the intern staff. By doing so, this encourages more interaction among interns and senior residents making it a friendlier environment in which to learn.
PGY1 - Categorical and Preliminary
|
Rotation
|
Categorical Blocks
|
Preliminary Blocks
|
Location
|
|
General Medicine
|
4
|
4
|
AGH, WPH
|
|
Critical Care (includes ICU and/or CCU)
|
2
|
2
|
AGH, WPH
|
|
Night Teaching
|
1
|
1
|
AGH, WPH
|
|
Emergency Medicine
|
1
|
1
|
AGH
|
|
Ambulatory Clinic
|
10 (1-week blocks)
|
10 (1-week blocks)
|
AGH, WPH
|
|
Selective
|
2
|
2
|
AGH, WPH
|
PGY2
|
Rotation
|
Categorical Blocks
|
Location
|
|
General Medicine
|
2 to 3
|
AGH, WPH
|
|
Critical Care
|
2
|
AGH, WPH
|
|
Night Teaching
|
1 to 2 (2-week blocks)
|
AGH, WPH
|
|
Hematology/Oncology
|
1
|
AGH, WPH
|
|
Neurology/Patient Safety
|
2 weeks each
|
AGH
|
|
Oncology/BMT
|
2 weeks each
|
AGH, WPH
|
|
Ambulatory Clinic
|
10 (1-week blocks)
|
AGH, WPH
|
|
Selective
|
2 to 3
|
|
PGY3
|
Rotation
|
Categorical blocks
|
Location
|
|
General Medicine
|
2 to 3
|
AGH, WPH
|
|
Critical Care
|
2
|
AGH, WPH
|
|
Night Teaching
|
1 to 2 (2-week blocks)
|
AGH, WPH
|
|
Geriatrics
|
1
|
AGH, WPH
|
|
Medicine Consults
|
1
|
AGH, WPH
|
|
Ambulatory Clinic
|
10 (1-week blocks)
|
AGH, WPH
|
|
Selective
|
2 to 4
|
AGH, WPH
|
Osteopathic Traditional Rotating Internship
The Osteopathic Rotating Internship addresses all AOA requirements and accommodates individuals' learning needs and interests. Interns must work with the Director of Osteopathic Medical Education to develop their rotation schedule in a way that best addresses their learning needs and interests.
|
Rotation
|
Categorical blocks
|
Location
|
|
Family Practice
|
1
|
AGH, WPH
|
|
Anesthesia/Radiology
|
2 weeks each
|
AGH, WPH
|
|
Emergency Medicine
|
1
|
AGH
|
|
Critical Care
|
2
|
AGH, WPH
|
|
General Medicine
|
5
|
AGH, WPH
|
|
Night Teaching
|
1
|
AGH,WPH
|
|
Ambulatory Clinic
|
10 (1-week blocks)
|
AGH, WPH
|
|
Selective
|
1
|
AGH, WPH
|
Combined Emergency Medicine/Internal Medicine Curriculum
|
Rotation
|
Categorical blocks
|
Location
|
|
EM/IM R1 Intern Curriculum
|
||
|
General Medicine
|
2 to 3
|
AGH, WPH
|
|
Medical ICU
|
1
|
AGH, WPH
|
|
Night Teaching
|
1
|
AGH, WPH
|
|
Ambulatory Clinic
|
5 (1-week blocks)
|
AGH, WPH
|
|
Emergency Medicine
|
5 to 6
|
AGH, WPH
|
|
EM/IM R2 Curriculum
|
||
|
Medical ICU (Considered R1 level)
|
1
|
AGH, WPH
|
|
Cardiac Care Unit
|
1
|
AGH, WPH
|
|
Ambulatory Clinic
|
5 (1-week blocks)
|
AGH, WPH
|
|
Sports Medicine
|
1 to 2 weeks
|
AGH
|
|
Neurology
|
2 weeks
|
AGH
|
|
Selective
|
2 weeks
|
AGH, WPH
|
|
Emergency Medicine
|
5 to 6
|
AGH, WPH
|
|
EM/IM R3 Curriculum
|
||
|
General Medicine
|
1 to 2
|
AGH, WPH
|
|
Critical Care
|
1 to 2
|
AGH, WPH
|
|
Medicine Consults
|
1
|
AGH
|
|
Ambulatory Clinic
|
5 (1-week blocks)
|
AGH, WPH
|
|
Selective
|
2 to 4 weeks
|
AGH, WPH
|
|
Emergency Medicine
|
1 to 5
|
AGH, WPH
|
|
EM/IM R4 Curriculum
|
||
|
Geriatrics
|
1
|
AGH
|
|
Ambulatory Clinic
|
5 (1-week blocks)
|
AGH, WPH
|
|
Mini Fellowship
|
12 weeks
|
AGH
|
|
Emergency Medicine
|
6
|
AGH,WPH
|
|
EM/IM R5 Curriculum
|
||
|
General Medicine
|
1 to 2
|
AGH, WPH
|
|
Critical Care
|
1 to 2
|
AGH, WPH
|
|
Ambulatory Clinic
|
5 (1-week blocks)
|
AGH, WPH
|
|
Selective
|
1
|
AGH, WPH
|
|
Emergency Medicine
|
5 to 7
|
AGH, WPH
|
