Internal Medicine

A Message from Our Program

Our training program has a rich history of producing high quality physicians who go on to excel in both general and sub-specialty medicine. We have as our mission the education of physicians who have the clinical skills and the humanistic qualities to practice as well rounded primary care general internists, hospitalists and sub-specialists.

In order to meet our goals, the training program at St. John’s Episcopal Hospital has undergone significant, exciting change. While retaining the best, high-quality categorical internal medicine program, we have added several months of ambulatory care experience to our schedule. Residents will, therefore, acquire expertise in the nuances of both inpatient and outpatient care. Much of this training takes place in our Ambulatory Care Center and is provided by an experienced faculty of Board-Certified physicians.

Our curriculum has also been expanded in the areas of ambulatory and general internal medicine, as well as evidence-based medicine, to provide our residents with the knowledge necessary to practice comprehensive Primary Care Internal Medicine. We service a wonderfully diverse community, which provides a fertile training environment.

We welcome your interest and look forward to meeting with you. Please apply to our residency through the Electronic Residency Application Service (ERAS).

Didactics

As a supplement to the broad range of clinical experience we provide, the training program offers an extensive conference schedule. Our weekly Medical Grand Rounds often features eminent speakers from major medical centers all around the country, and our monthly Morbidity/Mortality Conference is a highlight of the educational program. At our monthly Basic Science Conference, speakers from the Medical School present the latest developments in bench research. There are monthly conferences in every subspeciality of Internal Medicine, as well as twice monthly Radiology conferences and a monthly ECG conference.

Residents at St. John’s Episcopal Hospital are actively encouraged to participate in medical research. Clinical projects at the Hospital are ongoing and opportunities for laboratory research are available at the Medical School. St. John’s Episcopal Hospital has been a participating institution in several major international cardiology studies such as the third and fourth versions of the International Study of Infarct Survival (ISIS 3 and ISIS 4). Several publications with residents as co-authors and resident entries into writing competitions have resulted from these efforts.

We also have monthly joint comprehensive Grand Rounds.

Clinical Experience

Inpatient Training

Our relationship with the medical school is a strong one. Medical students rotate to St. John’s Episcopal Hospital during their second year and the medical school faculty provides many teaching conferences. St. John’s Episcopal Hospital residents spend a total of six months at the medical school campus during their training; rotations include General Medicine, Neurology, Cardiology, and electives.

All of the intensive care units at St. John’s Episcopal Hospital have the most up-to-date computerized equipment and are staffed year round with board-certified subspecialists. Residents are assigned to intensive care units a total of five months during their training, and receive additional critical care experience on night float.

Our inpatient floor rotations include rotations in a dedicated telemetry service, a non-telemetry floor service and an admitting team.A team in General Medicine consist of two PGY-1 residents, one PGY-2 resident, and an attending physician.Care is split into a day shift and a night shift.

Outpatient Training

While we remain a Categorical Internal Medicine Training Program with extensive in-patient experience, we have been expanding our emphasis on primary care and ambulatory medicine. Residents attend their medical continuity clinic twice weekly and have a total of four months of ambulatory block rotations in the three years of training. All clinics are directly supervised by faculty, and we have developed a separate ambulatory care curriculum. Our Ambulatory Care Center provides a modern and comfortable environment for patients and staff. Additional ambulatory experience is obtained in subspeciality clinics
and private offices of local voluntary physicians. Areas of emphasis in primary care include Adolescent Medicine, Gynecology, Behavioral Medicine, Preventive Medicine and Public Health. Ambulatory experience is also gained in Orthopedics, ENT Medicine, Neurology, Dermatology, Pediatrics, Geriatric Medicine, and many other fields. Clinical experience is supplemented by ample teaching rounds and a
comprehensive lecture series in general Internal Medicine. By expanding our curriculum in primary and ambulatory care, we are providing residents with the broad skills needed to enter practice in general medicine. At the same time, the training in categorical internal medicine provides residents with the backgrounds to enter subspeciality training.

Curriculum PGY1-PGY3

Electives

Each resident chooses rotations in medicine subspecialties during their Electives. We offer electives in:

• Cardiology
• Dermatology
• Endocrinology
• Gastroenterology
• Hematology
• Infectious Disease
• Integrative Medicine
• Nephrology
• Neurology
• Oncology
• Palliative Care
• Pulmonology

On-Call Schedule

Our Program utilizes a night float system of on call. This system means that residents do not work more than 24 hours at a time and have adequate time off between shifts.

Current Residents

Chief Residents

Post-Graduate Year 3

Post-Graduate Year 2

Post-Graduate Year 1