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Rotations: Rotations for the PGY 1 year are based on the AOA Basic Standards associated with the internal medicine residency program and ACGME requirements for internal medicine. There may be additional requirements as determined by the Director of Medical Education/Program Director, and the needs of the institution. While being dually accredited, we expect all residents in our program to be involved in the osteopathic recognition track and we will have a curriculum to assists our MD colleagues in this endeavor

Learning Objectives: PGY-1 residents will be responsible for patient care at no more than 10 per day. They are involved in admission management and discharge of their assigned patients. They are expected to progress in history taking, physical examinations and differential diagnoses. They will develop a better understanding of disease recognition and management through case discussions and presentations. They will also be expected to teach students on services with them and during didactics. In continuity clinic they will demonstrate progressive independence for patient management advancing from 2 to 8 patients each half day. They will be involved in assigned hospital committees.

Sample Rotation Curriculum - Year 1

GME/PGY 1 (13 blocks)

Medical Intensive Care Unit: (2 blocks)

Cardiology: (1 block)

Gen Ambulatory (1 block)

Night Float (1 block)

Perioperative Care / IM Procedures (1 block)

Selective chosen by Program Director (2 block)

GYN (2 weeks)

Hospice (2 Weeks)

Anesthesia (2 weeks)

IM Procedures (2 weeks)

General Internal Medicine (5 blocks)

Research (1 block)

GME/PGY Years 2 and 3 Descriptions

Learning Objectives

GME/PGY-2 and 3 residents are expected to take an increasing role in supervising and teaching junior residents and students on rotation and during didactics. They will be expected to interact more closely with attending physicians. They should be able to supervise the care of 15-20 patients per day as they lead their service team. In continuity clinic, they will be expected to manage 6-12 patients per half day with increasing independence. They will be involved in assigned hospital committees.

Sample Rotation Curriculum - Year 2

GME/PGY 2 (13 blocks)

In Years 2 & 3, each resident must complete 1 block of the following Sub-I's: Nephrology, Neurology, Infectious Disease, Gastroenterology, Hermatology/Oncology, Endocrinology, Rheumatology and Pulmonology

Medical Intensive Care Unit (2 blocks)

General Internal Medicine (3 blocks)

Cardiology (1 block) or Sub 1

Sub 1 - Gastroenterology (1 block)

Sub 1 - Neurology (1 block)

Electives (1 block)

Sub 1 - Pulmonology (1 block)

Sub 1 - Endocrinology (1 block)

Quality/Safety (1 block)

Year 3 (13 blocks)

GME/PGY 3 (13 blocks)

Medical Intensive Care Unit (2 blocks)

General Internal Medicine (3 blocks)

Cardiology (1 block) or Sub 1

Sub 1 - Hematology/Oncology (1 block)

Sub 1 - Nephrology (1 block)

Sub 1 - Infectious Disease (1 block)

Electives (2 blocks)

Sub - 1 Rheumatology (1 block)

Geriatrics (1 block)

Daily House Staff Schedule

A typical day begins with sign-in rounds at 6:30 am. The night float and/or on-call team will review any admissions and inpatient issues that occur overnight.

6:30AM Sign-Out; 7:00 AM: MANDATORY ATTENDANCE Morning report begins for residents on PAMC as well as the night float/on call team. Interesting cases and new admissions are reviewed at this time with faculty member. Morning report ends at 8:00 am. *See attendance requirements on next page.

8:00 AM – 10:00 AM: Management rounds occur with the senior residents providing guidance to junior residents in management of patients. The residents write all orders.

10:00 AM – 12 PM: (Variable): Teaching rounds occur. At this time interesting cases are discussed with the attending and further treatment plans are formulated.

12:00 PM – 1:00 PM: MANDATORY ATTENDANCE (unless excused by chief resident or program director) Medical conference (see conference description below)

1:00 PM – 4:30 PM: Review patient care issues, finish daily progress notes and review any discharge plans with social services for the following day. This could go longer depending on how long it takes to complete your duties.

6:30 PM: Sign-out rounds

6:30PM – 8:00AM: Block Night Shift

5:00 AM – 5:00AM: Resident MICU/NTICU call Saturday and Sunday

6:30AM – 6:30AM: Floor Call on Saturday

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400 West 16th Street, Pueblo, CO 81003