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Program Overview - What Makes us Unique?
The Rochester Educational Tradition
We believe that the best way to learn medicine is one patient at a time. The individual patient is the focus of all rounds and conferences, which often take place at the patient's bedside—a hallmark of a Rochester residency. We create an environment unencumbered by hierarchy, and we promote and expect participation of all learners in an academically rigorous discussion.
State of the Art Medical Education
The Internal Medicine Residency has many unique curricular features. We are adopting a "6+2" block model in June of 2014, which will provide increased emphasis on ambulatory training in primary care medicine and in medical subspecialties; in addition, the block model will improve the experience of residents on inpatient rotations and electives and will add dedicated ambulatory and quality improvement education time. Additional detail about our block model can be found at this link: The "Block Model" at the University of Rochester.
Our resident primary care practice has been recognized as a Level 3 Patient Centered Medical Home. In addition, we have a patient Dashboard embedded in our electronic medical record that allows residents to follow outcomes data (e.g., HbA1C, LDL, BP control, screening completion) for their panel of patients (their whole panel or by disease subsets, such as diabetic or hypertensive patients) and those of the practice as a whole. This powerful tool allows residents to conduct meaningful, real-time quality improvement projects involving their panel of patients.
The Medical Educator Pathway
We began offering an optional Medical Educator Pathway in the 2013-2014 academic year for residents who envision teaching as a major component of their future careers. The University of Rochester Internal Medicine Residency Program has a long tradition of emphasizing a resident’s role as teacher. The Medical Educator Pathway advances this tradition for participating residents, helping them build an even stronger foundation in educational theory and practice to serve as a springboard for a career as leaders in internal medicine education.The program is directed by Dr. Donald Bordley, Associate Department Chair for Education and former director of the residency program.
The Rochester Setting
The Rochester community was recently ranked #1 of 306 communities in an Institute of Medicine report for providing healthcare at the lowest cost per Medicare beneficiary. As healthcare costs continue to rise, Rochester is considered a model that other communities are trying to emulate. Our residents learn to practice medicine in this high quality, cost-effective environment, which will prepare them well for practice as cost-containing healthcare reform efforts proceed.
The University of Rochester Medical Center is a prestigious medical center that emphasizes the highest quality patient care and cutting-edge research. The medical center was one of the first in the nation to become funded as a Clinical and Translational Science Institute by the NIH and has leading researchers in a number of different fields.
Five Keys to Our Program's Success
- A learning environment where everyone is as comfortable acknowledging what they don't know as sharing what they do know
- Consistent practice of the biopsychosocial approach to patient care which was first articulated here in Rochester many years ago and demands that we never lose sight of the whole patient
- Emphasis on the growth of residents as teachers
- Active engagement of the residents in continuously improving the residency program
- The residents themselves; an extraordinary group of young physicians who genuinely care as much about each others' learning as they do about their own and support each other every step of the way