Curriculum Overview/Rotations The four-year curriculum of the combined Med-Peds Residency Program is divided equally to enable you to complete 24 months of education in both pediatrics and internal medicine. The following information will acquaint you with the depth, breadth, and structure of the program. First postdoctoral year Second and Third postdoctoral years Fourth postdoctoral year Electives Vacation First Postdoctoral Year During the first year, each resident alternates three-month assignments in medicine and pediatrics. Internal medicine rotations include: Intensive care Emergency medicine Inpatient medicine in both community and university hospital settings In pediatrics, residents care for children of all ages, including infants, toddlers, preschool and school-aged children, and adolescents. Rotations include: Newborn and intensive care nurseries Outpatient departments at both community and university sites Inpatient pediatric services at both community and university hospitals A two-week skills block halfway through the first year brings all eight Med-Peds PGY-1 interns together to perfect basic skills including: Pediatric development EKG and Spirometry interpretation Medical ethics and Advance Directives Evidence-based medicine Procedural skills In addition, the first year of training also includes a two-week community advocacy rotation. Second and Third Postdoctoral Years During the second and third years, each Med-Peds resident: Alternates four-month assignments between pediatrics and internal medicine, functioning as a junior resident (R-2/PL-2) on intensive care units, inpatient units, and outpatient units. This exposes residents treating diseases specific to particular seasons (e.g. Respiratory Syncytial Virus and Croup). Is directly responsible for supervision of R-1s/PL-1s on the ward teams and for the instruction of junior and senior medical students who are members of the team. Spends several months on inpatient consultative subspecialty services, ambulatory specialty practices (otorhinolaryngology, orthopedics, ambulatory surgery, dermatology, etc.) and primary care experiences. Participates in a formal one-month rotation including geriatrics and palliative care. Participates in a 2-week rotation in transition of care from pediatric to adult providers Skills Blocks in both Internal Medicine and Pediatrics focusing on teaching, evidence-based medicine, and advanced clinical skills Fourth Postdoctoral Year As a senior resident during the fourth postdoctoral year, responsibilities are the same as the categorical R-3/PL-3, spending: Six months on pediatrics, where the resident's time is divided between subspecialty elective services, ambulatory, and inpatient responsibilities. Six months on medicine, where each resident is assigned a two-week rotation as the senior night supervisor, a two-week rotation in the MICU, a two-week consult experience, and four weeks of inpatient wards. The remaining blocks are elective time. Electives Two one-month "away electives" are allowed over the four years of training. During this time, the resident's salary, benefits, and malpractice insurance are continued. Past residents have rotated in a variety of U.S. and International sites during this time. We offer combined electives in Rheumatology, Gastroenterology, Pulmonary, Heme/Onc, Neurology, and Endocrinology. Vacation The resident is granted 4 weeks of vacation during each academic year. The vacation is usually scheduled in two blocks of two weeks and is split evenly between medicine and pediatrics.