Graduate Medical Education

Educational Activities

Internal medicine

To prepare our residents to practice Internal Medicine competently and independently, our program uses a wide variety of teaching tools. These include excellent clinical rotations, a structured curriculum of didactic conferences, workshops and on-line, self directed learning.

Below is a brief description of these educational activities. See a recent program calendar.

  • Well structured clinical rotations are planned at the hospital, our ambulatory clinic and other ambulatory practices.

    Variety of Required and Elective Rotations

    • The General Medicine Teaching Service
    • Critical Care
    • Emergency Medicine
    • General Medicine Consult Team
    • Hospitalist
    • Ambulatory Primary Care Block
    • Women’s Health
    • Ambulatory Selectives
    • Geriatrics
    • Palliative Care
    • Radiology
    • Night Float

    See Rotations for detailed information about each specialty area.

  • Didactic conferences

    • Weekly Medical Grand Rounds
    • Noon Case Report – three times-a-week
    • Monthly Journal Club/Evidence-based Medicine Conference
    • Daily Subspecialty Conferences
    • Twice monthly Board Review
    • Morbidity and Mortality Review
    • High Value Cost Effective Curriculum
    • Bi-monthly ACGME Core Competency Conferences
    • Acute Care Conferences during the month of July
    • Ambulatory Care Conferences
    • Monthly Pharmacy Conferences
    • Pain Management
    • Basics of Medical Billing and Coding
    • Team STEPPS training


    • Procedural workshop
    • Mock codes
    • Mock rapid response team scenarios
    • "How to give an effective ‘hand-off’" – part of program orientation
    • "How to search the medical literature" – part of program orientation

    Small group discussions & workshops

    • Weekly case-based discussions using Yale modules of ambulatory topics
    • Senior resident orientation
    • Case-based discussions as part of teaching rounds

    On-line learning

    • Hopkins modules on ambulatory topics
    • Patient safety modules
    • CITI training

    Participation in quality improvement, research projects & hospital committee membership

    • Residents and faculty work on projects to improve care delivery in the inpatient and outpatient setting
  • The Ambulatory Clinic

    The Clinical Experience

    • Residents are the primary care physician for their panel of patients over their three years of training
    • Full electronic health record with AllScripts health record system
    • Ages range from 18 to geriatric
    • Spectrum of visits
      • Health maintenance and promotion – a major emphasis
      • Acute episodic illnesses
      • Chronic illness management
      • Pre-operative evaluations

    The Teaching Experience

    • Excellent faculty to resident ratio to promote timely feedback, discussion and review of cases
    • Weekly review of case-based discussion of common ambulatory problems based on the Yale ambulatory conference series – 40 ambulatory topics reviewed
    • On-site pharmacist faculty member from Wilkes Nesbitt College of Pharmacy to provide resident teaching and provide patient consultation and education
    • Twenty referral specialty clinics to provide teaching and to assist in patient management
    • Opportunity to participate in quality improvement projects
    • Opportunity to work with nurse practitioners, physician assistants and case managers

    Ambulatory Continuity Block Training

    • Resident’s individualized schedule incorporates general medicine continuity clinics and subspecialty referral clinics
    • Subspecialty clinics include: gastroenterology, endocrinology, rheumatology and HIV clinic
    • Exposure to the evaluation and management of acute and chronic illnesses and preventive care
    • Resident, under faculty guidance, leads the weekly discussion of the Yale ambulatory modules with first year and senior residents

    Other Ambulatory Training Sites

    Residents have the opportunity to rotate in a variety of teaching faculty offices and specialized centers.

    Elective rotations include:

    • Allergy and Immunology office
    • Behavioral Health
    • Dermatology office
    • ENT office
    • Ophthalmology office
    • Orthopedic office
    • Physical Medicine and Rehabilitation
    • Primary Care Internal Medicine office
    • Sleep Center
    • Women’s Health Clinic