Curriculum

Rotation sites

Rotations for the Internal Medicine Residency Program may take place at any one of these sites:

  • Manatee Memorial Hospital – Inpatient Adult Medicine, ICU, Emergency Medicine, Night Float
  • Sunshine Rheumatology – Rheumatology
  • Centerstone Hospital and Addiction Center – Addiction Medicine and Psychiatry
  • MaxHealth Internal Medicine Residency Clinic – Continuity Clinic
  • Optimum Point of Care – Geriatric Medicine
  • Center for Skin Wellness – Dermatology

Note: Subspecialty and elective rotations may also include work in private clinics.

Ambulatory (Continuity Clinic)

The ambulatory resident clinic experience allows for the development of comprehensive care plans for the management of chronic disease, preventive care, treatment of acute illness and proficiency in all required procedures.

They will provide longitudinal outpatient care for their very diversified patients over the course of their training at their continuity clinic site, Manatee Memorial Hospital. Time in the continuity clinic will consist of a total of 9-10 weeks in each of the three years of training. This schedule reflects a 4+1 system where dedicated continuity clinic weeks are separated by four weeks of other rotations.

Rotation requirements

Below are the rotation requirements and opportunities available for all Internal Medicine Residents during their three-year program. The IM program utilizes a 4+1 rotation schedule, and ambulatory blocks last for one-week increments.

ACGME requirements

  • Critical Care (minimum eight, maximum 24 weeks)
  • Emergency Care Center (four weeks minimum, must be in two-week increments)
  • Geriatrics (two weeks minimum)
  • Night Float (eight maximum per year, 16 maximum total over three years)
  • Neurology (two weeks minimum)
  • Cardiology (four weeks minimum)
  • Nephrology (four weeks minimum)
  • Rheumatology (two weeks minimum)

ABIM requirements

The 36 calendar months of full-time internal medicine residency education:

  • Must include at least 30 months of training in general internal medicine, subspecialty internal medicine and emergency medicine. Up to four of the 30 months may include training in areas related to primary care such as neurology, dermatology, office gynecology or office orthopedics.
  • May include up to three months of other electives approved by the internal medicine program director.
  • Includes up to three months of leave/vacation (see “Leave of Absence and Vacation Policy”).
  • For deficits of less than one month in required training time, ABIM will defer to the judgment of the program director and promotions or competency committee in determining the need for additional training. With the program director’s attestation to ABIM that the trainee has achieved required competence, additional training time will not be required. Trainees cannot make a request to ABIM on their own behalf.

In addition, the following requirements for direct patient responsibility must be met:

  • At least 24 months of the 36 months of residency education must occur in settings where the resident personally provides or supervises less experienced residents who provide direct care to patients in an inpatient or ambulatory care setting.
  • At least six months of direct patient responsibility on internal medicine rotations must occur during the PGY-1 year.

Minimum mandatory rotations that are scheduled for you:

  • Ambulatory Medicine (Continuity Clinic) – (30 weeks over three-year period)
  • Inpatient Medicine (48 weeks over three-year period)
  • Cardiology (four weeks over a three-year period)
  • Critical Care (eight weeks over three-year period)
  • Emergency Medicine (two weeks over three-year period)
  • Gastroenterology (two weeks over three-year period)
  • Geriatric Medicine (two weeks over three-year period)
  • Hematology-Oncology (two weeks over three-year period)
  • Infectious Diseases (two weeks over three-year period)
  • Nephrology (four weeks over three-year period)
  • Neurology (two weeks over three-year period)
  • Night Float (10 week minimum)
  • Pulmonology (two weeks over three-year period)
  • Endocrinology (two weeks over three-year period)
  • Psychiatry (two weeks over three-year period)
  • Addiction Medicine (two weeks over three-year period)

Six months (26 weeks) of individualized educational opportunities for residents, in which you can choose any elective that will help your future career goals.

IM electives

Elective rotations within the Internal Medicine Subspecialties.

Opportunities include:

  • Radiation Oncology
  • Palliative Care
  • Procedures
  • IM Outpatient
  • Hospitalist

Non-IM electives

Elective rotations outside of Internal Medicine Subspecialties that are provided as opportunities for residents.

Opportunities include:

  • Allergy and Immunology
  • Dermatology
  • Otolaryngology (Ear, Nose, Throat)
  • Non-Operative Orthopedics
  • Ophthalmology
  • Psychiatry
  • Radiology
  • Urology
  • Wound Care
  • Pain Management - TBD

Scholarly activity

Scholarly activity is an important part of a resident’s journey to be a life-long learner and one that is highly valued within the institution. In accordance with ACGME program requirement IV.D.3.a, “residents in the program must have demonstrated dissemination engaged in more than one of the following scholarly activities: participation in grad rounds, posters, workshops, quality improvement presentations, podium presentations, grant leadership, non-peer-reviewed print/electronic resources, articles or publications, book chapters, textbooks, webinars, service on professional committees, or serving as a journal reviewer, journal editorial board member, or editor.”

ABIM and ACGME highly recommend that residents are exposed to a variety of scholar activity throughout their time in their residency. The Program Director requires participation and presentation of scholarly activities.

The following scholarly activities require a minimum of one (1) prior to graduation:

  • M&M (one required during either PGY-2 or PGY-3)
  • Senior Lecture (two required during either PGY-2 or PGY-3) – Assigned by Chiefs
  • Assigned by Chiefs, unable to present that week, one week in advance must be given to Program Manager
  • Student Lecture (TBD)
  • QI Project Yearly Report

The following scholarly activities require a minimum of two (2) prior to graduation:

  • Journal Club (two times, PGY2 and PGY 3)
  • PGY-1 Case Review (two required during PGY-1) – Assigned by Chiefs

The following scholarly activities are highly recommended/encouraged, but not required.

  • MMH – Research Day
  • Presentation at a regional/state/national conference

Didactics

The clinical experience will be supplemented by a structured didactic program that includes:

  • Morning/Resident Report
  • Journal Club
  • Cancer Conference
  • M&M
  • EKG Conference
  • Lectures – IM/Sub-Specialty
  • Medicine Board Review
  • Patient Safety/Quality Improvement Committee
  • PGY-1 Case Report