Structure and Curriculum
Postgraduate Year I
- Interns rotate on inpatient general medicine services, including a night float rotation.
- PGY-1 residents are expected to be teachers and leaders for the medical students.
- Interns have the opportunity to rotate for several months on subspecialty electives.
- Exposure to the MICU and CCU services is delayed until the PGY-2 year to allow you time to build your foundational knowledge prior to managing the sicker, more complex patients
- Participation in a continuous quality improvement project is required.
Postgraduate Years II and III
- Residents supervise on general medicine floors and rotate through subspecialties.
- Senior residents rotate through 5-6 months of MICU and CCU services
- Senior residents are expected to be teachers and leaders for junior residents and medical students.
- Opportunities for research are available and strongly encouraged.
- Residents have the opportunity to present their work at local, regional, and national meetings.
- Structured journal clubs are held every other week which also integrates biostatistics
- Residents can become involved with organized medicine through participation in organizations such as the American College of Physicians, Society of General Internal Medicine, American Academy of Medical Colleges and the National Medical Association.
- The residents are divided into 5 cohorts (red, blue, yellow, green, purple)
- Residents will be assigned to clinical duties for a 4 week block which is then followed by 1 week of clinic (hence 4+1)
- The clinic week overlaps a full weekend, so each resident is guaranteed a “golden weekend” with two days off in a row every 5 weeks
- Clinics are held over 4-5 half day sessions of the 7-day clinic week
- Read more about the 4+1 schedule here
- Residents are assigned to work 4-5 half day sessions during a one-week period following every 4 week clinical block (see above)
- Outpatient medicine opportunities are also available on subspecialty rotations.
- Ambutlatory lectures are given twice-monthly to discuss common clinic findings and treatments
- Residents are assigned to complete John’s Hopkins Ambulatory Modules which supplement the clinical and didactic learning
- Clinic locations include the General Medicine Ambulatory Practice (GMAP) clinic, University Health Center (UHC) – Suite 4C, Tolan Park clinic, and the Gateway Community Clinic
- Supplemented with a set of didactic lectures which provide both depth and breadth in in-patient education.
- Residents attend an intensive educational retreat to improve teaching and supervising skills.
- Floor months are spread across Detroit Receiving Hospital, Harper Hospital, and the John D. Dingell Veteran’s Affairs Medical Center (only one at a time)
- Elective rotations will mainly be at the three hospitals listed above but also include Karmanos Cancer Center, Hutzel Women’s Hospital, Rehab Institute of Michigan, and the Cardiovascular Institute (Heart Hospital)
- Residents have up-to-date resources available in each practice ensuring the care they provide is current.
- Each resident will purchase MKSAP 17 during their first year with a portion of the educational disbursement from the DMC to supplement clinical learning and eventually be used as a part of ABIM review
- Residents also receive formal instruction on presentation skills, including power point presentations.
- Each intern will be assigned to an associate program director. The associate program directors will meet with interns intermittently and advise them on such matters as learning from patients, dealing with stress, prioritizing, and balancing personal and professional demands.
- During the second and third years, residents who wish to pursue academic careers may choose an additional advisor in their area of interest. In this way, every resident has the considerable advantages of a large residency–patient population, faculty, and University — as well as the warmth and camaraderie of a smaller program.
- Residents have full access to the Shiffman Medical Library at Wayne State University including online access to PubMed and UpToDate with ability to access UpToDate from Apple and Android phones
- The department supports resident feedback and evaluation including objective measures of assessment.
- Residents are required to take the American College of Physicians In-Service Exam yearly
- Our graduates pursue a wide scope of careers, ranging from primary care to research-oriented fellowships. In the past three years, 30 percent of our residents have gone into general internal medicine, and 70 percent into subspecialties, while a number are pursuing careers as hospitalists.
- See last year’s fellowship match results here
- The Department of Internal Medicine conducts numerous educational conferences. Teaching Conferences meet the needs of our house staff and faculty while emphasizing a lifelong learning commitment.
- Resident morning report
- Department of Medicine grand rounds
- Ambulatory didactics twice monthly
- Core curriculum lecture series
- Evidence-based medicine journal club twice monthly
- Chairman’s rounds
- Subspecialty grand rounds and didactic sessions
- Weekly board review seminars for PGY-2 and PGY-3 residents
- Residents host their own educational events as well
- Our Junior Chief residents host Medical Jeopardy games monthly
- There is an after-hours resident-led journal club that meets monthly
- Residents are encouraged to attend state and national conferences