While our curriculum is structured in accordance with the Residency Review Committee's requirements, we're very flexible in adapting clinical rotations to each resident's educational needs.
| PGY - I | PGY - II | PGY - III | |
| 1. | General Medicine | General Medicine | General Medicine |
| 2. | General Medicine | General Medicine | General Medicine |
| 3. | General Medicine | General Medicine | General Medicine |
| 4. | Ambulatory Care Medicine | Ambulatory Care Medicine | Ambulatory Care Medicine |
| 5. | CCU | CCU | CCU |
| 6. | ICU | ICU | ICU |
| 7. | Night Float | Night Float / Subspecialty | Night Float / Subspecialty |
| 8. | Emergency Medicine | Subspecialty | General Medicine |
| 9. | Subspecialty | Subspecialty | Subspecialty |
| 10. | Subspecialty | Subspecialty | Subspecialty |
| 11. | Subspecialty | Subspecialty | Subspecialty |
| 12. | Subspecialty | Subspecialty | Subspecialty |
We use a team approach in Summa’s general medical hospital services. Each team consists of an attending physician to head the team, two to three PGY-II or PGY-III residents, two to three PGY-I residents, and medical students during their internal medicine clinical clerkship.
PGY-I residents are given primary charge of patients admitted under the team. They’re responsible for day-to-day care of each patient assigned to the team, including performing the history and physical examination and writing daily progress notes and orders. The senior resident is responsible for supervising the team’s PGY-I residents and medical students – as well as organizing the team’s educational activities. A faculty member conducts daily teaching rounds.
Residents see both house cases and private patients on the general internal medicine service and participate equally in the management of both.
Training in critical care is organized around two teaching services, one for the CCU and one for the ICU. Each team consists of two to three senior residents and three to five PGY-I residents.
For ICU rounds, a full-time intensivist is responsible. CCU rounds are the responsibility of cardiologists within the Department of Cardiology. A full range of diagnostic and therapeutic measures are available, including transvenous pacemakers, Swan-Ganz catheterizations, cardiac catheterization, and acute percutaneous coronary interventions.
With appropriate supervision, residents are responsible for coordination and continuation of patient care in the critical care units.
Required Internal Medicine subspecialty rotations include:
Additional elective rotations include:
Office-based electives are available in the following non-internal medicine specialties:
During subspecialty rotations, consultations are seen first by the resident. The subspecialists review the history and physical findings with the resident, then discuss pathophysiology, differential diagnosis and management. Daily didactic teaching is maintained during these rotations.
Time is spent in other areas of medicine important to the overall management of ambulatory patients. Rotations in gynecology, urology, otolaryngology, ophthalmology, orthopaedics and dermatology are available.
