The design and implementation of the curriculum to guide learning while a resident in internal medicine is the responsibility of the program director, associate program director, key faculty, and members of the curriculum committee, and the residents' council and members. The curriculum will be updated on an ongoing basis throughout the academic year June 24th - June23rd. At the end of the year, the curriculum will be reviewed and amended to meet ACGME requirements and improve educational opportunities for the residents. The curriculum will be posted and updated on the resident web site at http://phdres.caregate.net daily by the departmental web master. The curriculum is available to all faculty and residents through the web site.

Design of Curriculum

Learning Centers: There are multiple avenues by which learning occurs. However, the most important teacher is the patient himself/herself. Therefore, all of our learning environments will be patient centered.

• Morning Report
• Attending Rounds
• ICU Rounds
• Interns' Conference
• Didactic Conferences
• In-patient centered
• Out-patient centered
• Literature/Self Directed/Self Improvement

Subspecialty Didactic Curricula: Three year lecture series for each subspecialty designed to provide the residents with a base of knowledge upon which to build during their residency.

Subspecialty Rotation Curricula: Competency Based Curricula designed for each subspecialty area.

Requirements to Complete over 3 Years: Allergy/Derm (1); Cardiology (2); Emergency Medicine (1); Endocrinology (1); Gastroenterology (2) or (1 GI and 1 Outpatient Pulmonary); Geriatrics - PP (1); Hematology/Oncology (1); Hospitalist (1); ICU/CCU (3); Infectious Disease (1); Neurology (1); Private Practice (Elective) (1); Renal (1); Rheumatology (1); Electives of Choice (2-3).

Knowledge Based Curricula: A listing of knowledge data that the faculty deem important to learn during the 3 years of residency.

General Internal Medicine Competency Curricula: Competency based curricula designed for Internal Medicine Ward Rotations and Internal Medicine Clinic.

Requirements to Complete over 3 Years: 7-8 months on Wards as an intern; 4 months on Wards as an R-2; 4 months on Wards as an R-3.

General Internal Medicine Knowledge Curricula: A listing of knowledge data that the faculty deem important to learn during the 3 three years of residency.

Integrative Disciplines Curricula: Curriculum designed for education regarding the integrative disciplines.

Procedure Skills Curricula: Curricula designed to teach proper procedural skills to the residents.

Research Curricula: Designed to teach the residents to design and implement a research project.

Implementation of the Curricula:

Subspecialty didactic Curricula:

• M,T,Th conferences: All subspecialists will present topics according to the three year curriculum lecture series. Key references or the power point presentation will be available on the Web site after the lecture.
• Journal Club: areas not covered by the lecture series will be covered in bi-monthly journal club where current literature is presented by the house staff, with discussion led by faculty.
• Internal Medicine Grand Rounds: Case based conferences covering an interesting, unusual patient presentation with an in-depth discussion of the clinical presentation, differential diagnoses, pathophysiology, evaluation and management issues.
• Internal Medicine Clinical Update: Weekly conference for Internists and Residents given by experts in the field of medicine, discussing current issues in their subspecialty.
• Coffee with Cardiology: Weekly conference for Interns and Residents to discuss EKG's, echocardiograms and other cardiology related topics.

Subspecialty Competency Curricula:

• Subspecialty Rotations: Competencies including patient care, medical knowledge, practice-based learning and improvement, interpersonal skills, professionalism, and system-based practiced are taught and assessed during each subspecialty rotation emphasizing the patient care and knowledge base appropriate for their area of medicine. The educational experience occurs in-patient as well as out patient.
• M through F - Critical Care Rounds: Teaching of the competencies as it pertains to the care of the critically ill patient.

Subspecialty Knowledge Curricula:

• See Lecture series.
• Patient Log/Reading Log: through maintenance of a patient log and reading log, the residents will through patient care, and self-education obtain knowledge needed to care for patients. Key references are available on the Web site.

General Internal Medicine Competency Curricula:

• Internal Medicine Ward Competency Curricula; The competencies will be taught and assessed during attending rounds M-W-F and by the admitting attending. The educational experience occurs in the in-patient setting.
• Morning Report: Competencies are taught and assessed five days a week during morning report. Emphasis is on patient care, knowledge base and practice improvement as well as professionalism.
• Lecture series: many areas are covered during the lecture series. These are noted under the specific discipline on the Web site.
• Reading log: There are multiple links to literature on the integrative disciplines on the web site. A resident’s log will document the reading.
• Yearly Interns' conference: See morning report. Occurs once weekly.
• Journal Club: Twice a month, residents review four current articles from peer-reviewed journals. This teaches medical knowledge, communication skills, and practice-improvement in terms of the competencies.

General Internal Medicine Knowledge Curricula:

• See lecture series.
• John Hopkins Web site for Internal Medicine Clinic Knowledge
• Morning Report: see above.
• Interns conference.
• Reading log of web site references under General Internal Medicine.

Integrative Disciplines Curricula:

• Resident Retreat: A time during which the skills and attitudes required to be a physician are discussed and demonstrated including emphasis on: leadership, professionalism, inter-personal communication, and humanism.

Procedure Skills Curricula:

• Written curriculum on Web:
• Critical Care Rotation: procedures are taught and a critical care specialist observes every procedure done by a resident. – CVP. Arterial stick, EKG interpretation, intubation, nasogastric intubation.
• Outpatient: joint aspiration and injection, pelvic exam, cervical culture are taught and observed in the Internal Medicine Clinic.
• Other: paracentesis and lumbar puncture are taught and observed by the gastroenterologists, hospitalists, or neurologists.
• History and Physical Exam: taught during lecture series and assessed via mini-cex and chart review.
• Skills Day: procedure training courses for central line placement, thoracentesis, chest tube placement and advanced airway techniques.

Research Curricula:

• Research forum: Designed to educate the residents about the process of developing a research project and provide them with opportunities to work with faculty members.
• Research curriculum on the web: knowledge areas needed to carry out a research project.

Faculty and house staff to facilitate learning must use the curricula:

• the lectures will cover the 3 year didactic curricula and listed on the web.
• the resident will review the required competency curricula and knowledge based curricula prior to each subspecialty rotation.
• the resident will maintain case log and self-study log to document learning of the knowledge objectives.