In the 2015-16 academic year, the JMH Internal Medicine Program moved to a block scheduling curriculum with 4+2+2 format. The program is divided into 4 firms. Each firm moves together. Four week blocks are reserved for inpatient wards, critical care and elective rotations. Two week blocks are reserved for Night Relief, Emergency Department, Electives and Vacation. Each firm will also spend 2 weeks in the ambulatory setting which includes continuity clinic, longitudinal electives, quality improvement and panel management.
Ambulatory Core Curriculum
For categorical residents, the two-week ambulatory block consists of an academic half-day each week, four half-days per week of continuity clinic, and the rest of the half-days are spent in sub-specialty clinics at Jackson, the University of Miami Hospital and Clinics, and the Miami Veterans’ Affairs Medical Center. Preliminary residents are given 4 week ambulatory blocks, in which they see patients in clinic and attend structured curriculum sessions.
The ambulatory curriculum covers outpatient topics of relevance to general internal medicine. The sessions are guided by our Associate Program directors and the Chief Ambulatory Resident. Utilizing the American College of Physicians’ Medical Knowledge Self-Assessment (MKSAP) program as well as the Yale Primary Care curriculum, we conduct group discussion on common cases seen in the outpatient setting. Following this joint session, the PGY2 and PGY3 residents attend a board review course led by the chief residents, while the PGY1 residents attend sessions focused on improving their clinical competence. Our curriculum includes sessions with Dr. Heidi Allespach, a nationally renowned behavioral medicine specialist, and Dr. Sonjia Kenya, a nationally renowned expert in cultural competency. Our sessions include UMedic curricula developed by faculty at the University of Miami’s internationally known Gordon Center for Research in Medical Education, the birthplace of the “Harvey” medical simulation mannequin.
Hospital-based Core Curriculum
The 1-year curriculum is divided into subspecialty blocks and designed to cover the content specifications outlined in the American Board of Internal Medicine® examination blueprint. Additional content is dictated by our unique pathology and patient population. All conferences are conducted at noon at Jackson Memorial Hospital. There is a 6-week board review curriculum that we have also added at the end of the year.
Bedside teaching rounds are conducted on all inpatient services, 7 days per week, with a strong focus on developing fundamental physical exam skills, diagnostic reasoning, and patient-centered professionalism.
Conducted over all three years of residency, this curriculum focuses on preparing trainees for the American Board of Internal Medicine examination through multiple modalities, in small group sessions during Ambulatory Academic Half-Days, in large group sessions during once monthly Friday noon conferences and as a team vs. team challenge at JMH Friday inpatient morning reports. A $1250 academic stipend is provided yearly to all residents in order to purchase study materials, such as MKSAP.
Clinical Ultrasound Course
We offer formal clinical ultrasound training for our residents. The goal of this rotation is to allow residents to become familiarized with bedside ultrasound and to acquire the theoretical knowledge and practical skills to integrate it into clinical practice. The culture of bedside ultrasound stimulates wiser utilization of diagnostic imaging and reduces its unnecessary use.
The elective course includes simulation, lectures, online resources and practical hands-on sessions. We use some of the most advanced simulation technologies and ultrasound machines available on the market. During this rotation, the residents are exposed to an extensive variety of cases about general principles of ultrasound including cardiac, abdominal, vascular and lung ultrasound. Each resident is assessed with pre-and post-tests as well as practical skills sessions at the end of each module and a final test at the end of the course. After the course the residents are able to perform bedside ultrasound in the clinical setting, most useful during ward and unit rotations, and supervising faculty assess the quality of the images and the appropriateness of the clinical integration of the ultrasound into the clinical practice.
For more information on the course please contact:
Maria Antonietta Mosetti, MD, Assistant Professor of Medicine, Department of Medicine, Division of Hospital Medicine and Gordon Center for research in Medical Education. Director, Clinical Ultrasound Course Internal Medicine Residency Program, University of Miami, Miller School of Medicine