Curriculum

Outpatient medicine

Continuity clinic

• residents will spend one week every five weeks in the "4+1" system seeing patients
• develop a "roster" of patients they consider their own, and by the second year, a majority of a day's visits are with "their" patients
• clinic patients come from diverse socio-economic backgrounds and present with any combination of acute, chronic, common or uncommon illnesses
• serves as fertile ground for clinical research and/or quality improvement research
• opportunities are available for rotations with general internists in private practice for block outpatient experiences

Didactics

Morning  report

• 8 - 9 a.m. Monday - Friday
• features real-time internet and medical database access projected on screen
• reports are socratic, providing a forum for debate, discussion of the latest literature, and an opportunity for residents to hone their presentation skills

Academic half day

• in place of noon conferences, series of didactic lectures, seminars, and workshops that take place in block every Wednesday afternoon from 1 - 4 p.m.
• this lecture structure is less disruptive to residents' daily work and allows for concentrated learning in one afternoon per week
• incorporates the following recurring series
  • core lecture
  • pattern recognition
  • board review & testing
  • evidence-based medicine/journal club
  • quality improvement projects
  • problem-based learning
  • M&M
  • CPC
  • resident lecture
  • practice management series
  • resident research presentations

Clinical program

General medicine service ward

• the backbone of our residents' inpatient learning
• our hospitalized patients and their presenting illnesses are remarkably diverse, providing excellent research
• on-service residents get didactic lectures from an attending physician three times per week, and informal bedside teaching and on-the-go hallway teaching everyday
• students present cases at once- or twice-monthly chief rounds
• the resident teams are comprised of one attending physician, a senior resident, two interns, and at least one or two medical students
• allow residents to take ownership of their patients and see a variety of practice styles from other physicians
• admitting interns cap at 5 new patients or a total of 6 patients (night float plus new admissions)
• call schedule
  • one in four days and there is NO overnight call, except for Fridays and Saturdays
  • in a given month, a team will have only two overnight calls
  • call system allows for a more humane inpatient month - it maximizes learning without exhausting residents

Intensive Care Unit (ICU)

• run by understanding intensivists who are dedicated to teaching
• staffed by one senior resident, three interns and one sub-intern
• ICU call schedule
  • twice per week and is overnight
  • no weekend call for the senior residents
  • eight calls per month

Elective rotations

Residents rotate through our department's various sub specialty sections, guided by board-certified section chiefs and faculty. All sub specialty section chiefs are appointed by the residency Program Director and the Chief of Medicine, and are committed to helping residents master the well-defined curricular objectives in an organized, comprehensive, and dynamic clinical environment. Each sub specialty rotation includes at least two half-days per week of sub specialty outpatient experience. Although most residents elect to perform their sub specialty rotation at Beaumont, electives are also available at Wayne State University