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

When ERAS composite score is adjusted: 

  • if LCME graduate, then the ERAS composite score is increased by 100 points (approximately 15%)
  • if a current fellow in our geriatrics fellowship, and being interviewed under the sponsorship exception, then the ERAS composite score is increased by 100 points
  • based on faculty and staff consensus input/discussion, the ERAS Composite score may be adjusted up or down by up to 7.5%
  • the ERAS composite score may be grossly adjusted for extenuating reasons (examples stated previously)

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 Corewell Health, electives are also available at Wayne State University

Monthly rotation & typical daily schedules

ProgramsYear 1 Year 2 Year 3

Inpatient Service

5

3

3

Night Float Rotation

2

2

Intensive Care Unit

1

1

1

Cardiac Care Unit

1

1

1

Emergency Medicine

1

Geriatrics

1

Ambulatory Medicine Block

1

1

Infectious Disease

1

Psychiatry

1

Electives

2

3

4

Continuity Clinic

see 4+1 schedule

see 4+1 schedule

see 4+1 schedule

ProgramsYear 1 Year 2 Year 3

Inpatient Service

5

3

3

Night Float Rotation

2

2

Intensive Care Unit

1

1

1

Cardiac Care Unit

1

1

1

Emergency Medicine

1

Geriatrics

1

Ambulatory Medicine Block

1

1

Infectious Disease

1

Psychiatry

1

Electives

2

3

4

Continuity Clinic

see 4+1 schedule

see 4+1 schedule

see 4+1 schedule

Apply for residencies and fellowships

Information for Applicants (Policies, How to Apply, Salaries)