Curriculum

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

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

• 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)

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