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 am 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 
• 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