Inpatient Rotations

Floor teams are structured to include a senior resident (PGY-2 or PGY-3), an intern, a fourth-year medical student (sub-intern) and one or two third-year medical students working closely with their assigned teaching attending in one to two week blocks.  Interns care for an average of  8-10 patients at any given time.  In addition to weekday didactic conferences and noon report, daily teaching rounds occur at the bedside.

Late call until 8pm, short call until 2pm, and pick up mornings are interspersed to ensure adequate teaching volume, case mix diversity, and preparedness for practice and fellowship training, in a drip model. Experience in the closed Intermediate Care Unit (IMCU) at Princeton, the liquid oncology teaching service at RWJUH, and the Intensive Care Units at RWJUH present opportunities for developing skills that assist with recognizing “sick” patients at a glance, triaging and prioritizing clinical demands, and gaining procedural skills under direct supervision.

Dedicated night float teams assume admitting and cross coverage responsibilities for patients on the teaching services at both hospitals.  Signout rounds, allow for supervised education during care transitions.

Electives and Selectives

Our residency program offers electives in both traditional and nontraditional internal medicine specialties. Electives are available through our faculty practice and various private office settings between New Brunswick and Princeton. Elective time is uninterrupted by any inpatient or clinic obligations and allows our residents to completely immerse themselves in the elective experience. Residents work closely with subspecialty faculty, fellows and fellowship directors, establishing opportunities for mentorship and career counseling.

All interns participate in a combined Geriatric medicine, addiction medicine and osteoporosis selective while senior residents experience urgent care, HIV, outpatient palliative care, dermatology and the transgender clinic.

Some of the structured electives offered in our residency program beyond routine subspeciality experiences include : Congestive Heart Failure, Electrophysiology, Bone Marrow Transplant, Hematologic Pathology, Renal Transplant Medicine, Hypertension and Practice Tailoring (GIM Private Office, Pharmaceutical Industry, Health Care Insurers, etc). For those rare instances when residents seek specialized training not available at our institutions, special arrangements can be made for rotations at external sites on a case-by-case basis.

Electives are available to both interns and residents in one or two week blocks. All electives are free of call and have no weekend coverage obligations. In addition to requesting research blocks, all residents are strongly encouraged to engage in research during their elective rotations and continuity clinic weeks.

Rounds and Conferences                                                             

All rounds are conducted at the bedside daily with dedicated hospital-based teaching faculty at both hospitals.

Conferences:

• Board Review – Daily morning board review facilitated by a member of the program’s leadership conducted during ambulatory clinic week. ACP’s MKSAP modules form the curricular basis for team-based learning.
• Noon Report – Cases presented by interns and residents are moderated by the chief resident and faculty. Innovative and engaging presentation and discussion formats are utilized.
• Noon Conference – 45 minute sessions on key topics are delivered by subspecialty faculty.
• Journal Club – Residents deliver weekly journal club presentations where clinically relevant literature is reviewed and research design and methodology is discussed.
• Grand Rounds – Weekly Grand Rounds delivered by nationally renowned experts in the specialty of medicine are conducted throughout the academic year.
• Special Conferences – include a Summer Emergency Lecture series; Morbidity and Mortality; Quality and Safety, Combined IM-Specialty conferences,  are interspersed throughout the year.