Curriculum
Program Description:
The curriculum provides a breadth and depth of clinical educational experiences in ambulatory and inpatient settings that prepare residents for careers in primary care, general internal medicine and subspecialty training.
The program utilizes a “3+1” block scheduling model, whereby residents are assigned to inpatient rotations or consult services for three weeks at a time, followed by a week dedicated to ambulatory practice. This minimizes scheduling conflicts between inpatient rotations and the ambulatory experience.
All Residents have a dedicated educational session for one half-day on Wednesday afternoons (see section on didactics for more information).
Sample “3+1” Schedule:
| Resident 1 | Resident 2 | Resident 3 | Resident 4 |
|---|---|---|---|
| Amb Block | ER | Cards | Amb Block |
| Amb Block | ER | Cards | Amb Block |
| Amb Block | ER | Cards | Amb Block |
| Clinic | Clinic | Clinic | Clinic |
| Wards | Wards | Endo | Wards |
| Wards | Wards | Endo | Wards |
| Wards | Wards | Endo | Wards |
| Clinic | Clinic | Clinic | Clinic |
Sample Continuity Week Schedule:
Clinic Week (+ 1): PGY-1 & 2
| Monday AM | Tuesday AM | Wednesday AM | Thursday AM | Friday AM |
| Clinic | Clinic | Clinic: Walk-In | Clinic | Clinic |
| Monday PM | Tuesday PM | Wednesday PM | Thursday PM | Friday PM |
| CQI/Res* | Clinic | Education Half-Day | Clinic | Admin Half-Day |
Clinic Week (+ 1): PGY-3
| Monday AM | Tuesday AM | Wednesday AM | Thursday AM | Friday AM |
| SS | Clinic | CQI | Clinic | POCUS |
| Monday PM | Tuesday PM | Wednesday PM | Thursday PM | Friday PM |
| SS | Clinic | Education Half-Day | Clinic | Admin Half-Day |
*CQI / Res: Continuous Quality Improvement Projects / Research
*SS: Subspecialty Clinic
Rotations and Teaching Sites:
The primary in-patient teaching site is Sarasota Memorial Hospital. Other training sites include:
- Sarasota Memorial Internal Medicine Practice at Newtown: Residents follow their continuity panel of patients throughout the three years of training
- Intercostal Medical Associates: Residents obtain training in endocrinology
- Florida Cancer Specialists: Residents obtain training in hematology / oncology
- Sarasota Arthritis and Research Center: Residents obtain training in rheumatology
Number of Rotation Weeks:
| Rotation | PGY-1 | PGY-2 | PGY-3 | Total |
|---|---|---|---|---|
| Addiction Medicine | 0 | 0 | 1 | 1 |
| Ambulatory Block Elective | 2 | 3 | 0 | 5 |
| Cardiology | 2 | 0 | 3 | 5 |
| + 1 Week Continuity | 13 | 13 | 13 | 39 |
| Emergency Medicine / Internal Medicine | 0 | 0 | 3 | 3 |
| Endocrinology | 3 | 0 | 0 | 3 |
| Emergency Medicine | 3 | 0 | 0 | 3 |
| Gastroenterology | 0 | 3 | 0 | 3 |
| Geriatrics | 1 | 0 | 0 | 1 |
| Hematology / Oncology | 0 | 3 | 0 | 3 |
| Hospice & Palliative Medicine | 0 | 0 | 2 | 2 |
| Infectious Diseases | 0 | 0 | 2 | 2 |
| Intensive Care Unit | 1 | 6 | 10 | 17 |
| Nephrology | 0 | 3 | 0 | 3 |
| Neurology | 0 | 0 | 2 | 2 |
| Night Float | 0 | 4 | 0 | 4 |
| Procedural Rotation / Radiology | 0 | 3 | 0 | 3 |
| Pulmonary Medicine | 0 | 0 | 3 | 3 |
| Rheumatology | 0 | 0 | 2 | 2 |
| Wards | 24 | 9 | 3 | 36 |
| Elective | 0 | 3 | 3 | 6 |
Simulation Training:
SMH has an on-site Simulation Center. Residents will participate in a series of multidisciplinary team simulation exercises (mock codes, rapid response scenarios) using high fidelity simulation equipment, coupled with Standardized Patients. In addition, FSU College of Medicine provides on-site simulation training and assessments for residents.
Educational & Leadership Retreats:
Intern Retreat: In May residents who are about to begin their PGY-2 year participate in a full-day retreat that focuses on their clinical teaching skills (based on the Stanford Faculty Development Program on Clinical Teaching) and leadership skills with team building exercises.