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Overview
and Philosophy
The
general principles overriding the residency program are:
-
Education
comes first; and
- Residency
should be an enjoyable experience.
The program is driven by education – not by service needs
– for all of its residents (12 categorical internal medicine
per year and four preliminary interns). The foundation of
the program, which is fully accredited with the ACGME and
The American Osteopathic Association, is its written
curriculum, a document that provides the specific educational
goals for each of the topics relevant to internal
medicine training. Each topic will be covered
during the three-year training period either by direct patient
experience or by didactic sessions.
The
strength of our program resides in the spectrum of patients
and the diversity of the attendings to which our residents
are exposed. The combination of community primary care physicians
and private specialists complements the full-time faculty.
Unlike the prototypical university urban medical center
in which the overwhelming majority of patients are admitted
through the emergency department, the patient population
cared for by our residents represents a balanced mixture
of private and service patients.
Our program also offers the house
staff the resources of four on-site, fully accredited sub-specialty
training programs. These include fellowships in Cardiology,
Nephrology, Hematology/Oncology and Pulmonary Critical Care.
Fellows in these four subspecialty areas interact with residents
rotating through their respective consultation services,
the Intensive Care Unit, the Coronary Care Unit, Telemetry
Unit, and the Oncology inpatient service. Applications have
been submitted to the ACGME for additional fellowships in
Geriatrics, Infectious Diseases and Interventional Cardiology,
with anticipated start dates of July 2005 or 2006. In addition,
fellows actively participate in teaching and supervision
of house staff on both an inpatient and outpatient basis,
and facilitate house staff participation in research activities
within their subspecialty divisions.
 During
the first two years, the resident will spend the bulk of
his/her time rotating through the general medical floor
teams. A teaching attending is assigned to each team and
is the physician in charge of the unassigned patients who
are admitted to that team. The teaching attending supervises
the housestaff in the care of these patients and conducts
regular teaching rounds. In addition, the floor teams will
care for private patients who are admitted to the teaching
service at the request of the private attending
who provides the supervision of the housestaff in the care
of his/her patients.
On
Sunday through Thursday nights, a night float team admits
patients to the teaching services from 8 p.m. to 7 a.m.
These night admissions are presented at Morning Report and
assigned to the floor teams. This system permits us to control the flow of admissions and
ensures that the education of the resident remains the priority
of the program. Caps are established for admissions per
day and total census for each PGY 1 and PGY 2 resident according
to ACGME guidelines and these caps are enforced. This system
also allows us to offer a favorable call schedule in which
the floor teams spend only Friday and Saturday nights in
the hospital.
The
first two years are also supplemented with experiences in
MICU, CCU, Emergency Department, and certain subspecialties.
A sample rotation schedule is provided in the Curriculum
section.
 Ambulatory
experiences are considered to be extremely important in
the education of our residents. In addition to the weekly
continuity clinic experience at one of several primary care
sites, residents are assigned to two block ambulatory rotations
in the first year and one in the second year. These blocks
permit a rotation through clinics in both medical and non-medical
specialties.
The
PGY 3-year includes rotations through all the specialties
of internal medicine. The third-year resident develops skills
through consultation service and specialty outpatient experiences.
We
recognize the importance of certain administrative and non-medical
education throughout the residency. Formal education in
medical ethics, medical economics, utilization management,
quality management, and legal aspects of medicine is provided
throughout the residency.
 Our
program is relatively small and nearly all core rotations
take place at Newark Beth Israel Medical Center. We are
proud of the friendly, intimate atmosphere which we can
offer. We also pay careful attention to the human aspects
of residency training by providing a favorable call schedule,
meals while on call, and comfortable, convenient sleeping
quarters with a modern, well-equipped lounge.
The
affiliation with Mount Sinai School of Medicine also provides
residents the opportunity to participate in educational
experiences, orientations, and retreats of this top medical
school and leading health care facility.
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