Curriculum

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Internal Medicine Curriculum Design

Training activities for LBH’s residency program in Osteopathic Internal Medicine are carried out under the auspices of the Internal Medicine/Hospitalist Service. A number of other hospital departments and services, affiliated institutions, and private physicians will cooperate to provide instruction and support for the training effort. Affiliated internists and specialty physician preceptor’s offices, didactic presentations, and electives are all-important parts of the educational program. Thus, residents draw upon a variety of educational resources, personnel and training sites during each academic year.

The structured three-year program includes both required and elective rotations, which ensure consistency of training. Each resident’s training time is allocated to meet the following AOA/ACOI minimum requirements over the thirty-six month program (13 Block/Academic year system):

Internal Medicine	13 Blocks Total. 3 blocks in PGY1
IM ICU/Adult Critical Care	3 Blocks Total. 2 Blocks in PGY1
Surgery	1 Block… must be General Surgery in PGY1
Women’s Health	1 Block… must be in PGY1
Night Float	3 Blocks Total… 2 Blocks in PGY 1
Emergency Medicine	2 Blocks… 1 Block in PGY 1
Electives	4 Blocks Total
Ambulatory Medicine	2 Blocks
Gastroenterology	1 Block
Cardiology	1 Block… must be in PGY 1
Endocrinology	1 Block
Infectious Disease	1 Block
Geriatrics	1 Block
Nephrology	1 Block
Pulmonology	1 Block
Hem/Onc	1 Block
Rheumatology	1 Block
Neurology	1 Block

*Night Float– The Night Float patient care experience will take place during non-traditional care hours; in the form of a Night Float rotation, where they will receive training exposure to the full spectrum of hospital based internal medicine. The rotation will promote resident independence as well as integrate the hospitalist faculty into the structured learning activities of the rotation. The Rotation will be supervised by the on call faculty attending/in-house preceptor (Board Certified Internist or Internal Medicine Subspecialist), and all clinical encounters will occur either in the hospital or in the emergency room department. Residents will not be assigned to 2 consecutive night rotations. The Night Float team will respond to all codes and documents its active participation in detailed code notes. The night Float Rotation teaching methods will include daily evening report, night rounding, and real-time patient precepting at night.