Internal Medicine Residency

Town MeetingFebruary 16, 2006

Robert M. Healy, MDProgram Director

Outline

What changes have occurred in our program?What issues are we working on?

Changes: Inpatient General Internal MedicineContinuity ClinicGeriatrics ExperienceResearchNephrologyCarle Ambulatory

Inpatient General Internal Medicine Prior:

Each intern could have 12 patients with 5 different attendingsAdmits/Consults/Discharges all called at onceManagement rounds = Random

Inpatient General Internal Medicine

NowTeams! 1 attending, 1 senior, 1-2 internsManagement Rounds!

Continuity Clinic

Then:Alternate weeks Danville:Urbana

Now:One site for three years

Continuity!

Geriatrics Experience

Then:3-4 different attendingsMonthly rounds, but could only make 2/year!

Geriatrics Experience

Now:2 Board Certified GeriatriciansMonthly roundsGeriatrics rotation as Junior

ResearchThen:

EncouragedNow:

Encouraged, Taught as Intern, Process to start/join project in place

Nephrology

Then:Good RotationHumphreys steps downVA- but only 3 half day clinics

Nephrology

Now:3 Board Certified NephrologistsDialysis Experience

Carle AmbulatoryThen:

Good, but few got to do it!Now:

RequiredDerm, Ophthalmology, ENT, Rehab, Non-Operative Ortho, Gyne

Changes: Inpatient General Internal MedicineContinuity ClinicGeriatrics ExperienceResearchNephrologyCarle Ambulatory

Outline

What changes have occurred in our program?What issues are we working on?What issues should we know about?

What Issues Are We Working On?

Core ConferencesJournal ClubGrand Rounds

SUGGESTIONS

• Welcomed !!!!!!• Resident Input