Goals & Objectives for Each Year of Training
The Categorical PGY 1 Year
- Successfully complete all R1 rotations including:
- Two months of ICU, including at least 1 month of ICU (MRICU or CCU) training at TJUH
- 6 months of General Medicine ward rotations at TJUH or affiliate hospital
- 1 month of ER rotation
- 2 months of ambulatory experience in general IM, subspecialty, or non-IM specialties (experience must include office based ENT, dermatology, ophthalmology, or neurology)
- 1 elective block at choosing of the resident
- Total clinical training must be 50 weeks over 13 blocks
- Successfully complete at least 2 Mini-Clinical Evaluation Exercise (Mini-CEX) in either the inpatient or outpatient venue
- View procedural videos on all core procedures and take and pass the post-test (review of incorrect responses with the Chief Medical Resident is permissible).
- Demonstrate sufficient progress in the components of clinical competence that he/she is capable of functioning as a team leader. Specifically, the resident must possess necessary skills in data gathering, medical knowledge, clinical insight, and critical thinking to assume a team leadership role.
- Demonstrate growth toward meeting ambulatory competencies including ambulatory knowledge, professionalism, and systems based practice (Demonstrated competence is not required at this level).
- Demonstrate skill with the GYN exam as shown through the GYN skills session and preceptor certification, or preceptor certification alone (at least 3 observed exams).
The PGY 2 Year
- Demonstrates sufficient progress in the components of clinical competence that he/she is capable of functioning as a team leader. Specifically, the resident must possess the necessary skills in data gathering, medical knowledge, clinical insight, and critical thinking to serve in the team leadership role.
- He/she is demonstrating elements of practice-based learning and system-based learning in clinical encounters.
- Successfully completes R2 rotations including:
- At least 2 months of ICU supervisory rotations
- At least 4 months of General Medicine ward rotations as team supervisor
- Required rotations as Night float, Unit float, or MAR.
- At least 1 block of ambulatory care
- 2 elective rotations
- Total of 11 blocks of clinical rotations, which can include a block of research.
- Take and pass the USMLE Step 3.
- Demonstrate capacity to supervise R1 residents and medical students according to Department of Medicine expectations
- Seek appropriate consultation when indicated.
- Make independent decisions based on previous clinical experiences. Recognize and manage "new" clinical problems (scenarios not previously encountered) skillfully.
- Demonstrated growth toward meeting ambulatory competencies including ambulatory knowledge, professionalism, systems based practice (Demonstrated competence is not required at this level but projected growth and anticipated competence should be expected)
The PGY 3 Year
- Successfully complete R3 rotations. Required rotation include:
- 2 blocks of General Medicine ward rotations as supervising resident
- Geriatrics rotation
- Emergency room (VA)
- Ambulatory rotation at the VA
- Unit float and MAR
- Additional electives (2 electives must be ambulatory such as, Rheumatology or Endocrinology)
- Total of 11 blocks of rotations, such that each resident completes 33 months of Internal Medicine experiences satisfying the ABIM requirements for completion of medicine training
- Take and pass the ECG assessment test. Repeating the test is permissible. For residents with major difficulties in reading ECG, a remedial plan will be developed. Residents must also take and pass the assessment test in CXR interpretation.
- Successfully perform all required procedures, with documentation on file in the Department of Medicine.
- Demonstrate practice-based learning and system-based learning in clinical encounters.
- Present a morning report and EBM presentation that shows understanding of medical literature, principles of practice-based learning, and understanding of systems of care.
- Present senior seminar (topical review to peers at Noon-conference)
- Complete a scholarly project, which must be submitted and included in the resident's portfolio. Options include:
- A presentation at a national meeting
- Submitting a research abstract, or paper for consideration to a major journal
- Publishing a clinical vignette, review, or original research in the Jefferson Forum
- Completing a research project that leads to data generation and analysis in one of the labs within the University
- Demonstrate the medical knowledge base, problem-solving skills, and clinical judgment that enable him/her to provide satisfactory patient care independently as judged by the clinical competence committee.
- Demonstrate competency in continuity ambulatory care including ambulatory knowledge, professionalism, and systems based practice. It is expected that the resident can demonstrate ability to manage patients independently in the general medicine setting, with appropriate referral as required.
At every level of training, the resident must demonstrate the following:
- Interpersonal and communication skills are satisfactory or superior, as documented by evaluators in inpatient and ambulatory settings. Works well with patients, fellow residents, faculty, consultants, ancillary staff and other members of the health care team in a manner that fosters mutual respect and facilitates the effective handling of patient care issues as demonstrated by satisfactory staff and faculty professional behavior evaluations.
- Absence of impaired function due to mental or emotional illness, personality disorder, or substance abuse.
Dr. Sal Mangione at Mount Kilimanjaro, August 2011.
We participate in the National Residency Match Program and utilize the Electronic Residency Application Service (ERAS).