Welcome to Med-Peds

Curriculum

4+2!

Our rotations are scheduled according to a 4+2 model during PGY-1 and PGY-2. During PGY-3 and PGY-4 years we have a modified 4+2 model allowing for flexibility with additional electives and independent curricula. 4+2 means you will have four weeks of an inpatient rotation, followed by two weeks of ambulatory medicine or inpatient consults. In general, you will not have to attend Continuity Clinic while you are on your inpatient rotations so you can focus on your clinical duties. In some rare circumstances, you may go to clinic on an inpatient rotation; however, if this occurs, we will ensure adequate inpatient flexibility and/or provide coverage. Both the categorical IM and Peds programs also follow a 4+2 model.

 

Intern Year

The goal for intern year is to provide broad exposure to inpatient and ambulatory Internal Medicine and Pediatrics. Rotations are in two-week blocks with switches between Medicine and Pediatrics every 3 months. The intern is exposed to critical care rotations in the Medical ICU, Cardiac ICU, and Neonatal ICU. In addition, interns start building their primary care patient panels with Continuity Clinic scheduled during their consult and outpatient blocks. During the Med-Peds Ambulatory Block, interns grow even more comfortable in their clinic and are provided experiences to explore specialty or adolescent/young adult focused clinics.

Medicine

Inpatient General Medicine

Inpatient Hematology/Oncology

Inpatient Cardiology 

CCU (Cardiac/Coronary Care Unit)

MICU (Medical Intensive Care)

Consults (e.g. ID, Nephrology, Pulmonology, Cardiology)

Outpatient Geriatrics 

Vacation (2 weeks)

MP Ambulatory Clinic

Pediatrics

Comer Inpatient General Pediatrics 

Comer Inpatient General Pediatrics, Nights

NICU – Evanston Infant Special Care Unit (ISCU)

General Care Nursery (AKA Mother Baby Unit)

Developmental and Behavioral Pediatrics

Child Abuse and Pediatrics Advocacy

Vacation (2 weeks)

MP Ambulatory Clinic

Second Year

During second year, further foundational experiences in General Medicine and General Pediatrics are provided with the resident serving as a senior/supervisory resident in these services. Residents also serve as senior/supervisory residents on adult inpatient Cardiology and Hematology/Oncology services, and residents experience their first rotations in Inpatient Pediatric Hematology-Oncology. Critical care experience is furthered with first rotations in the PICU, additional rotations in the NICU, and supervisory experience in the CCU and MICU. Throughout their 2nd through 4th years, residents maintain their continuity clinic practices during elective/consult/outpatient rotations and during Med-Peds Ambulatory Blocks.

Medicine

Inpatient General Medicine

Inpatient Cardiology

Inpatient Hematology/Oncology

Additional Inpatient (Gens, Heme/Onc, or Cards)

CCU (Cardiac/Coronary Care Unit)

MICU (Medical Intensive Care)

Adult Emergency Department

Consults, Elective or Research

Geriatrics Consults

Vacation (2 weeks)

MP Ambulatory Clinic

Pediatrics

Comer Inpatient General Pediatrics

Inpatient Pediatric Hematology-Oncology

Comer NICU

Comer PICU

Adolescent, Consults, or Elective

Comer Pediatric Emergency Department

Vacation (2 weeks)

MP Ambulatory Clinic

Third Year

For 3rd and 4th year residents, flexibility is afforded by allowing residents to switch between Medicine and Pediatrics as frequently as every month, with rotation changes every 2-4 weeks. 3rd year residents enjoy expanded elective/consult/research time that allows them to explore future careers and meet educational goals. During third year, supervisory experience is maintained with inpatient experience in Medicine on any floor service and with General Pediatrics at Comer. Additional General Pediatrics inpatient experiences can be at Northshore Hospital in Evanston or La Rabida Hospital depending on resident preference. Residents interested in the LUCENT primary care program may substitute inpatient rotations for dedicated primary care blocks.

Medicine

Inpatient Senior (General Medicine, Cardiology, Hematology/Oncology)

Inpatient Cardiology

MICU or CCU (2 weeks ICU time required in PGY-3 or PGY-4 year)

Consults, Elective, or Research

Vacation (2 weeks)

MP Ambulatory Clinic

Pediatrics

Comer Inpatient General Pediatrics

Comer Inpatient General Pediatrics, Nights

Other inpatient rotation (Comer General Pediatrics, Evanston, La Rabida, PICU, or NICU)

Comer Pediatric Emergency Department

Consults, Adolescent, Child Abuse and Pediatrics Advocacy, Elective or Research

Vacation (2 weeks)

MP Ambulatory Clinic

Fourth Year

Med-Peds 4th year residents are awarded additional consult/elective/research time that allows for the pursuit of individualized curricula in their final year. They also receive professional development as Chief Residents focusing on leadership activities of their choice. Working with their advisors and the program director, residents meet all ACGME requirements and have the flexibility to pursue interests like global health, transitions care, education, or research. Examples in recent years include residents completing the MERITS (Medical Education Research, Innovation, Teaching, and Scholarship) Program and the LUCENT primary care track.

Medicine

Any Supervisory Inpatient (e.g. General Medicine, Cardiology, Hematology-Oncology, MICU)

Consults, Elective or Research

Vacation (2 weeks)

MP Ambulatory Clinic

Pediatrics

Any Supervisory Inpatient (e.g. Inpatient General Pediatrics at Comer or offsite)

Float/Sick Call

Comer Pediatric Emergency Department

Consults, Adolescent, Child Abuse and Pediatrics Advocacy, Elective or Research

Vacation (2 weeks)

MP Ambulatory Clinic

Neurology Consults should be done on Medicine during a 2-week consult block or shared with Procedure Service once over the course of residency.

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