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Curriculum
Generally, 8 to 10 categorical and 5 to 7 preliminary positions are offered at the PGY-I level. Ten positions are offered at each of the PGY-II and PGY-III levels. Each year is divided into 13 four-week blocks.
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INPATIENT MEDICINE
Ward teams consist of an attending physician, 1-2 supervising residents, 2 interns and a variable number of students. Interns care for an average of 8-12 patients, learning both basic bedside management and evidence-based literature as it applies to their patients. Ward rotations are at either Renown Medical Center (RMC) or the Ioannis Lougaris Veterans Affairs (VA) Medical Center. Ward teams at RMC work with their own attending physician who has primary responsibility for all patients on that service. Attending physicians conduct work and teaching rounds daily.
Intensive care rotations are conducted in closed units at either RMC or the VA. Intensive care teams are comprised of a supervising senior resident, 1 to 3 interns, students, and an attending critical care specialist, pulmonologist, or cardiologist. Residents are responsible for performing invasive procedures on their patients, under appropriate supervision.
AMBULATORY MEDICINE
Approximately 45% of the overall training experience is spent in ambulatory settings; the percentage increases with each subsequent training year. Each resident has both a VA continuity clinic and a private practice continuity clinic. At their continuity clinics, residents provide primary care, acquiring experience in long-term ambulatory and group practice. Additional rotations emphasize outpatient management of various subspecialty problems. Available outpatient electives include gynecology, sports medicine, dermatology, pediatrics, otolaryngology, pediatrics, ophthalmology, orthopedics, and neurology, in addition to the full range of internal medicine subspecialties.
Sample Annual Schedules
Vacation may be used during rotations highlighted in red.
AWAY ELECTIVES
Away electives are available to senior residents if approved by the program director.
DIDACTICS
 Daily didactic sessions are offered as morning report and the noon conferences which provide formal, evidence-based lectures covering the entire internal medicine curriculum over a 3 year cycle. During the first part of each year topics are directed towards the timely diagnosis and treatment of various medical emergencies, and Advanced Cardiac Life Support instruction is offered to and certification is required of each resident. Additional didactics are offered in the form of Journal Club, Morbidity and Mortality Rounds, community Grand Rounds (Pot Pourri at Renown Medical Center) and Board Review sessions. Faculty often also offer formal lectures as part of their teaching rounds.
RESEARCH
All categorical residents must participate in a research/scholarly activity prior to graduation. Residents have presented at The American Federation for Medical Research Western Regional meeting, the Bierkamper Research Forum, ACP regional and national meetings, and international conferences. Financial support and administrative leave are provided to residents presenting at research or clinical meetings.
PRACTICE MANAGEMENT
Practice management seminars are offered in conjunction with the Department of Family & Community Medicine, covering such topics as practice planning & management, contract negotiation, marketing, and medical informatics. Speakers include chief financial officers and health care consultants from local hospitals and practices, as well as physicians in various types of practices. Participation in these seminars by internal medicine residents is not mandatory but is strongly encouraged, and the feedback from participating residents has been consistently positive.
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