Education in Ambulatory Medicine is provided through three types of experiences: Resident Continuity Clinics, Ambulatory Block Rotations and rotations in Emergency Medicine. Residents learn to manage common ambulatory problems under the supervision and guidance of faculty preceptors. After residents have matched into the Internal Medicine Traditional Medicine Program, they will have the opportunity to rank their preference for a primary continuity clinic at one of a variety of high-quality sites where they will be the primary provider for a panel of patients over their 3 years of training.
We hold two morning reports each day, one at Yale and one at the V.A., from Monday through Friday, thus ensuring learning in small groups. On one of these days, the reports are for the interns. It is the Yale tradition that report is run by the Chief Resident with core faculty always present to provide input when needed. On occasion an “expert” may also be invited.
Internal Medicine residents receive their inpatient education primarily on two campus sites: Yale-New Haven Hospital's "York Street Campus" and at the Connecticut Veterans Administration Healthcare Center in West Haven. A third campus site was created as a result of the acquisition on September 12, 2012 by Yale-New Haven of Hospital of Saint Raphael in New Haven, which is now referred to as "Chapel Street Campus."
The table shows rotations during the 3 years of training. Our academic year is divided into 4-week blocks, thus there are 13 blocks in each year. A few rotations may be for two weeks and are therefore shown as "0.5" blocks. Please Note: the table below is an approximation for a house officer in a given year. The spectrum for individual house officer's in each year may vary somewhat, though not substantially.
The main hospital facility, completed in April 1982 and the Children’s Hospital, completed in July 1993, structurally integrate all inpatient medical beds. Yale-New Haven Hospital is a 944-bed tertiary referral center which includes the 201-bed Yale Children’s hospital, and the 76-bed Yale-New Haven Psychiatric Hospital.
The Internal Medicine Service at Yale is named after Dr Paul Beeson, one of the most illustrious figures in American medicine in the latter half of the 20th century, who was Chairman of Medicine at Yale from 1952 until 1965.
Overview of Activities:
The list below highlights some of the projects that the Wellness Committee is focusing on to build community, mitigate distress, and make accessible resources that contribute to the wellness of our residents. Thus, we hope to build resilience and reserve for all our residents as we go through this challenging phase of training.
Active Needs Assessment: Identify issues in resident wellness with an emphasis on giving voice to as many residents as possible
- Needs Assessment Committee to touch base with every resident in the program once annually.
- Collaboration with the Big Sibs Program for needs assessment
Physical Wellness: Organizing physical activities to improve fitness and fostering social interaction
- rock climbing outings
- AT challenge
- weekly yoga taught by Fresh Yoga teach Amy Silletti
- ice skating
- gym subsidies
Health: Residents put the health of everyone else before their own, so it's important to help them take care of themselves as well
- creating an accessible list of local doctors and dentists and make existing ones more accessible
- providing good nutritious food to overnight residents at all campuses
Spiritual Wellness: Spiritual well being offers resiliency to deal with difficult periods
- Continue improving the quality of resident reflection rounds
- Create an accessible list of religious groups for new residents joining the Yale/New Haven Community
- Healer's art for residents
- Meditation sessions
Social Interactions: Many residents, particularly preliminary residents, feel isolated and somewhat hesitant to organize get-togethers independently
- Brunch Club
- Help organize Intern Retreat
- "Whine and Cheese" evening
- Night at the museum
- Arts Night
Meaningful Service: Finding meaning within and without medicine is important to stave off burnout
- Organize groups for road races can also raise money for charities
- Mentorship programs for community youth
- Student-run HAVEN clinic
- Local health screenings
- Healthy cooking lessons for the community