Rotation Schedule
Residents have required inpatient and outpatient rotations each year complimented by an array of elective opportunities in general internal medicine, all medical subspecialties, radiology, pathology, anesthesia, dermatology, radiation oncology, ophthalmology, global health and research at both Waterbury and Yale-New Haven Hospitals.
The rotation schedule consists of a “4 x 2” block schedule spread across thirteen four-week blocks. The “4 x 2” block schedule divides the year into alternating 4 week inpatient blocks and 2 week outpatient blocks. During the inpatient blocks, residents will be spending time on the general medical wards, intensive care unit and inpatient electives. During outpatient blocks, residents will be focused on their ambulatory continuity practice, urgent care and outpatient electives.
- Inpatient
- Ambulatory
- PGY-I
- PGY-II & PGY-III
Inpatient Curriculum
Inpatient education is based primarily at Waterbury Hospital and provides trainees with a broad exposure to the breadth and depth of internal medicine. Residents also receive their education at Yale New Haven Hospital and the Connecticut Veterans Administration Healthcare Center in West Haven.
Yale New Haven Hospital’s York Street Campus is a 1,541-bed hospital operated by Yale New Haven Health System and is the fifth largest hospital in the United States. Yale New Haven Hospital’s Saint Raphael Campus is a 511-bed hospital and is less than two miles from the York Street Campus. Our residents take part in inpatient and elective rotations at both campuses throughout their training. For additional information visit the Yale New Haven Hospital website.
The Connecticut Veterans Administration Healthcare Center in West Haven is located approximately five miles from Yale New Haven Hospital and provides an additional opportunity for our residents to enhance their clinical training in a unique setting.
Inpatient Wards
The teaching service is a geographically localized 30 bed unit on two floors consisting of four day teams and two night teams divided into two Firms. These Firms are named after Drs. David Podell and Joseph Renda, master clinicians who embody the very best of medicine from clinical excellence to the highest standards of professionalism and devotion to patients. Areas of particular emphasis of the general medicine Firms include bedside rounding, the role of the physical examination in clinical care, and transitions of care. Each day team consists of an attending physician, resident, intern, and students. Ample teaching and charting space is available. Patients admitted to the medical service encompass the full range of age, socioeconomic status, and disease spectrum of internal medicine.
Medical Intensive Care Unit
The Medical Intensive Care Unit team is comprised of Pulmonary/Critical Care attendings, interns, PGY II and PGY III residents, and advanced practice registered nurses. Clinical care is complimented with daily case discussions and a core intensive care unit curriculum. The goal of medical training in the intensive care units is to educate residents in the diagnosis, evaluation and management of patients with a wide range of critical illnesses. The resident is expected to become knowledgeable about the indications, contraindications, risks and benefits of common ICU level procedures. Residents have the opportunity to be trained in a variety of procedures such as arterial puncture and arterial blood gas interpretation, arterial line and central venous line placement, paracentesis, lumbar puncture, and naso-gastric tube placement. Inherent in the care of critically ill patients is the management of psychiatric, social and family concerns which are heightened in these intensive care settings and are addressed by residents as part of a multidisciplinary team. Patients are transferred to the medical ward teams when discharged from the intensive care units.
Conferences
Our program has a wide range of educational conferences. Each morning residents have the opportunity to participate in chief resident-led reports. Each week we host noon conferences and Grand Rounds with Yale faculty in the Bizzozero Conference Room. Every month we have recurring core faculty-led conferences including journal club, tumor board, high-value care discussions, medical jeopardy, emergency medicine and ethics, research and quality improvement, peer teaching, intern support group, board review, Chairman’s Rounds, M&M conferences, and multi-disciplinary firm conferences.