Internal Medicine Residency Curriculum

The educational goals of the program organized around competencies with specific goals are contained in a written Internal Medicine Curriculum that is provided to each resident.

The general core competencies are Patient Care, Medical Knowledge, Practice-based Learning and Improvement, Interpersonal and Communication Skills, Professionalism, and Systems-based Practice.

Other specific, so-called, secondary competencies including Teaching, Leadership and Organizational Skills may be required depending on the goals of specific program requirements.

Medical Students
SSM St. Mary's Hospital - St. Mary's Internal Medicine Residency Program is affiliated with Saint Louis University School of Medicine. Third- and fourth-year medical students as well as physician assistant students regularly rotate here for their Internal Medicine rotations as well as in the ICU. Residents have the opportunity to develop their teaching skills during the medical floor rotation.

Rounds and Conferences
Ward Team Rounds: Each ward team composed of a core faculty attending physician, house staff, medical pharmacist and medical students make morning teaching and work rounds together.

Morning Report: Second and third year residents meet daily with the Program Director, or a selected faculty member, to discuss the previous day's admissions.

ICU Attending Teaching Rounds: The entire multidisciplinary ICU team makes morning bedside teaching rounds with a core faculty Intensivist.

Noon Core-Curriculum Conference Series: Held daily these sessions present an organized core curriculum in all of the subspecialty areas of Internal Medicine.  Also included are seminars and conferences on specialty topics outside internal medicine but relevant to primary care. The goal is to integrate pathophysiology, diagnosis and therapy into a rational approach that includes consideration of risk:benefit and cost-effectiveness.

Resident Case Conferences: Once a week, residents and faculty meet to formally present and discuss their most interesting and instructive cases.

Death Review Conferences: Each month the Program Director or another core faculty member critically reviews all deaths on the teaching service with the resident group.

Morbidity and Mortality Conference: Each month, a selected house officer, faculty member, radiologist, and pathologist join in presenting a critical evaluation of the management of a specific patient.

Medical Grand Rounds: Two times a month, an invited speaker discusses a timely topic of general interest to members of the department.

Journal Club: Medical residents present and critically discuss articles centered around the major current medical journals, as they learn to evaluate the primary literature.

Research Conferences: A research project is required of each categorical resident. A faculty member, who serves as director of resident research, meets quarterly with the residents as a group to review research and monitor progress. Each project is expected to result in a presentation at a state or national meeting and/or a paper in a refereed journal. During the past two years our residents have won First Place awards in alll three poster categories-- Research, Clinical Cases, and Quality/Safety-- at the resident research competition at the meeting of the Missouri Chapter of the American College of Physicians.

MKSAP Review: A monthly conference at which a core faculty member critically reviews questions from one section of the Medical Knowledge Self-Assessment Program (MKSAP) of the American College of Physicians with house staff who are preparing for the Internal Medicine Board Examination.

Three Year Program Curriculum
PGY-1
1

2


3


4
5
6
7
8
9
10
11
12
13

Neurology
(vacation - 1 week)
Clinic Block
Preliminary (Selective)
(vacation - 1 week)
Clinic Block
Preliminary (Selective)
(vacation - 1 week)
4 ICU
4 ICU
4 ICU
4 ICU
Floor/Night Float
Floor/Night Float
Floor
Floor
Floor
Cardiology (Categorical)
Selective (Preliminary)
4 weeks

4 weeks


4 weeks


4 weeks
4 weeks
4 weeks
4 weeks
4 weeks
4 weeks
4 weeks
4 weeks
4 weeks
4 weeks
PGY-2
1
2
3
4
5
6
7
8
9
10
11
12
13
Rheumatology
Clinic Block
Block Ambulatory/Geriatrics
Clinic Block*
Pulmonology
Nephrology
ICU
Floor/Night Float
Floor/Night Float
Floor
Floor
Floor
Clinic
4 weeks
4 weeks
4 weeks
4 weeks
4 weeks
4 weeks
4 weeks
4 weeks
4 weeks
4 weeks
4 weeks
4 weeks
4 weeks
PGY-3
1
2
3
4
5
6

7
8
9
10
11
12
13
Endocrinology
Gastroenterology
Infectious Disease
Clinic Block*
Emergency Department
Clinic block
(vacation - 1 week)
Hematology/Oncology
Medical Consult
ICU
Floor/Night Float
Floor
Floor
Clinic Block
4 weeks
4 weeks
4 weeks
4 weeks
4 weeks
4 weeks

4 weeks
4 weeks
4 weeks
4 weeks
4 weeks
4 weeks
4 weeks


*denotes inclusion of one day devoted to Systems Based Practice experience

At least one-half day per week Block Ambulatory Clinic is attended during all rotations except ICU and Night Team Floor Rotation. An elective performed within 30 miles of the St. Louis city limits does not exempt a resident from clinic, jeopardy call or ICU cross coverage. Residents performing electives outside of this radius are required to make up both jeopardy call and ICU cross-coverage shifts distributed through the remainder of the year.

Please note that there is a maximum of TWO (2) outside rotations allowed during a 36 month residency (one must be within city limits).

Available Electives

  • Ambulatory
  • ENT
  • Allergy/Immunology
  • Cardiology
  • Dermatology
  • Endocrinology
  • GI
  • Infectious Disease
  • Hematology/Oncology
  • Nephrology
  • Neurology
  • Orthopedics
  • Pathology
  • Psychiatry
  • Pulmonology
  • Radiology
  • Rheumatology

For detailed information regarding rules and regulations please refer to the
Housestaff Policy Manual