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Program Overview

Students standing in front of posterStudents standing in front of poster

Our guiding principle towards resident education (centered on our mission) is:

“How can we create the best structure to train great internists”. 

In developing our clinical curriculum, we focus rotational schedules on what knowledge and experience we want the learner to acquire at a given stage of training. The decision to have a resident do a rotation is not determined by the clinical needs of the department/hospital, but on the skills and abilities we want the learner to acquire.

Schedule Highlights

  • Night float in 2-week blocks with 3-4 days off
  • Protected weekends on clinic rotations
  • Senior residents have alternating 4-week blocks of inpatient/outpatient rotations 

Below is our conceptual framework for your future schedule:

Intern – “tablula rasa”

The core function of the intern year is to achieve competence in the fundamentals of Internal Medicine. We accomplish this by providing opportunities to evaluate and manage the undifferentiated patient across a variety of clinical settings, including:

  • SSM SLU Hospital general medicine floors
  • John Cochran VA general medicine floors 
  • Night float
  • MICU 
  • Ambulatory medicine 
  • Continuity clinic 
  • Cardiology consults
  • Inpatient and outpatient geriatrics
  • Elective
Second year – “the deep dive”

Having developed competency in management, the learner can then take a “dive deep” into core sub-specialties of medicine within an environment aligned with typical practice of that specialty or in a setting that provides a unique educational experience. 

Residents can use electives to probe future career paths or gain experience relevant for their future career.

  • Cardiology  
  • Hematology/Oncology
  • Nephrology 
  • Endocrinology
  • Infectious disease consults
  • Liver 
  • MICU 
  • Night float
  • Inpatient and outpatient geriatrics
  • Sub-specialty outpatient electives (e.g., rheumatology, allergy, pulmonology, sleep)
  • Continuity clinic
Third year – the teacher

Having had exposure and experience with a diverse set of sub-specialties, the resident takes the next step towards independent practice – running teaching teams as the “teaching resident,” finishing required clinical rotations, and using electives to augment their entry into the next phase of their career. 

  • Teaching resident – SSM SLU Hospital and John Cochran VA floors
  • MICU 
  • Night float 
  • Teaching resident – ambulatory care
  • Emergency medicine
  • Neurology
  • Elective
  • Continuity clinic
Continuity Clinic – “my doctor”

The goal of the continuity clinic is to develop residents into an increasingly knowledgeable, effective, caring and independent outpatient physician. Each resident has a primary care continuity clinic and are assigned to either the SLU ACEP (Ambulatory Care Educational Practice) or John Cochran VA GIM clinic. They each have a faculty clinic preceptor and follow patients longitudinally through their three years of residency. Continuity clinic represents an opportunity to form long term and meaningful relationships with patients, help patients manage chronic disease and maintain healthy lifestyles, and coordinate required specialty care. Patients see the resident as their primary care doctor.