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Program Structure

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 schedule on the type of learner, and what they are in a position to learn.  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 on the rotation.  

Below is our conceptual framework for your future schedule:

Intern – “tablula rasa”

The core function of the intern year is to achieve competence of the fundamentals. This is accomplished by providing opportunities to evaluate and manage the undifferentiated patient across a variety of clinical settings

  • SLUH Floor 
  • VA Floors 
  • Night Float 
  • MICU 
  • Ambulatory Medicine 
  • Continuity clinic 
  • Elective 
  • Geriatrics/ACE 
Second year – “the deep dive”

Having developed competency in management, the learner can then “dive deep” into core sub-specialties of medicine with in 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  
  • Hem/onc  
  • Nephrology 
  • Endocrine 
  • ID Consults 
  • Liver 
  • MICU 
  • Geriatrics/ACE 
  • Sub-specialty electives (rheum/allergy/geriatrics) 
  • Night float 
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 – SLUH 
  • Teaching resident – VA Floors 
  • MICU 
  • Night float 
  • Ambulatory care – teaching resident 
  • ED, neurology, electives 

Some highlights in this schedule: 

  • Protected weekends on ambulatory rotations – no “additional” coverage for nights or weekend shifts (except 2 weeks of secondary jeopardy) 
  • Interns have nights in 2-week shifts.  
  • Senior residents have alternating 4-week blocks inpatient (general floors, ICU, etc) with outpatient rotations.  
  • A “cap” on total night float admissions (due to a new attending nocturnist system) 
  • Gradated autonomy and supervision 

“I have to tell you the training we get at SLU is phenomenal!” – Fellow at Northwestern 

“ – after all the times I questioned why you made me do something – it is now easy.  I’m way ahead of others who have started with me” – Academic Hospitalist – UT Southwestern 

“Nothing can replace any of the experiences I’ve had over these past 3 years – it’s allowed me to grow both personally and professionally in a way no place else could” – Academic Hospitalist - UT Houston 

“Now that I have completed much of my interview tour I am hearing a ton of positive feedback about SLU. Everyone tells me they know SLU medicine is an excellent training program judging by the graduates they have had in the past or other faculty they know - especially [omitted]. The PD there told me he gets excited when SLU residents apply because he knows they work hard and can handle anything. Other programs said this too, I forget at the moment which ones. I really liked hearing this so I thought you would too. I feel proud!” – Fellow at Rush University 

“(the program) transformed me into being much more rounded” – Anonymous Feedback