Skip to content

Curriculum

The curriculum at UT has been designed to develop physicians who are well equipped to deliver excellent patient care in any setting as independent practitioners of evidence-based internal medicine, and in doing so, to provide trainees with the necessary skills to successfully pursue any future endeavor in medicine. This goal is achieved through extensive training in the fundamental areas of internal medicine, broad exposure to the subspecialties, and the provision of high-quality educational seminars throughout the training period.

 

Our Approach

The Block Schedule (3+1)

In the last decade, there have been many changes in graduate medical education and the delivery of healthcare in the United States. Most notable are the enactment of the duty hour restrictions for residents and a general increase in the number of patients and the severity of illness of those patients. These changes have resulted in a need for highly efficient care in both the inpatient and outpatient settings. A great majority of general internists have responded to these pressures by concentrating their work in only one of these settings and forgoing the other, at least for a given time period. There simply is not enough time in the day to provide high-quality care to patients in both settings in the same day.

The same dilemma confronts medical education, but it is further compounded by the need to also ensure adequate time for reading, reflection, research, and other types of learning. Our goal is to best utilize the residency training period to develop highly proficient independent practitioners of evidence-based medicine. With all of this in mind, we, along with many other programs, have come to the conclusion that the traditional model of training in which inpatient and outpatient duties are intermingled is no longer best suited to achieve our goal. Our solution is a block schedule in which the duties in each setting are consolidated temporally. It provides residents the time to hone their skills through temporally intensified focus and repetition in each setting. Though we know there may be drawbacks, we believe that this system allows for better utilization of each resident’s time and results in higher quality education and patient care in the current healthcare environment.

In this system, there are thirteen (13) 3+1 blocks. The 3-week blocks consist of ward, NF, ICU, and elective service assignments. When residents are assigned to these blocks, their focus is upon those patients only. They have no assigned continuity clinic. When they are on their ambulatory block (+1 week), their focus is upon their clinic patients only; they are not responsible for any inpatient duties. As a result of this consolidation of duties, there is much less daily fragmentation of their time and focus. Each block starts on Friday at 1700 (5pm); any shifts started before 1700 (e.g. long-call at MUH) must be completed before the resident leaves work. This means that at the end of each 3-week block, residents have a full weekend off followed by 5 days of 8am-5pm work in the clinic. Knowing this schedule, residents are able to plan at least one in four weekends off for the entire year and possibly the next 3 years. Planning trips and events is so much easier with the elimination of month-to-month variability associated with the traditional model.

When on the ambulatory block, residents have five (5) half-days of continuity clinic, two (2) half-days of subspecialty clinic, one (1) half-day for board review, and the remaining two (2) half-days will be set aside for other educational activity (e.g. research, QI project, simulation lab).

Week Full Course Pressors Ivy Leaguers Palpable Thrills Smooth Obturators
July 1-8 Ambulatory week Ward/ICU/Elective Ward/ICU/Elective Ward/ICU/Elective
July 9-15 Ward/ICU/Elective Ambulatory week Ward/ICU/Elective Ward/ICU/Elective
July 16-22 Ward/ICU/Elective Ward/ICU/Elective Ambulatory week Ward/ICU/Elective
July 23-29 Ward/ICU/Elective Ward/ICU/Elective Ward/ICU/Elective  
July 30-Aug 5 Ambulatory week Ward/ICU/Elective Ward/ICU/Elective Ward/ICU/Elective
Aug 6-12 Ward/ICU/Elective Ambulatory week Ward/ICU/Elective Ward/ICU/Elective
Aug 13-19 Ward/ICU/Elective Ward/ICU/Elective Ambulatory week Ward/ICU/Elective
Aug 20-26 Ward/ICU/Elective Ward/ICU/Elective Ward/ICU/Elective Ambulatory week
Aug 26 – Sept 2 Ambulatory week Ward/ICU/Elective Ward/ICU/Elective Ward/ICU/Elective
Sept 3-9 Ward/ICU/Elective Ambulatory week Ward/ICU/Elective Ward/ICU/Elective
Sept 10-16 Ward/ICU/Elective Ward/ICU/Elective Ambulatory week Ward/ICU/Elective
Sept 17-23 Ward/ICU/Elective Ward/ICU/Elective Ward/ICU/Elective Ambulatory week
Sept 23-30 Ambulatory week Ward/ICU/Elective Ward/ICU/Elective Ward/ICU/Elective
Oct 1-7 Ward/ICU/Elective Ambulatory week Ward/ICU/Elective Ward/ICU/Elective

Ambulatory week example:

  Monday Tuesday Wednesday Thursday Friday
Morning Continuity Clinic GI Clinic - ROH Research Continuity Clinic Continuity Clinic
Afternoon Rheum Clinic - VA Continuity Clinic Continuity Clinic Simulation Lab Board Review

Training Tracks

Categorical

PGY-1 PGY-2 PGY-3
General medicine wards
6-8 blocks
General medicine wards
3-4 blocks
General medicine wards
3-4 blocks
Emergency department
1 block
Emergency department
0-1 block
Emergency department
0-1 block
Night float
1 block
Night float
0-1 block
Night float
0-1 block
MICU
1-2 blocks
MICU
1-2 blocks
MICU
0 blocks
CCU
0 months
CCU
1-2 blocks
CCU
1 block
Selectives / Electives
1-3 blocks
Selectives / Electives
4-6 blocks
Selectives / Electives
5-7 blocks

Positions available: 25

General medicine wards: BMH-E, MUH, ROH, VAMC
Emergency department: BMH-E, MUH
Night Float: MUH, ROH, VAMC
MICU: MUH, ROH, VAMC
CCU: MUH, VAMC
Selectives / Electives: BMH-E, MUH, ROH, VAMC. Selectives include the following: cardiology, endocrinology, gastroenterology, geriatrics, hematology/oncology, infectious disease, medicine consults, nephrology, neurology, pulmonology, and rheumatology. Electives include the following: allergy/immunology, breast/gynecology/women’s health, critical care, global medicine, hepatology, palliative care, research, rural health care, anesthesia, board review, dermatology, hospital administration, hospitalist medicine, orthopedics, radiology, treadmill stress tests.

BMH-E = Baptist Medical Hospital – East
MUH = Methodist University Hospital
ROH = Regional One Health
VAMC = Veteran’s Affairs Medical Center 

Preliminary 

PGY-1

General medicine wards
6-8 blocks

Emergency department 
1 block

Night float 
1 block

MICU
1-2 blocks

CCU
0 months

Selectives / Electives
1-3 blocks

Positions available: 8-10

For application to this track, use NRMP #1844140PO.

Internal Medicine-Pediatrics

A combined curriculum in internal medicine and pediatrics provides the opportunity to deliver seamless care to pediatric patients with complex disease as they transition into adult medicine, and it is ideal for the delivery of care to an entire family. For those applicants who have a desire to pursue such combined training and dual board eligibility, we offer the following curriculum.

Positions available: 12

Further information can be found by visiting the Internal Medicine-Pediatrics residency program home page. For application to this track, use NRMP #1844700CO. 

Last Published: Dec 6, 2017