http://meded.dom.wustl.edu/assets/intern-composite-2018-19.pdf

Categorical Track

Training during residency takes place in a variety of settings. The inpatient service includes two general medical units and one cardiology unit. Each occupies an inpatient floor with 50 beds, and is staffed by four teams that each consist of a resident, two interns, medical students and an attending physician.

 

Patients with complex cardiovascular disease are cared for on the cardiology floor. With specialized nursing care and attending physicians from the Division of Cardiology. The number of admissions and the overall team size are limited. Interns admit no more than five patients per call day and care for no more than 10 patients at a time. A night float system provides coverage for late night admissions and cross coverage. This allows the on-call interns adequate time for rest and reading. The remaining inpatient time is comprised of rotations in the Medical Intensive Care Unit and Coronary Care Unit at Barnes-Jewish Hospital and on the inpatient medicine service at the VA Medical Center. Housestaff also rotate through the Emergency Department to gain a broad experience in acute care.

 

Training in ambulatory medicine occurs in a continuity clinic throughout residency. The majority of residents see patients in the Primary Care Medicine Clinic at Barnes-Jewish Hospital.  There is an option to request to work in a FQHC – federally qualified health center.  The program has switched to block clinic scheduling where most clinic sessions are scheduled during weeks when the resident is assigned full time to out-patient medicine. In addition to the continuity clinic, residents can choose additional ambulatory electives, including internal medicine subspecialties and non-internal medicine areas such as dermatology, gynecology, or orthopedics. Those interested in a community based experience may participate in the Continuing Ambulatory Experience for Residents (CAER Program) which matches residents with outstanding community internists for a month-long primary care elective.

 

 

 

Sample Categorical Schedule & Rotations by PGY Year

PGY-1

During the first year of training, you will serve as patients’ primary physician under the supervision of an upper-level resident and attending physician.

 

Rotation typically include:

-Inpatient medicine at Barnes-Jewish Hospital and the       St. Louis Veterans Affairs Medical Center

-Inpt session in cardiology, MICU and CCU services

-Night float rotations

-Experience w the procedure team

-A reading week w jeopardy call

-Three weeks of vacation

-Four to six weeks of elective time

 

 

PGY-2

As a second-year resident, you will play an important management and teaching role at the hospital. Residents undergo a four-hour teaching seminar to facilitate the transition from internship into residency.

 

-Rotations typically include:

-Inpatient medicine at Barnes-Jewish Hospital and the St. Louis Veterans Affairs Medical Center

-Continuity clinic

-Experiences in MICU and CCU services and emergency medicine

-Night float rotations

-Elective experiences in internal medicine subspecialties

-A reading week with jeopardy call

-Three weeks of vacation

 

 

 

 

 

PGY-3

As a third-year resident, you will continue to expand your skills on core inpatient services (inpatient medicine, CCU, MICU, cardiology), and take advantage of numerous elective and selective opportunities in medicine and non-medicine subspecialties.

 

-Rotations typically include:

 -Inpatient medicine and/or cardiology ward service

 -Continuity clinic

 -Rotations in a critical care setting

 -Experiences in internal medicine and non-medicine subspecialties

 -A reading week with jeopardy call

 -Three weeks of vacation

 

 

Washington University School of Medicine

Division of Medical Education

Campus Box 8121

660 S. Euclid Ave., St. Louis, MO 63110

p: (314) 362-8065    f: (314) 747-1080

wuintmed@dom.wustl.edu