CMU College of Medicine
Internal Medicine Department
Block Schedule for Rotations by Year of Training

PGY-1 Level
​Institution
​Rotation Name
​Timeframe
​% Outpatient
​% Research

​Site 1
​ICU
​3 blocks
​0

​​Site 1
​Floors 1 and 2
3.5 blocks
​0


​​Site 1
​Night Float
​1 block
​0


​​Site 1
​Anesthesia
​1/2 block
​0


​Site 4
​VA
​1/2 block
​100%


​Site 3
​Ambulatory Clinic
​3 blocks
​100%

​​PGY-2 Level
​​Institution
​​Rotation Name
​​Timeframe
​% Outpatient
​% Research

​Site 1
​ICU
​1 block
​0


​Site 1
​Floors 1 and 2
​2 blocks
​0


​Site 1
​Night Float
​1.5 block
​0


​Site 4
​VA
​1 block
​100%


​Site 1 or 2
​Electives/Selectives
​4.5 blocks
​33%


​​Site 3
​Ambulatory Clinic
​3 blocks
​100%

PGY-3 Level
Institution
​Rotation Name
​Timeframe
​% Outpatient
​% Research

​Site 1
​ICU
​1 block
​0


​Site 1
​Foors 1 and 2
​2 blocks
​0


​Site 1
​Night Float
​1 block
​0


​Site 4
​VA
​1 blocks
​100%


​Sites 1 or 2
​Electives/Selectives
​4 blocks
​33%


​Sites 1 or 2
​Emergency Medicine
​1 block
​50%


​Site 3
​Ambulatory Clinic
​3 blocks
​100%

Site 1= St. Mary's Hospital of Michigan, Saginaw                                    1 Block=28 days
Site 2= Covenant Hospital, Saginaw
Site 3= Central Michigan University Clinic, Saginaw
Site 4= VA Hospital, Saginaw

Vacation:

  • Residents are NOT allowed to take vacation during inpatient medicine assignments (floor teams, ICU, Back up, night float, 4th call), during VA mandatory rotations, Geriatrics rotation, or during the ambulatory block. 
    Exceptions are considered on a case by case basis.
  • PGY 1 residents are allowed 15 business days (3 weeks) of vacation and PGY 2 and PGY 3 residents are allowed 20 business days (4 weeks) of vacation which they may take as:
    • Maximum of 5 business days in a 2 week elective.
    • Maximum of 10 business days in a 4 week elective
    • The maximum time off allowed at a time is 2 weeks (10 business days) block in place of a 2-week elective slot.

Required Block electives:

  1. Geriatrics – 2 weeks
  2. Emergency Medicine – 4 weeks
  3. Medical ICU – Covenant – 4 weeks
  4. Anesthesia – 2 weeks
  5. VA – PGY-1 – 4 weeks
  6. VA – PGY-2 and 3  -  4 weeks
  7. Ambulatory SS2 (subspeciality 2 rotation-Physical Medicine and Rehab/Otolaryngology/Opthalmology/ Allergy/Dermatology) – 2 weeks
  8. Cardiology – 2 weeks
  9. Gastroenterology – 2 weeks
  10. Nephrology – 2 weeks
  11. Neurology – 2 weeks
  12. Hematology/Oncology – 2 weeks
  13. Pulmonology/Sleep medicine – 2 weeks
  14. Infectious Disease – Inpatient – 2 weeks

Mandatory Elective Ambulatory half day clinics in PGY year 1

  1. Gynecology clinic – 6 Half days  in year 1
  2. Rheumatology – 12 half days –in year 1
  3. Infectious disease with HIV and Hep C clinic –Dr. Dehart- 2 Half days
  4. VA – Urology – 4 half days in year 1
  5. VA – Podiatry – 4 Half days –in year 1
  6. VA – ID –Hep C experience- Dr. Sahni- 5 half days –in year 1
  7. Endocrinology – 12 half days –in year 1

Elective(Selectives) Blocks:-residents can select  from required block elective list to have additional blocks for these specialities during non mandatory slots.

Elective Ambulatory half days-residents can select from any of the specialiteis listed above under mandatory block electives or half day clinics for their elective half days as well as the following

  1. Research ½ day
  2. Primary care clinic with local Internal Medicine Physicians in practice in Saginaw (dr Mafooz, Dr Kheterpal, Dr Kinotchceck)
  3. Other self-created elective half time that meets educational goals and objectives of the program.

Didactics:

In addition to the primary care curriculum, research opportunities, other medical conferences and teaching experiences are held on a daily basis. 

They include: 

  • Case Discussion Hour
  • Subspecialty Conferences
  • Bedside Teaching Rounds
  • Grand Rounds
  • Morbidity and Mortality Review
  • Journal Club and Ambulatory Clinic Lectures
  • Critical Care Lectures
  • Tumor Conference
  • Psychosocial Conferences
  • Clinical Pathological Conferences
  • Medical Knowledge Self-Assessment Program

Our internal medicine program has a strong educational curriculum. We have daily morning conferences that incorporate general internal medicine, subspecialty topics, Morbidity and Mortality, Clinical Pathological conferences, Journal club, Safety and Quality, Research topics and Board Review. Once per month we have Medical Jeopardy, which is a knowledge bowel competition. Cardiology didactics are twice per month with one lecture being devoted to reading EKGs and the other lecture consisting of important cardiology topics.

Case discussion hour takes place in the afternoon where interesting floor and ICU cases are discussed with emphasis on management.

All residents attend the morning conferences, where as the inpatient floor and ICU residents attend the case discussion hour in the afternoon.

Once per quarter we have Mutidisciplinary Grand Rounds for topics of interests to the general medical community in Saginaw with outside speakers.

Ambulatory Educational Program

Friday during the 2 week ambulatory block is Academic Day for the residents. The academic program consists of didactics sessions in the morning. The didactics encompass an ambulatory topic for the first half of the morning followed by ambulatory case discussion hour.

The afternoon program of the ambulatory block is held in the simulation lab every afternoon. The first half of the afternoon, residents are in Code Leadership where they practice running codes and other emergency scenarios. The second half of the afternoon, the residents are doing a patient centered simulation course that runs linearly throughout the year. (See attached template)

Other activities that occur in the Simulation lab throughout the year include:

  1. FCCS course-fundamentals of critical care course for getting certified in caring for critically ill patients
  2. Sensitive Issues Day- simulation training for male and female genital and breast exams
  3. Procedure Day-simulation training for procedures such as arterial line, central lines, intubations
  4. GTA-gynecological teaching associate-live model training for breast and gyn exams
  5. MUTA-male urogenital teaching associate-live model –live model training for male urogenital exams
  6. OSCE- Observed structured clinical examination-for each PGY year
  7. Practice for procedural training.


Ambulatory Day Educational program during 2 week Ambulatory Block on Fridays

​Time Slot
​Educational Event
​Alternate Events
​9:30-10:30 AM
​Ambulatory didactic topic

​10:30-11:30 AM
​Ambulatory Case discussion

​1:00-3:00 PM
Sim Lab
​Code Leadership in the Sim Lab
​Gynecologic Training
Male Genital exam
OSCE for PGY 1, 2 and 3
​3:00-4:30 PM
Sim Lab
​Patient Centered Simulation