Our Curriculum

Required Block electives:
  • Geriatrics – 2 weeks
  • Emergency Medicine – 4 weeks
  • Medical ICU – Covenant – 4 weeks
  • Anesthesia – 2 weeks
  • VA – PGY-1 – 4 weeks
  • VA – PGY-2 and 3 - 4 weeks
  • Ambulatory SS2 (subspeciality 2 rotation-Physical Medicine and Rehab/Otolaryngology/Opthalmology/ Allergy/Dermatology) – 2 weeks
  • Cardiology – 2 weeks
  • Gastroenterology – 2 weeks
  • Nephrology – 2 weeks
  • Neurology – 2 weeks
  • Hematology/Oncology – 2 weeks
  • Pulmonology/Sleep medicine – 2 weeks
  • Infectious Disease – Inpatient – 2 weeks 
Mandatory Elective Ambulatory half day clinics in PGY year 1:
  • Gynecology clinic – 6 Half days in year 1
  • Rheumatology – 12 half days –in year 1
  • Infectious disease with HIV and Hep C clinic –Dr. Dehart and Dr. Haddad- 2 Half days
  • VA – Urology – 4 half days in year 1
  • VA – Podiatry – 4 Half days –in year 1
  • VA – ID –Hep C experience- Dr. Sahni- 5 half days –in year 1
  • Endocrinology – 12 half days –in year 1 
Elective(Selectives) Blocks:
Residents can select from the required block elective list to have additional blocks for these specialties during non-mandatory slots. 
Elective Ambulatory half days:
Residents can select from any of the specialties listed above under mandatory block electives or half-day clinics for their elective half days as well as the following:
  • Research ½ day
  • Primary care clinic with local Internal Medicine Physicians in practice in Saginaw (dr Mafooz, Dr. Kheterpal, Dr. Kinotchceck)
  • Other self-created elective half time that meets the educational goals and objectives of the program.

  • 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

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-bowl 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, whereas the inpatient floor and ICU residents attend the case discussion hour in the afternoon. 
Once per quarter we have Multidisciplinary Grand Rounds for topics of interests to the general medical community in Saginaw with outside speakers.
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 template below) 
Other activities that occur in the Simulation lab throughout the year include: 
  • FCCS course-fundamentals of critical care course for getting certified in caring for critically ill patients 
  • Sensitive Issues Day- simulation training for male and female genital and breast exams
  • Procedure Day-simulation training for procedures such as arterial line, central lines, intubations
  • GTA-gynecological teaching associate-live model training for breast and gyn exams
  • MUTA-male urogenital teaching associate-live model –live model training for male urogenital exams
  • OSCE- Observed structured clinical examination-for each PGY year
  • Practice for procedural training.

Ambulatory Day Educational program during 2 week Ambulatory Block on Fridays

  • 9:30-10:30am - Ambulatory didactic topic
  • 10:30-11:30am - Ambulatory Case discussion
  • 1:00-3:00 pm - Code Leadership in the Sim Lab - Alternative Events include:
    • Gynecologic Training
    • Male Genital exam
    • OSCE for PGY 1, 2 and 3
  • 3:00-4:30 pm - Patient Centered Simulation