Categorical training in internal medicine is a three-year program that provides comprehensive training for individuals interested in primary care, hospital medicine or subspecialty careers. We believe that outpatient education can be improved by giving residents dedicated blocks of time in clinic. Inpatient ward experiences are similarly focused. Graduates of our categorical program make excellent hospitalists, specialists and primary care providers—the choice is up to them. The goal is to prepare them to be leaders in whatever field they choose, whether their ultimate practice environment is in academics or community-based.
Competencies and expectations
First year experiences are intended to expose interns to the myriad of internal medicine disciplines and to help them establish competency in triage, resuscitation and management of a wide variety of patients in both the inpatient and outpatient environment. In the second and third years, residents continue to mature in their clinical problem solving skills and develop skills in leadership, teaching and systems based practice.
In our system of mentored autonomy, residents assume increasing responsibility for establishing accurate differential diagnoses, honing in on the correct diagnosis, using the literature to identify appropriate management strategies and coordinating increasingly complex care plans for our patients. Throughout all years, faculty members are readily available for advice, coaching and supervision. Experiences in the outpatient setting are combined with inpatient service to emphasize the skills needed to diagnose and manage the illnesses routinely encountered in primary and tertiary care settings.