Consortium for Graduate Medical Education
Elmhurst Hospital CenterInternal MedicineThe Primary Care Internal Medicine Residency Program, officially designated Mount Sinai School of Medicine (Elmhurst) Program, is a fully accredited three-year program with 12 house staff positions at each level of training leading to eligibility for certification by the American Board of Internal Medicine. The residency, established in 1979, provides training over the full spectrum of medical practice from primary through tertiary care. In July 1992, the Primary Care Internal Medicine Residency Program integrated with The Mount Sinai Hospital. The residency builds on the existing strengths, resources, and experience of the Elmhurst program, which has developed over 27 years and enriches the training by utilizing the resources of The Mount Sinai Medical Center. Primary care medicine has been defined as "first contact medicine", which assumes longitudinal responsibility for the health care of the patient regardless of the presence or absence of disease. Training in primary care medicine extends to areas beyond internal medicine and includes behavioral science and other disciplines which contribute to the provision of the comprehensive health needs of a defined population. The program emphasizes the development of skills in the care of the ambulatory patient including training in the non-medical subspecialties as well as non-clinical areas such as biostatistics and epidemiology. Ambulatory Care ExperienceTraining in Ambulatory Care is provided by a combination of longitudinal experience in the Medical Primary Care Clinic, ambulatory care "block" time, and didactic sessions. Components of the program are as follows: Continuity ExperienceEach resident develops a primary care practice in the Medical Primary Care Clinic. Beginning the first-year of training, the resident gradually builds his or her patient panels and assumes increasing responsibilities for evaluation and management of patients. A faculty of 30 skilled primary care internists insures a quality teaching environment in the Medical Primary Care Clinic. Attending physicians are assigned to each clinical team exclusively to teach house staff. Great emphasis is placed in the Primary Care Clinic on team-oriented longitudinal and comprehensive health care. House officers are an integral part of the teams, which are composed of residents, attending physicians, nurses, social workers, health educators, patient-care associates, a dietician, a liaison psychiatrist, and administrators. The Medical Primary Care (MPC) clinic, with 45,000 patient visits a year, serves a culturally diverse population, giving residents a wide range of clinical experience. Ambulatory Care MonthsIn addition to continuity experience, residents have the opportunity to learn ambulatory practice by rotating through a full range of medical subspecialty and non-medical specialty clinics (e.g., dermatology, gynecology, urology, ophthalmology), as well as having exposure to community-based ambulatory sites and Home Care. Clinical exposure to liaison psychiatry is also available. Didactic SessionsThese include Primary Care Conferences, Subspecialty Conferences, Grand Rounds, Teaching Workshops, Case Conferences, Journal Club, and Interdisciplinary Conferences. There is structured training in medical interviewing and a formal behavioral science curriculum. ResearchAll residents receive training in clinical epidemiology, research design, and critical appraisal of the medical literature. They also design and carry out a research project in conjunction with a faculty mentor. The Department of Ambulatory CareThe Primary Care Internal Medicine Residency Program is administered by the Department of Ambulatory Care, which oversees the medical Primary Care Clinics, Diagnostic Walk-In Clinic, and the Employees Health Service. Emergency MedicineElmhurst Hospital Center also has a fully accredited Emergency Medicine Residency Program integrated with The Mount Sinai Hospital. All primary care residents receive training as well as didactic teaching in our busy emergency room, which has more than 100,000 visits a year. Inpatient MedicineInpatient rotations at Elmhurst and Mount Sinai include general medical wards, medical consult service, respiratory and cardiac intensive care units, medical subspecialty electives, renal dialysis unit, neurology, and geriatrics. See the schedule for details. Primary Care Internal Medicine Residency Training ProgramPGY-1Residents rotate through the General Medicine wards, Renal Service, Neurology Service, and Emergency Room at Elmhurst Hospital Center. At The Mount Sinai Hospital, residents rotate through the Medicine Inpatient Units and are offered a month of Elective. There is one month of ambulatory block time. PGY-2Residents rotate through the General Medicine wards, CCU and RICU at Elmhurst Hospital Center. At The Mount Sinai Hospital, residents rotate through medical subspecialty services and inpatient specialty units via an Elective month, and through the ambulatory care clinics via an ambulatory block rotation. There are three months of ambulatory block time. PGY-3Residents serve as ward chiefs at Elmhurst Hospital Center, as senior residents in the Emergency Room, and teaching resident on the medical consultation service. Residents have medical subspecialty rotations at Elmhurst Hospital. At The Mount Sinai Hospital, residents serve as chief on one of the inpatient subspecialty units. There are three months of ambulatory block time and one month of Community Medicine. There are four weeks vacation in each year. Internal Medicine at Elmhurst Hospital CenterThe Department of Medicine at Elmhurst Hospital Center, with Joseph Masci, M.D., Director, is responsible for three major teaching units of approximately 40 beds (total 120 beds). In addition, the Department has a state-of-the-art intensive care unit with 10 beds for cardiac intensive care and eight beds for respiratory intensive care under the direction of full-time board-certified attending staff and fellows in training in the respective areas of cardiology and pulmonary/critical care medicine. The Department also has a comprehensive renal dialysis unit. The Department of Medicine has a very large board-certified attending staff with all of the subspecialties represented by full-time attending physicians who directly supervise and educate residents in the inpatient areas and subspecialty clinics. In addition, the Department maintains a faculty attending in the hospital 24-hours a day, seven days a week for on-site supervision, training of house staff, and consultations. Competitive salary and benefits. |