Residency Programs in Internal Medicine

Yearly Schedules

Preliminary Year

The preliminary year has a wide variety of experiences including general medicine and specialty wards at all three hospitals, outpatient clinic, and CCU. Of special importance, our training program makes every effort to offer qualified preliminary PGY-1 house officer's positions in the categorical program if they change career plans and meet the requirements of the categorical Internal Medicine Training Program and positions are available. The preliminary year includes elective and outpatient rotations.

Those applicants interested in the preliminary year should so indicate on their application and use the appropriate NRMP number.

PGY-1 Year

Each PGY-1 spends several rotations on the inpatient wards at The Mount Sinai Hospital. Each inpatient ward service consists of both General Medicine and specialized patients with cardiovascular diseases, gastrointestinal/liver disease, geriatrics, oncology, and infectious diseases. The services are divided into three firms: the Berson Firm admits primary care patients in internal medicine and geriatrics and see sees a mixture of general medicine and cardiac patients; the Popper Firm sees patients with digestive, liver, cardiac and specialized pulmonary diseases (e.g., cystic fibrosis, sarcoidosis, and so on); and the Wasserman Firm focuses on HIV, hematology/oncology, and palliative care patients. Attending Rounds feature one attending devoted to one resident team for each inpatient block, facilitating bedside rounds and close interactions. Thus, in addition to learning general medicine, each inpatient rotation has specialized themes that encourage more intense learning in that area as well as exposure to patients from those specialty groups.

PGY-1s spend one block in the Coronary Care Unit (CCU) at The Mount Sinai Hospital one block in the emergency department where he/she generally works one-on-one with an attending physician in both the walk-in area and the main area of the Emergency Department. Many of the patients seen during this time are referred back to the intern's own clinic for continuity of care. This allows the intern to rapidly build his or her own practice. Each intern spends time at Elmhurst Hospital Center and at the James J. Peters VA Medical Center. At Elmhurst, interns are assigned to one of the general medicine floors. At the James J. Peters VA Medical Center, interns rotate between the inpatient general medicine service and the CCU. All interns have two outpatient rotations. Each rotation is four weeks in duration and is based in the continuity of care practice. In addition, all interns have one block of elective time and four weeks of vacation.

PGY-2 Year

The PGY-2 residents spend time in the Medical Intensive Care Unit (MICU), the emergency room at Elmhurst Hospital Center (a busy level 1 trauma center), and the inpatient firms or wards of all three hospitals. PGY-2s spend two blocks in the outpatient rotation and three blocks on the inpatient floors at The Mount Sinai Hospital. They have two elective blocks and four weeks of vacation. One of the outpatient blocks is spent in the popular Visiting Doctors Program.

PGY-3 Year

The PGY-3 residents spend two inpatient rotations at The Mount Sinai Hospital, as well as time in the CCU, as medical admitting resident, and on medical consult. They spend time at the Elmhurst Hospital Center and at the James J. Peters VA Medical Center as senior resident supervisors. They also have two outpatient care rotations, three four week elective rotations, and four weeks of vacation.

Chief Resident

Four residents are chosen annually to stay on for an additional year as chief residents. On a rotational basis, two of the chiefs are at The Mount Sinai Hospital and one at the James J. Peters VA Medical Center. These chief residents work closely with the Chairman and the Vice-Chairman of the Department of Medicine and provide leadership throughout the residency training program. They are the liaison between the day-to-day workings of the house officers, the administration of the Department, and the various hospitals. They have significant teaching responsibilities.