The med-peds program is a dynamic residency built on the foundation of its two parent residency programs, internal medicine and pediatrics. Both parent programs are recognized for their excellence in training residents. Rush University Medical Center and Rush Medical College are leaders in academic medicine. Residents play an important role in directing the program and implementing changes in the residency program.
A Unique Training Opportunity
The med-peds program offers residents a unique combination of training in primary and tertiary care. Rush University Medical Center, a large medical complex and research center, has gained a national reputation for consistently providing cutting-edge tertiary care. The Medical Center also provides primary care for a variety of patients within a university setting. Primary care physicians, both full-time faculty and community-based doctors, admit 60 percent of the patients to the Medical Center. Rush residents benefit from the combined supervision of full-time academic physicians and physicians practicing in the communities surrounding Rush.
The Rush educational program is based on the philosophy that clinical skills are acquired through a logical progression of experiences. Initially, residents focus on acquiring data-gathering skills, identifying problems, assessing the severity of illness and mastering procedural skills. Senior residents manage patients independently under faculty supervision in a variety of settings. By supervising and teaching other residents, interns and students, senior residents gain leadership skills.
The Learning Environment
Rush provides a very diverse learning environment. The Johns' Hopkins Curriculum Conference, led by a designated resident, focuses on the outpatient management of common problems in both medicine and pediatrics through case discussions. Residents also discuss office management issues. Conferences are held daily at Lifetime Medical Associates; topics change weekly. Residents also attend teaching sessions in the departments of Internal Medicine and Pediatrics. Conferences are held daily, these sessions include:
- Discussions about general and subspecialty topics
- Research and basic science conferences
- Case conferences
- Board review sessions
A part of the Rush Med-Peds residency programs mission is to improve the health of the community in which we serve. In efforts to acheive this goal, we have partnered with the Haymarket Center. Haymarket is a residential center that offers comprehensive alcohol and drug treatment programs for eligible individuals in the Chicago community. Rush University Medical Center has developed an evening student run clinic two evenings per month to provide free medical care for any urgent care needs of Haymarket patients. Surabhi Mehrotra, MD from IM/Peds is the Medical Director of the evening clinic and serves as the liasion between Haymarket staff and medical students. IM/Peds residents are an integral part of program and supervise students in the evening clinic twice a month during their outpatient rotation at Lifetime Medical Associates.
The Advisor System
Each resident chooses a faculty member and an upper-level resident as advisors. Easy, open communication between faculty and residents creates a responsive learning environment.
The cornerstone of education in the Rush med-peds program is the active role residents play in management. Several forums offer med-peds residents opportunities to make contributions and shape the program:
- Monthly lunch meetings give residents the opportunity to discuss concerns with the program directors and program administrator
- The Med-Peds Steering Committee addresses the educational and philosophical issues of the program
- Two representatives from the med-peds program are elected to serve on the Rush Housestaff Association
The Rush outpatient curriculum includes one rotation in the intern year and two rotations in the subsequent years in which the resident spends the entire day at Lifetime Medical Associates. During these rotations, residents expand their outpatient practices, participate in outpatient research, become involved in quality improvement projects and provide urgent care for the practice.
As training progresses over the four years, residents become more involved in outpatient care, eventually spending the bulk of their time in ambulatory settings.
Residents may choose to do a research project during their training. Opportunities exist to join existing research of faculty or to develop independent research.