• The academic year is divided into thirteen, four-week rotations.
• Residency schedules are 2 or 4 week blocks including 4 weeks of vacation. A sample four year schedule is listed below
• During the first 2 years of training residents typically switch every 3 months between internal medicine and pediatrics.
• In the last 2 years of training residents switch as often as every 1-2 months depending on requirements and individualized schedules.
Sample 4 year schedule
• Our intern curriculum includes nine rotations at the intern level
• 2 inpatient pediatric floor rotations
• 2 inpatient general medicine floor rotations
• 2 two weeks of medicine night float
• 2 weeks of pediatric night float
• 2 weeks pediatric ER and mental health
• 1 month Mother/Baby Unit (MBU) or Neonatal ICU (NICU)
• 1 month MICU
• 1 month CCU or Cardiology Consults
• 1 outpatient month at Lifetime Medical Associates (LMA)
• Research Blocks and Away Rotations (4 weeks of each total over the course of the last 2 years) are also available to those that are interested.
• Intern year is 12 months (some programs have an 18 month Intern Year)
Rush University Medical Center
• 676-bed academic medical center that including Rush Children's Hospital. It also includes the Johnston R. Bowman Health Center (a 61-bed rehabilitation facility)
• Rush Children's Hospital
• Includes a 20 bed PICU, a 22 bed general in-patient ward, a 56 bed NICU, 34 bed Mother-Baby Unit and a 15 bed child psychiatry unit.
• The pediatric Emergency Department sees more than 11,000 visits per year
• The Pediatric Ambulatory Care Center, home to the residents continuity clinic and to the general pediatric faculty practice, sees more than 36,000 visits per year.
John H. Stroger, Jr. Hospital of Cook County
• Our Residents have the option of working on the HIV service at Stroger hospital
• Residents are paired with Stroger housestaff and work directly with infectious disease specialists to care for patients with HIV.
• A handful of rotations are based at Stroger Hospital. Some elective rotations with integrated Rush/Stroger departments include time spent in Stroger Hospital subspecialty clinics.
Lifetime Medical Associates (LMA the Med-Peds Clinic at Rush):
Rush's combined Med-Peds ambulatory practice, which forms the foundation of the Rush Med-Peds program. We are an integrated group of attending physicians and residents running the clinic as partners.
• The patient population at Lifetime Medical Associates is well balanced between internal medicine and pediatrics easily maintaining at least a 60/40 balance often closer to 50/50
• Each resident keeps a weekly 1/2 day continuity clinic throughout residency
• Clinic day changes each year of residency allowing for the ability to form working relationships with different clinic attending physicians
• 7 LMA rotation months over 4 years of residency
• Residents at LMA rotation spend the rotation involved in a variety of activities including
• 1 full day continuity clinic weekly, 2 half day Saturday clinics
• Urgent care for the LMA clinic
• Ambulatory care quality management, and general office operations
• Preparation of journal club conference material
• 2 - 1/2 day pediatric advocacy activities each month
• Volunteering with medical students at a local homeless shelter clinic
• Telephone triage is covered by two senior residents supervised by an attending
• Outpatient procedures commonly done at LMA include:
• Joint aspirations and injections, removal of minor skin lesions, pelvic exams, incision and drainage of abscesses, suturing lacerations, wart removal among others
Global Health: Residents may participate in an international medicine elective. The department of Internal Medicine has an established program in the Dominican Republic or Haiti with several 7- 10 day trips throughout the year. Residents who opt to take this elective join a group of nurses, pharmacists, physical therapists, other residents, fellows and attending physicians from other departments in providing medical care and education to these underserved areas. The department also has a relationship with a clinic in Malawi, Africa where some Med-Peds residents have spent a month providing care to underserved adults and children.
Morning Report (Monday-Friday 10:30 AM –11:30 AM)
Morning report is a daily one-hour conference for senior residents on the general medicine floors. The case is presented by a senior resident, and the moderators include general internists and sub-specialists.
A weekly intern report also occurs for interns on general internal medicine floors. Like senior morning report, interns are able to present cases and go through a differential diagnosis with the chief residents. All reports are board focused and clinically relevant.
Noon Conference (Monday, Tuesday, Thursday & Friday 12 Noon – 1:00 PM)
Residents are allotted protected time each day to attend noon conference. These conferences are variable and consist of a core lecture series by attending physicians, clinicopathology cases presented by senior residents, practical hospital issues and safety, special interactive intern conferences, and a board review series. Lunch is provided for all conferences. Noon conferences are board focused and clinically relevant.
Grand Rounds (Wednesday 12 Noon – 1:00 PM)
The Department of Internal Medicine Grand Rounds occurs every Wednesday.
Board Review (Monday afternoons in the Spring)
A weekly review of topics pertinent to preparing for the Internal Medicine board exam. Senior residents are excused from their clinical responsibilities.
Additional educational conferences include a medical safety course, an evidence-based medicine noon conference and morning reports, and residents as teachers series seminar. The subspecialty divisions and fellowship programs also host various educational conferences that residents are welcome to attend. Research Grand Rounds occurs monthly, where research faculty and residents are given an opportunity to present their current endeavors whether at the clinical or basic science level.
Noon Conference (11:45am-1pm)
Includes a 30 minute case discussion followed by 45 minute faculty didactic. Cases are presented by the floor, PICU or NICU residents, and discussion is lead by the chief residents. Lunch provided 2-3 days/week. There is a separate intern report on Fridays with the chiefs; senior report with chair and program director. (Case conferences are held on Wednesdays where seniors present a formal interesting case along with didactics - not on Fridays after the split report. Friday can be another presentation like Evidence Based Medicine by a senior or a faculty led conference).
Grand Rounds (Tuesday 8am-9am)
Joint conference with Stroger Hospital's Department of Pediatrics every Tuesday at 8 am.
Additional Educational Conferences include Patient Safety conference, Journal Club, Residents as teachers, Housestaff Meetings, and individual class meetings. Many of our subspecialty divisions host various educational conferences that residents are encouraged to attend. There is also a monthly Behavior and Development Conference combined with Rush, UIC, and Stroger hospitals. Invited speakers are experts in child behavior and development
Board Review Includes Tour de PREP, a friendly competition between residency classes based on board review questions, organized and run by the chiefs, as well as monthly board review presented by one of the senior residents. Pediatric specialists from the area being discussed are present to answer questions and assist in the discussion
State-of-the-art lab that has recently opened providing a location for training in advanced life support skills in mock code drills, with recorded sessions reviewed with ICU attendings. Residents will attend twice a year - it is built into the noon conference calendar schedule.
Johns Hopkins Curriculum Conference
This conference occurs daily at LMA before or after each resident's weekly continuity clinic. The modules alternate between pediatrics and internal medicine outpatient topics. The session is run by the residents, and supervised by an LMA attending physician.
Med-Peds monthly meeting
This meeting is an opportunity for Med-Peds residents to gather for lunch with the program administration to problem-solve and exchange new ideas.
Med-Peds Journal Club
Journal Club meets quarterly for dinner to discuss recent literature of interest to Med-Peds and resident scholarly projects.
Rush Med-Peds Steering Committee
This committee meets quarterly with the Pediatric and Internal Medicine leadership to discuss curriculum, educational activities, and the function of the outpatient practice.