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Program Highlights

Internal Medicine residents at Rochester General Hospital

Rochester General Hospital has been providing training to Internal Medicine Residents for over 50 years. We strive to balance rigorous inpatient and ambulatory training with expectations of independent thought and a sense of ownership in patient care. Our training program benefits from a large full-time faculty, many of whom hold faculty appointments at the University of Rochester, and its primary care physicians, many of whom trained at Rochester General when it offered a primary care residency. Medical students from the University of Rochester come to Rochester General for their 3rd year medicine clerkships, their subinternships and subspecialty electives, and their presence enhances the hospital’s academic atmosphere.

Watch the video to learn about the Internal Medicine Residency Program at Rochester General Hospital.

A View of Rochester General Hospital

Rochester General Hospital, a 528 bed “community” hospital with one of the busiest emergency departments in New York State, provides primary care to its local neighborhoods and tertiary care to surrounding communities. The hospital has been named one of the top 100 best cardiac centers in the country eight times. It has affiliations in oncology with Roswell Park, one of the nation’s major cancer centers, in cardiac care with the Cleveland Clinic, and with the Rochester Institute of Technology.

Ambulatory Education & “Majors”

As we were once a primary care program, we have a long history of educating residents in ambulatory settings. Our curriculum is organized in a ‘4+1’ block structure: 4 weeks of Core residency rotations (electives, inpatient general medicine, ICU, etc.), are followed by a 1 week Ambulatory block, and the sequence repeats throughout the year. During the 4-week portion of the schedule (i.e. when on floors/ elective/ ICU rotations) there are no ambulatory sessions. Similarly, during the 1-week ambulatory block there are no inpatient responsibilities. Separation of inpatient and outpatient rotations frees residents to concentrate on the task at hand without distraction from competing responsibilities.

Every fifth week throughout the three years of residency is devoted to ambulatory education. During that week, residents see patients in their own hospital-based practice, participate in the care of private patients of community-based primary care physicians, and ambulatory patients in a subspecialty practice of their choosing (an innovation, we call “majors”) . The majors are in six-month blocks, and though intended to enrich any resident’s ambulatory experience, it is especially helpful for those residents considering a fellowship. We like to believe that involvement in a major will convey a distinct advantage in helping a resident clarify a focus of interest if a fellowship is to be pursued, and it also provides an opportunity for mentoring by a faculty member in the resident’s chosen specialty . Residents interested in a primary care career may choose a major in a primary care practice, increasing their already rich exposure to primary care medicine. Career decisions are made after more exposure, and letters of recommendation are based on more than just a short month elective. Thus far the "majors" option has been enormously popular.

Inpatient Education

As the hospital does not sponsor fellowship programs, inpatient education at Rochester General Hospital offers residents an unusual degree of direct access to highly experienced and well-published faculty, and an opportunity for progressive clinical growth and autonomy as the residency progresses. Their confidence in managing complex and critical illness is immediately recognized when our residents take “away electives” at University Hospitals, and their success in these rotations has helped graduates who seek fellowship training to thrive at academic centers. Two of our recent graduates are now on the faculty of Harvard’s Massachussetts General Hospital

Housestaff do all of their rotations in hospital medicine, including intensive care, at Rochester General Hospital. Hospital-based teams are made up of one upper level house officer (R2 or R3), and one R1. Your team is often joined by one or two medical students from the University of Rochester or other medical schools. Long call is approximately once every 5 days when you stay until 8 pm to sign out to the night float. Weekend call is once/twice every month on floors "Night float" teams admit patients and provide cross-coverage, so there is no overnight in-house call for inpatient teams. Housestaff on all inpatient teams leave after they have completed their clinical and educational responsibilities for the day. The average work week is 65-70 hours

Subspecialty Electives

Rochester General Hospital.has full-time faculty in all of the medical subspecialties. All senior residents are required to complete an rotation on the inpatient Cardiology consultation service. Other subspecialty rotations are elective, and can be taken in all three years of the residency. Many rotations, such as Allergy/Immunology/Rheumatology, Outpatient Cardiology and Endocrinology are almost exclusively office-based. Other rotations, such as Hematology/Oncology, Gastroenterology, and Pulmonary offer choices of office-based or combined office-based/inpatient experiences. Electives are also available in, community-based HIV care, home-based geriatric care, and evidence-based medicine..
In addition to Rochester-based electives, every house officer is eligible for at least one four-week "off-site" elective during the R2 or R3 year. You will continue to receive salary, benefits, and malpractice coverage during approved off-site electives