| Med-Peds
residents rotate through the departments of Medicine and Pediatrics
in three-month blocks. The exception to this rule occurs at the end
of the PGY-2 year when the residents transitions into the PGY-3 year
by spending a total of 6 months in either medicine or pediatrics to
ensure that the resident has the opportunity to experience the seasonal
variety of pediatric illnesses.
Our main focus
is on EDUCATION, not
service. While the cornerstone of our program is the Med-Peds Practice,
residents take full advantage of the learning opportunities in the
individual departments of Internal Medicine and Pediatrics. While
rotating through the inpatient wards and ambulatory clinics, our
residents are viewed as "equals" with our pediatric and
medicine resident colleagues.
The inpatient
services of both departments are run on a team concept. Each team
consists of one attending, one senior resident, 2 or 3 interns,
and 3 medical students from New Jersey Medical School. Information
exchange is constant as education happens at all levels.
| Internal
Medicine - The department
of Internal Medicine has made many recent provisions to ensure
that education is the major focus. At University Hospital, by
far the "busiest" of the three training facilities,
the admissions are capped at ten per team per call. During general
ward months, there is no overnight call at UH, HUMC, or the
EOVA. Nighttime coverage is provided by a night float team.
This ensures that patient care is continuous and resident learning
is guaranteed. Unit calls, due to the complexity of the patient
load, continue to be overnight at all three hospitals. No greater
focus on education can be seen than during elective and selective
month. Residents during these months work alongside highly trained
sub-specialists during business hours, Monday through Friday.
These residents are call-free with the exception of 1-3 overnight
coverage calls and/or provide backup to the comprehensive sick-call
system on prescheduled days. |
| Pediatrics
-
The Department of Pediatrics has recently instituted a night
float system throughout all wards and ICU in order to facilitate
resident learning and continuity of care. Residents on the day
team take call every third or fourth day. Turnover to the night
float team typically occurs at 7:30 pm. Both neonatal and pediatrics
ICUs use a similar night float system. Residents on elective
take calls as part of this system. However, Med/Peds residents
are entitled to 2 ½ months of call free time in pediatrics
over their four years during electives. The schedules are made
to allow for one "Golden Weekend" per month in which
residents are call free from Friday through Sunday. |

Med/Peds
Grand Rounds
Monthly Grand
Rounds in Med-Peds focus on disease entities which span the ages.
Typical discussions focus on topics such as Non-insulin dependent
diabetes in youth and adults, treating survivors of childhood hematologic
malignancies, and health maintenance dilemmas for children and adults.
These conferences offer an excellent opportunity to have the entire
Med-Peds residency together for the discussion of Med-Peds clinical
dilemmas. Each Grand Rounds talk is prepared by a resident, either
in the form of a formal lecture or through invited guest speakers.
Departmental
Grand Rounds
Weekly Grand
Rounds in Medicine and Pediatrics invite faculty from both within
and outside of UMDNJ to discuss topics of academic interest.
Morning
Report
Both Internal
Medicine and Pediatrics hold daily morning reports which focus on
admissions from the Emergency Department as well as outpatient cases
from subspecialty clinics.
Noon
Conference
Each department
also holds daily noon conferences on a "theme of the month"
principle, meaning that, for example, all lectures within a month
are on cardiology. This creates more focused learning in anticipation
of specialty boards at the end of residency. At the end of each
month, residents take a written quiz with board-type questions,
in an effort to provide feedback on which areas of the subspecialty
are mastered and which need more work.
Multidisciplinary
Rounds
In both medicine
and pediatrics, multidisciplinary rounds include tumor boards and
ethics rounds.
Radiology
Rounds
In both medicine
and pediatrics, radiology rounds are held weekly in which imaging
from in-patients are reviewed with an attending radiologist.
National
Meetings
Residents have
the opportunity to attend national meetings of the AAP, ACIM, NMPRA,
and subspecialty associations. If a resident is first author for
either a poster or oral presentation at a conference, Graduate Medical
Education funds the travel expenses.

|
7 to 8 am: |
Work
rounds - residents report to their assigned floors
to
see their patients, get sign out from night float and nursing
and set in motion that day's plans for care
|
| 8
to 9 am: |
Morning
Report - Case presentations by the post call team
on half the days and subspecialty elective residents the other
half. Journal clubs are done once per week by the floor teams
and generally cover up-to-date medical advances
|
| 9
to 11 am: |
Attending
Rounds - Teaching rounds with an assigned
attending
|
| 12
to 1 pm: |
Noon
Conference - In both Medicine and Pediatrics, the
lecture series for each month is dedicated to a specific subspecialty.
MKSAP and PREP questions on that topic are used as adjuncts
to the lecture series and are done once a week
|
| 1
to 4 pm: |
Work time
|
| 4
pm: |
Sign-out |

PGY1
|
Internal
Medicine
|
Pediatrics
|
Inpatient
- 3 months
Ambulatory Care - 1 month
Critical Care - 1 month
Elective - 2 weeks
Vacation - 2 weeks |
Inpatient
(infant and child) - 2 months
Inpatient (adolescent) - 1 month
Normal newborn nursery - 1 month
Developmental pediatrics - 1 month
Emergency Department - 2 weeks
Vacation - 2 weeks
|
PGY2
|
Internal
Medicine
|
Pediatrics
|
Inpatient
- 3 months
Emergency Department - 1 month
Critical Care - 1 month
Elective - 2 weeks
Vacation - 2 weeks |
Emergency
Department - 1 ½ months
Intermediate Nursery - 1 month
NICU - 1 month
PICU - 1 month
Ambulatory subspecialty - 1 month
Vacation - 2 weeks
|
PGY3
|
Internal
Medicine
|
Pediatrics
|
|
Inpatient
supervisor - 2 months
ED - 1 month
Critical Care - 1 month
Ambulatory Care - 1 month
Elective - 2 weeks
Vacation
- 2 weeks
|
Inpatient
Supervisor - 1 month
General Ambulatory - 1 month
NICU - 1 month
Office Practice - 1 month
Elective - 1 ½ months
Vacation - 2 weeks
|
PGY4
|
Internal
Medicine
|
Pediatrics
|
Inpatient
supervisor - 1 month
Geriatrics - 1 month
Medical Consults - 1 month
Elective - 2 ½ months
Vacation - 2 weeks |
Inpatient
supervisor - 2 months
ED supervisor - 1 month
Community Based Adolescent Medicine - 1 month
Elective - 1 ½ months
Vacation - 2 weeks
|
|