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