Curriculum

Curriculum

General
The fellowship is a year long, divided into 13 blocks of 4 weeks. Fellows alternate between on-service blocks working as a general hospitalist at various hospitals in the system, and off-service blocks, during which required and elective rotations are available. Occasional, supervised night work is required to offer exposure to the nocturnist experience and skill set. Supervision is one-on-one, with supervisors rotating weekly, and overall supervision provided by the fellowship director. Formal procedure training for fundamental hospitalist skills will be provided early in the fellowship, and additional skills will be added through the year. After acquiring competence in various skills, fellows also participate in running a procedure service.

Required Rotations
General Wards (7 blocks - includes IMCU patients), Critical Care (2.5 blocks, plus intermittent night coverage), Electives (1.5 blocks), Cardiology (1 block), Neurology (0.5 block), Infectious Disease (0.5 block), and Radiology.

Exact amounts of time dedicated to subspecialty blocks besides Critical Care are flexible, and can be adjusted to suit individual preferences for areas of additional training.

Electives
Hematology/Oncology, Nephrology, GI, Pulmonology, Hepatology, and Palliative Care. Pediatric and Obstetric training are also available if desired, but not required. Other electives can be arranged by request.

Didactics
  • Fellows participate in preparing and delivering monthly teaching conferences for family medicine residents.

  • Each fellow presents one Morbidity/Mortality conference a year

  • Bi-weekly teaching conference for fellows, which covers the standard clinical curriculum for hospitalists as outlined by the Society of Hospital Medicine, plus several additional topics.

  • Inpatient precepting opportunities with family medicine residents are available for interested fellows.

  • A formal QI curriculum is currently in development, and participation in a monthly Quality Improvement committee is available.

  • Fellows are provided with a schedule of all available subspecialty didactics, which can be attended at any time, but are not required. Fellows are expected to participate during their time on subspecialty service.

Procedures

Fellows will graduate with the following procedural and related competencies: 

Arthrocentesis Lumbar Puncture
Cardioversion NG/Feeding Tubes
Central Lines Paracentesis
Code Blue Peripheral IVs
Conscious Sedation PICC Lines
Echocardiography Thoracentesis
Foley Catheters Vent Management
Intubation  

Additional training in bedside ultrasound is under development.