Preliminary Year Curriculum

Department of Medicine
Emory University School of Medicine

Number of Positions:  3

  NRMP: 1113140P0

Rotation

Months

Description

General Wards

5

• Hospitals: Grady Memorial, Atlanta VAMC
• Patient Population: Urban to rural; public to governmental
• Overnight call: Grady 1 in 8; VA 1in 8-10
• Average every 7th day off
• Admission cap: 5 per intern
• Bedside Professor Rounds with senior faculty/Master Clinicians in addition to daily attending rounds with Emory faculty (hospitalists, generalists, subspecialists)
• PGY-1 residents present at Chief Resident Report
• Night Float Team admits and provides overnight back-up cross coverage after 7pm

ICU

0-1

• Hospitals: Grady Memorial
• Experience: General medicine and cardiac intensive care; full ventilator and pressor management, central lines, PA catheters, transvenous pacemakers
• In-House Call: Grady 1 in 4; post call resident must depart by 1 pm
• Daily rounds with pulmonary faculty and fellows
• 24 hour backup by fellows and attendings

Subspecialties

1

• Hospital: Emory University, VA, Grady, Crawford
• Patient population: Predominantly tertiary referral from throughout the southeast
• Individual preferences are considered in assignments, offering interns the opportunity to choose subspecialty services in which they have an interest: cardiology, gastroenterology, geriatrics, hematology-oncology, neurology, nephrology, infectious diseases and pulmonary diseases

Infectious Diseases:
Special Immunology Service (SIS)

0-1

• Patient population:  patients with HIV/AIDS served by the Grady Health System
• No overnight call; admissions 1 day in 4 until 7pm
• Night float provides overnight cross-coverage after 7pm
• Daily rounds with Infectious Disease Faculty

Emergency Room (Grady)

1

• Population: Principal emergency facility for Atlanta’s 2.5 million residents. Over 160,000 visits per year
• Residents work 10-12 hour shifts: average 5 per week
• Residents work-up patients, then present them to ER faculty, who are present in the ER 24 hours/day, 7 days/week
• Full spectrum of diseases evaluated, both medical and surgical
• Opportunities for many procedures (e.g., intubations, line placement, suturing)

Primary Care/Ambulatory

1

• Designed to prepare the house officer to deliver comprehensive primary care.  Emphasis is on cost-effectiveness, preventive medicine, practical skills learning, etc.
• Clinical exposure to dermatology, office gynecology, family planning, ophthalmology, ENT, flexible sigmoidoscopy, stress electrocardiography. Time is spent in the ambulatory care walk-in clinic, pre-op clinic, and other primary care settings. Selected didactic instruction will be included

Neurology inpatient

1

• Call is 1 in 4

Elective

1

• Each preliminary intern will have one month of elective time that may be used to augment clinical experience among the medicine subspecialties or in primary or intensive care. Alternatively, the house officer may rotate in areas outside the department of medicine including research

Continuity Care Clinic

• Throughout the year, the house officer maintains a Continuity Clinic at Grady Hospital.  Clinic is attended one-half day per week, regardless of the primary hospital assignment.  All patients are evaluated by the resident, and then presented to one of the general internists who staff the clinic on a full time basis.  The typical house officer follows about 140 patients, most of whom have initially been seen on the inpatient service