Program Structure Categorical Program
First Year | Second Year | Third Year | Longitudinal Care Clinic

Each year consists of 13 modules, each 4 weeks long.

First Year
First-year residents typically work as part of a health care team which includes a supervising second or third-year resident, an attending physician, and medical students. First-year residents spend the majority of the year providing primary care for Internal Medicine patients admitted to one of the geographic medical units. Residents also gain critical care training in the Medical Intensive Care Unit, ambulatory care experience in block outpatient rotations, and acute experience in the Emergency Department.

Typical PGY-1 Schedule (combination of 13 modules)

• Cardiology Teaching Service: 1 module
• Consult/Outpatient Clinic including Longitudinal Clinic Block: 3 modules
• Emergency Department: 0-1 module
• General Medicine Teaching Services (Kimball, Tucker): 1-3 modules
• GI/Hepatology Service (Green): 0-1 module
• Hematology/Oncology Service: 1 module
• Longitudinal Continuity Clinic (1/2 day per week; clinics for Primary Care
  Track residents vary in frequency)
• Medical Intensive Care Unit: 0-1 module
• Neurology (or in GL-2 year): 0-1 module
• Palliative Medicine: 0-1module
• Psychiatry: 0-1 module
• Renal Inpatient Service: 0-1 module
• Vacation: 1 module, includes a float week

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Second Year
Second-year residents act as supervising residents for three or four modules, including one module on a General Medicine Service and one module as a Night Float. Second-year residents rotate on subspecialty and general medicine consult services, gaining expertise in consultative medicine. Junior residents work one module in either the Coronary or Medical Intensive Care Unit, under the supervision of a senior resident, subspecialty fellows, and a full-time intensivist. Second-year residents rotate through outpatient clinics during two to three modules. PGY-2 residents also have the opportunity to do a research module.

Typical PGY-2 Schedule (combination of 13 modules)

• Consult Services: 3-4 modules
• Coronary Intensive Care Unit: 0-1 module
• Longitudinal Continuity Clinic (1/2 day per week)
• Medical Intensive Care Unit: 0-1 module
• Night Float: 0-1 module
• Neurology (or as a GL-1): 0-1 module
• Outpatient Clinics/Research Elective: 2 modules
• Supervisor Su bspecialty and/or General Medicine Services: 3-4 modules
• Vacation: 1 module, includes a float week

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Third Year
Third-year residents act as supervising residents for five modules, including two to three modules on General Medicine Services and one module as a Night Float. Senior residents act as supervisors for one or two modules in the Medical Intensive Care Unit. Third-year residents work one module in the Emergency Department. Senior residents have four to five modules available for electives. One of these electives may be a research module.

Typical PGY-3 Schedule (combination of 13 modules)

• Attendance at CCF I.M. Board Review Course in June (1 week)
• Clinics, Consu lts, Electives or Research: 4-6 modules
• Night Float: 0-1 module
• Longitudinal Continuity Clinic (1/2 day per week)
• Supervisor General Medicines Services: 2-3 modules
• Supervisor GI/Hepatology Service (Green):0-1 module
• Supervisor Medical Intensive Care Unit: 1-2 modules
• Vacation: 1 module, includes a float week

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Longitudinal Continuity Clinic

All categorical residents are responsible for ambulatory outpatient clinic half a day per week throughout the three years of training. Residents have clinic either at the Cleveland Clinic main campus or at a Cleveland Clinic Family Health and Surgical Center. These Family Health and Surgical Centers are located throughout the greater Cleveland area and make up the Division of Regional Medical Practice. These Family Health and Surgical Centers provide an excellent setting in which to experience the delivery of primary care to the community.

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IM Residency Requirements

• Emergency Department - at least 1 month during 3 years, no more than 3 months
• Gastroenterology Hospital - at least 1 month
• General Medicine Consults - 1 month
• General Internal Medicine Ambulatory (at LCC) - at least 1 month
• Geriatrics
• Infectious Disease Consult - at least 1 month
• Intensive Care Unit - at least 3 months during 3 y ears, no more than 6 months
  • Critical Intensive Care Unit
  • Medical Intensive Care Unit Jr. and Medical Intensive Care Unit Sr.
• Nephrology (clinic, consult, hospital) - at least 1 month
• Neurology
• Night Float - at least 1 month
• Pulmonary Clinic/Consult - at least 1 month
• Rheumatology - at least 1 month

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