Internal Medicine Residency Program Curriculum

MacNeal Hospital’s Internal Medicine Residency curriculum is designed to enhance specific skill sets in each academic year of training. This structure allows a progressive increase in outpatient and elective rotations as a resident grows from intern to senior resident. The rotations are generally four-week blocks, with occasional two-week rotations on day float, night float, ENT, behavioral health, and rehab medicine. Vacation can be taken in a single four-week block, or split into 2 two-week vacations.

Each resident has a continuity clinic one half-day per week throughout the three years of residency.

PGY1:

The intern year at the MacNeal Internal Medicine Residency Program focuses on developing skills in general internal medicine, both in the Continuity Clinic and on the Inpatient Medicine Service (IMS). There are rotations in the ICU and Emergency Room to develop patient care skills in critical and emergent settings. The overall goal for the intern year is to attain patient care skills, develop interpersonal communication skills, build one’s foundation of knowledge, and learn medical documentation skills. At the end of the year, interns are skilled in making patient management decisions in collaboration with the senior resident and attending physicians.

PGY2:

During the second year, residents transition to being leaders of the internal medicine team. Residents learn to be independent in critical thinking and medical decision-making skills. Second year residents independently lead an Internal Medicine Service team, and work alongside PGY3 residents in the Intensive Care Unit. Residents also have an opportunity for cross cover and night admitting during their night float rotations. Residents may choose to do an elective at UIC this year.

PGY3:

The third-year resident has an increased number of rotations in ambulatory care and electives. This year is meant to enhance the resident's clinical knowledge in outpatient medicine and in subspecialties in preparation for the ABIM board examination and potential fellowship applications. At the end of the PGY3 year, residents are well balanced and confident in both inpatient and outpatient management of patients. Residents are well-prepared to take the noard exam.

Example 3 Year Schedule

Block

PGY1

PGY2

PGY3

1

IMS

IMS

ICU

2

Rehab Medicine / Vac

Vac / Night Float

Primary Care

3

ICU

Neurology

Night Float / Day Float

4

IMS

Endocrinology

Vac / GI

5

Cardiology

IMS

Night ICU

6

IMS

PC 5 / Day Float

Hematology / Oncology

7

Vac / ENT

Night Float

Geriatrics

8

ICU

Cardiology

Rheumatology

9

Nephrology

Day Float / PC 5

Night Float / Pulm

10

IMS

Vac / Night Float

IMS

11

IMS

IMS

Day Float / Vac

12

Emergency Medicine

UIC Endocrinology

Primary Care

13

IMS

ICU

IMS

We offer a variety of subspecialty and ambulatory rotations.

Subspecialty Rotations

  • Cardiology
  • Endocrinology
  • Gastroenterology
  • Geriatrics
  • Hematology/Oncology
  • Infectious Diseases
  • Nephrology
  • Neurology
  • Pulmonology
  • Rheumatology

Ambulatory Rotations

  • Allergy/Immunology
  • Community Internal Medicine
  • Dermatology
  • Office Gynecology
  • Office Orthopaedics
  • Ophthalmology
  • Otolaryngology
  • Pain Management
  • Physical Medicine & Rehabilitation
  • Sleep Medicine