Internal Medicine Tyler Residency Curriculum

Residents in the UT Health East Texas Internal Medicine Residency Program rotate through a “4 + 2” curriculum which is a block schedule composed of three different resident teams. Each 4-week inpatient block is accompanied by two weeks of ambulatory time. During this ambulatory time the residents spend time in the resident continuity clinic as well as a medicine subspecialty clinic, a primary care experience, or to night float. Each firm will rotate, spending four weeks in the inpatient setting associated with two weeks in the ambulatory setting throughout the year.

The UT Health East Texas Internal Medicine Residency 4 + 2 firm system has been developed to optimize resident education and well-being. It allows for focused time both in the hospital and in the ambulatory setting as well as dedicated time for lectures and didactics while minimizing distractions to learning. Additionally, it provides “golden weekends” throughout the year that can be used in planning for personal time. While the early portion of training is focused more on foundational internal medicine experiences, as residents progress through their training they will have increased time allotted for elective rotations to focus either on subspecialty care or primary care depending on their planned career paths. Residents will also participate in a quality improvement curriculum and conduct a quality improvement project during their training under the guidance of a faculty mentor. Opportunities for participation in research will be available as well.

Sample Rotations

PGY 1

Block Weeks
Continuity Clinic 1
Night Float 1
Wards 4
Continuity Clinic/Ambulatory 2
ICU 4
Continuity Clinic/Ambulatory 2
Wards 4
Continuity Clinic 1
Night Float 1
Emergency 4
Continuity Clinic/Ambulatory 2
Wards 4
Continuity Clinic/Ambulatory 2
ICU 4
Continuity Clinic 1
Night Float 1
Wards 2
Elective 2
Continuity Clinic/Ambulatory 2
Cardiology 4
Continuity Clinic/Ambulatory 2
Wards 4

PGY 2

Block Weeks
Continuity Clinic 1
Night Float 1
Wards 4
Continuity Clinic/Ambulatory 2
ICU 4
Continuity Clinic/Ambulatory 2
Elective 4
Continuity Clinic 1
Night Float 1
Neurology 4
Continuity Clinic/Ambulatory 2
Wards 4
Continuity Clinic/Ambulatory 2
ICU 4
Continuity Clinic 1
Night Float 1
Elective 4
Continuity Clinic/Ambulatory 2
Cardiology 4
Continuity Clinic/Ambulatory 2
Geriatrics 2

PGY 3

Block Weeks
Continuity Clinic 1
Night Float 1
Wards 4
Continuity Clinic/Ambulatory 2
ICU 4
Continuity Clinic/Ambulatory 2
Elective 4
Continuity Clinic 1
Night Float 1
Elective 4
Continuity Clinic/Ambulatory 2
Wards 4
Continuity Clinic/Ambulatory 2
ICU 4
Continuity Clinic 1
Night Float 1
Elective 4
Continuity Clinic/Ambulatory 2
Cardiology 4
Continuity Clinic/Ambulatory 2
Geriatrics 2

Night Float

Residents will each have a total of 3 separate weeks of night float during each year of their training which will be spread out over the course of the academic year. During night float rotations residents will provide cross coverage for patients who are on the internal medicine teaching services as well as admit patients to these teaching services while being supervised by night time attending physicians.

Overnight Call

Residents will participate in night call during their intensive care unit rotations. This call will be every fourth night. Residents on other inpatient rotations such as internal medicine wards and cardiology will not stay in the hospital overnight, and the night float will provide cross coverage and help perform admissions for these teams.

Conferences and Lectures

Residents will have the opportunity to learn from a variety of educational conferences and didactic sessions, including the dedicated Core Curriculum Lecture Series provided by our experienced faculty covering the essential topics within internal medicine. Leading off this Core Curriculum Lecture Series each academic year will be our “Back to the Basics” series of introductory lectures preparing interns for the year and providing a time of review for the residents on these foundational topics. Other educational lectures include:

  • Afternoon Report
  • Grand Rounds
  • Core Curriculum Lectures Series
  • Journal Club
  • Case Conference
  • Patient Safety Conference
  • Quality Improvement Workshop
  • Communication Skills Workshop
  • Board Review

Mentoring Program

Residents will be assigned a faculty mentor with whom they will meet throughout each year of their training to assist in providing guidance for their training experience as well as for career plans upon completion of training, helping the resident to develop professionally to fulfill their maximal potential during the training experience and beyond.

Vacation

Residents receive vacation time annually based on the UT System vacation policy which includes a minimum of 15 days of vacation during the academic year which can be taken during approved rotations.