CURRICULUM
Our goal is to develop competency in general medicine, both in the inpatient and outpatient settings, with exposure to all of the major subspecialties of internal medicine while still providing residents with BALANCE.
Our program has adopted the 3+1 schedule that incorporates 3 weeks of uninterrupted inpatient, subspecialty, or elective experiences followed by 1 week of ambulatory clinic block. The majority of our rotations are at the downtown NCH campus, but depending on the elective, you may visit various locations in Collier County.
Residents in the Internal Medicine Residency enjoy a curriculum that offers a wide variety of clinical and hospital-based experiences as well as frequent didactics presented by residents, faculty, and consulting staff. The schedule is well-balanced and allows electives early in the training process, academic mentorship, and research opportunities during the intern year.
The surprisingly diverse patient population at NCH in Naples, Florida, provides varied pathology, from bread-and-butter internal medicine to rare and complex diagnoses.
ANNUAL SAMPLE SCHEDULES BY PGY LEVEL
Note: These are averages, and will vary from resident to resident, but in total accounts for 52 weeks in a year to fill our 13 blocks.
INPATIENT WARDS
Team structure:
Our residents are mainly at the downtown NCH campus for inpatient wards. We currently have a total of 3 inpatient teaching teams, with dedicated academic hospitalists. We have plans to expand and create a 4th team while maintaining a senior-only team.
You are guaranteed 1 weekend day off every week. The call system is on a rotating daily basis, with shifts broken up within the day from 6 am to 6 pm. Every 3rd day you will be on call from 2 pm till 6 pm.
Admissions are under a DRIP system, in which residents are expected to take an overnight admission and one daytime admission per day at minimum.
Admissions are triaged and pre-evaluated by a PGY-3 who rotates in the medical officer of the day rotation.
We have a dedicated night float resident team to cover our floor patients.
Team 1
Team 2
Team 3
Team 4
ICU ROTATION
The new 22-bed, state-of-the-art adult medical critical care unit opened in January 2019.
All of the rooms have Smart Room technology equipped with individual computers and patient monitors.
Our internal medicine residents have expanded dedicated work areas. This has helped facilitate multidisciplinary team rounding.
Schedule:
Interns rotate between short and long call daily with a guaranteed 1 weekend day off every week
Seniors: one week of night float and one 24 hour call per 3 week block
Simulation Center
We are developing a temporary simulation center that will be open in fall 2020, full expansion of the simulation center will be completed in the fall of 2022.
CONTINUITY CLINIC
We currently have 1 ambulatory clinic site, that is attached to the main hospital. Residents have their own patient panel, and will rotate through a variety of ambulatory weeks including sports medicine, wound care, gynecology, dermatology, etc. To help maintain our balance, clinic weeks usually have a golden weekend.
See our clinic tab for more information.
ELECTIVES
Unique Electives:
Bascom Palmer Eye Institute Ophthalmology
Research Elective with Dr. Poland, vaccinologist with the Mayo Clinic Rochester
ENT with Dr. Hadley
Sports Medicine with Dr. Rubin
Diagnostic/Interventional Radiology
Dermatology with Dr. Wasserman
Previous approved away electives: Mayo Clinic - Gastroenterology, Critical Care; Cleveland Clinic in Weston Florida - Cardiology; Moffitt Cancer Center - Oncology; Georgetown - Rheumatology; Beth Israel, Toronto, CA - Hospitalist; University of Arizona - Integrative Medicine; NYU - Endocrinology
Traditional Electives:
Infectious Disease
Nephrology
Neurology
Endocrinology
Gynecology
Psychiatry
Cardiology
Pulmonology
Hematology/Oncology
Gastroenterology
Allergy/Immunology
Rheumatology
Palliative Care/Geriatrics
EDUCATIONAL CONFERENCES
Clinical morning report with PD Tuesday and Friday
Grand Rounds, every Thursday morning
Intern Morning Report, every Friday
Journal Club
Patient Safety Conferences: Morbidity & Mortality
Noon Conference Lecture Series Monday, Tuesday and Wednesday
EKG & CXR Conferences
Outpatient Lecture Series during Ambulatory week
Medical Jeopardy
Friday afternoon board review in 3rd year
CORONAVIRUS
Extensive up-to-date training and teaching in conjunction with Mayo Clinic.
NCH provides weekly updates regarding COVID policies, supplies, and statistics. We dedicate a portion of our didactics to address the constantly evolving information regarding COVID. Below is the recent Medical Grand Rounds presented by Dr. Gregory Poland of Mayo Clinic and in house intensivist Dr. David Lindner, regarding Coronavirus treatment updates, research, and vaccination.