Categorical Internship / U-M Internal Medicine

Program Director:
John Del Valle, MD

Internal Medicine Website: http://www.med.umich.edu/intmed/resident

Preliminary Year in Internal Medicine

The Department of Internal Medicine offers a variable number of positions for individuals who require one year of primary training before going on to careers in various other specialties. The Department of Internal Medicine does not offer separate Preliminary Year positions through the match. All of the Preliminary Year positions are recruited as part of 'categorical' programs in those other specialties (including Dermatology), and the specialty programs are responsible for recruitment and matching of these positions. The curriculum for the preliminary year is developed to provide a tailored experience for the residents, jointly developed by the Internal Medicine program leadership together with the Program Directors for each of the participating specialties.

House Officer I

For the first year of the Categorical Training Program, the first year (internship) is designed to provide a broad experience in Internal Medicine. Each intern could expect eight months of inpatient experience, during which time he/she is considered the primary physician for the ward service. Only interns write orders on the charts and interns always have the first opportunity for procedures.

A typical HO-I schedule includes:

• Three months on the General Medicine Services at the University Hospital
• Two months on the General Medicine Services at the VA Hospital
• Two to three months on the Subspecialty Services at the University Hospital
• One to two months on the Cardiology Services at the University Hospital
• Two months of Subspecialty Electives/Consults (no call)
• One month of Ambulatory Clinics (no call)
• Four weeks of Vacation

Training Sites

Internal Medicine training sites include the

• UM Hospital - consistently well-rated by US News and World Report
• University Health Centers - consists over 2 dozen sites in and around the Ann Arbor community.
• Ann Arbor VA Hospital - providing comprehensive care for local veterans and a tertiary regional referral site within the VA network.

Curriculum

Residents rotate through many of these sites for both continuity clinics and as part of ambulatory block rotations. The house officer curriculum reflects balance, offering training in general and subspecialty-based internal medicine, in both the inpatient and outpatient settings.

• Inpatient Rotations - four general medicine services, subspecialty services, and the medical ICU
• Four Internal Medicine Services at the VA with an open MICU model
• Midnight time and admission caps are in place
• Non-resident hospitalist service offloads University Services
• Formal Teaching activities: attending work & teaching rounds, morning report, core curriculum lectures, grand rounds, journal club and monthly M&M conference
• Interactive seminars on topics including: managed care, evidence-based medicine, medical informatics, cultural communication, women's health issues and patient safety

Ambulatory Activities

• Continuity clinics are maintained and are available at the University Primary Care Practice, the VA medical center and at the University Community Health Centers
• Ambulatory block months incorporate additional primary care with ambulatory subspecialties at University, community and VA based sites, including dermatology
• Residents rotate through clinics designed to serve the homeless and underserved
• A dedicated ambulatory chief resident coordinates all ambulatory activities and directs a daily ambulatory morning report