Curriculum
Internal Medicine Residency Program
The Internal Medicine Residency at Trinity Health Muskegon, Graduate Medical Education offers an interactive learning environment, including:
- Resident-Led Morning Report Twice Weekly
- Case presentation from previous shift
- Discussion of clinical presentations
- Differential diagnosis
- Work up discussion
- Discuss interventions, appropriate testing and treatment
- Daily Teaching Rounds
- Inpatient teaching service
- Dedicated faculty preceptors
- Centralized dedicated resident unit
- Multi-disciplinary rounds with nursing staff, social work, various therapists and physicians
- Emphasis on beside teaching
- Weekly Didactic Sessions
- 4 hours protected time
- Resident-led topic discussions
- Specialty speakers
- Specialist-led EKG review
- Quality/process updates and teaching
- Harrison's Review
- Board review
- MKSAP
- NEJM Case Review
- Weekly Tumor Board
- Held at Johnson Family Cancer Center
- Case Presentations
- Involvement with multiple subspecialties
- Monthly Morbidity, Mortality & Improvement Conference
- Formal presentation by Internal Medicine resident and core faculty member
- Involvement from additional faculty and case-specific specialists
- Case issue focus
- Assists in quality improvement and patient care
- Monthly Journal Club
- Peer-reviewed journal articles that are resident selected
- Analytical review by house staff
- Faculty and resident discussion and evaluation of articles
- Informal presentation at various locations
- Procedure Skills Lab/Sim Lab
- 1 hour procedural skills sessions
- Combined with Emergency Medicine residents and faculty
- Mock codes
- Procedures such as intubations, lumbar punctures, thoracentesis, central access, endoscopy, etc.
- Resident Outpatient Clinic
- Dedicated experienced preceptors
- Primary physician for individual patients within the practice
- Diverse patient population
- Minimum half day of clinic each week
- Clinic-focused didactic/lectures
- Combined Didactic with Osteopathic Manipulative Medicine
- Topic discussion with medical and osteopathic manipulative solutions
- Medical discussion led by Internal Medicine resident
- Osteopathic Neuromusculoskeletal Manipulative demonstrations led by ONMM resident
- Hands-on manipulative instruction and demonstration by ONMM and IM residents and faculty
Internal Medicine Residency Curriculum by Year
PGY 1 | PGY 2 | PGY 3 |
6 Blocks of IM Teaching Service | 4 Blocks of IM Teaching Service | 4 Blocks of IM Teaching Service |
MICU | MICU | MICU |
Gastroenterology | Pulmonary | Hematology/Oncology |
Cardiology | Geriatrics | Endocrinology |
Emergency Medicine | Neurology | Rheumatology |
Ambulatory IM | Nephrology | Hospice |
Anesthesia/Radiology | Infectious Disease | Office IM/FP |
1 Elective* | FM/Ambulatory IM | Dermatology/Ear, Nose, and Throat |
2 Electives* | 2 Electives* |
- Electives for PGY 1
- Anesthesia, Allergy/Immunology, Dermatology, ENT, Ophthalmology, Orthopedics, Office Internal Medicine, Office Family Medicine, Podiatry, Radiology, Quality/Research, Osteopathic Manipulative Medicine
- Electives for PGY 2 & PGY 3
- Please choose from the list above. If there is a specific area of medicine that you're interested in and do not see on the list, please consult with the Medical Education office to see if this can be arranged.
Please note that this curriculum model is adjusted depending on the focus for each resident.
- Fellowship tracks to include more of their interests, to experience more procedures, cases, patients that they will see in their fellowship and future practice
- Primary Care Physician track will include more ambulatory and outpatient experience in each of the subspecialties
- Osteopathic tracks, most rotations have Osteopathic physicians that will teach and mentor residents on this path, as well as additional rotations with our ONMM specialty clinic to enhance OMM/OMT skills. We also have an Osteopathic physician in our Resident Clinic that can oversee residents working with their OMM/OMT skills