Schedule Overview

The OSU/NCH program is geared toward giving residents a broad experience in Internal Medicine and Pediatrics.  We continue to produce approximately equal numbers of both primary care physicians and subspecialists.

The first year curriculum gives practical skill in the management of both common and complex medical issues for adults and children, setting the framework for skills needed in leadership and patient management as a future supervisory resident.  The interns have level appropriate clinical experiences designed to expose them to the frequently encountered issues in both specialties.  These goals are accomplished through clinical experiences that introduce the intern to commonly encountered IM & Pediatric diseases.  These experiences include inpatient general medicine, inpatient pediatric infectious diseases, an ambulatory acute care month and the newborn nursery.  Interns are also taught the management of the very ill and the at-risk patients to help them develop decision making abilities, even in urgent or acute settings.  Activity in areas such as the medical ICU, the neonatal ICU/delivery room, cardiology and oncology provide this experience.  The intern lecture series focuses on emergent and urgent conditions and their management.  These lectures are recorded allowing residents to learn from lectures given when they are out (clinic, post-call, vacation, etc…) or to refresh previously learned material.The intern schedule rotates between Internal Medicine and Pediatrics every three months

Years two and three are consolidated to provide a ‘second-year equivalent’ for both Internal Medicine and Pediatrics.  The education, at this level, is designed to provide our residents with supervisory experience in both specialties.   Month-long rotations through our subspecialty systems, including emergency medicine, allow the residents to get exposure to most of the medical and pediatric subspecialties, while gaining additional practical exposure to potential career paths and mentors.  More experiences in ambulatory care for adults and children (including developmental pediatrics, our IM-PECS program and block time in the combined Med-Peds clinic) and care for the undifferentiated patient provide generalist education in our program.  Our residents are also given an elective career development month during this period.  This rotation allows a resident to explore a desired career path through both clinical and scholarly activity.  Years two and three switch departments every four months.

Year four provides the ability for the senior to utilize ambulatory block time for experience in geriatrics and other outpatient medical subspecialty care.  There is a month long experience of being the senior resident in the hospital helping manage patient flow, acute care issues and consultations.  This experience helps residents feel comfortable in their management abilities while providing support and mentorship to more junior residents. The senior resident can significantly tailor much of the final year in our program to meet his/her specific career-based needs.  Year four alternates departments every three months.  Our schedule overview is graphically depicted below.

PGY1

General Internal Medicine Ward	Adult Hematology Ward	Night Float
Pediatric Infectious Disease Ward	Newborn Nursery	Pediatric Hematology/Oncology Ward
Medical ICU	Elective	Adult Cardiology Ward
Neonatal ICU	Acute Care	Pediatric Pulmonary Ward

PGY2/3

Adult Nephrology Ward	VA Outpatient Clinic	Night Float	Emergency Medicine
Pediatric GI Ward w/ Clinic Experiences	Community Internal Medicine-Pediatrics Experience	Pediatric Emergency Medicine	Pediatric Cardiology Ward w/ Clinic Experiences
General Internal Medicine Ward	Adult GI or Oncology Ward	IM Elective	Primary Care Clinic
Neonatal ICU	Behavioral / Developmental Pediatrics	Pediatric ICU	Pediatric Elective
Medical ICU	General Internal Medicine Ward	IM Elective	Adult Cardiology Ward
Pediatric Elective	Night Service	Pediatric Elective	NICU Float

PGY4

Senior Ambulatory Block	Senior Ambulatory Block	Geriatrics
Pediatric Surgery/Sports Medicine	Adolescent Medicine	Pediatric Renal+Endo or Neurology Ward w/ Clinic Experience
Medical Consultant	Adult Infectious Disease Ward	IM Elective
Pediatric General Medicine or ID Ward	Pediatric Emergency Medicine	Pediatric Elective