The OSU/NCH program is geared toward giving residents a broad experience in Internal Medicine and Pediatrics.
PGY-1: 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 blocks.
PGY-2/PGY-3: 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. Four-week 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 blocks.
PGY-4: 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 four-week 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 blocks.
Our schedule overview is graphically depicted below.
|MICU||Gen Med||Heme||ID/General||Heme/Onc||Acute Care|
|Heart||Night Flt||Elect||Pulm/ General||NICU||Well Baby Nursery||Subspecialty Ward|
|ED||Nephro Consult||VA||Hospital Peds||ED||Beh/ Dev|
|Prim Care||Subspecialty Elective||Night Flt||Subspecialty Elective||MICU||IM-PECS|
|Subspecialty Elective||Subspecialty Elective||Subspecialty Elective||ICU||Heart||Gen Med||Ward|
|Surg/ Sports Med||Ward||Adolescent Med||Medical Consults||Outpt Clinics||Outpt Clinics|
|Hosp Peds||Elective||ED||Elective||Geriatrics||ID Consult||Elective|