Rotations

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UT-Nashville Internal Medicine residents receive their training in a variety of clinical and educational settings.  Beginning in 2015, the program adopted a 3+1 ambulatory block schedule. Typical schedules can be found below.

Year One

Inpatient General Medicine (24-27 weeks)
Ambulatory Medicine (13 weeks)
Night Float (3 weeks)
Critical Care (3 weeks)
Geriatrics
Emergency Medicine
Neurology
Vacation (3 weeks)
​Educational Leave (1 week)

Year Two

Inpatient General Medicine (12-15 weeks)
​Ambulatory Medicine (13 weeks)
Night Float (6 weeks)
Critical Care (3 weeks)
Nephrology
Rheumatology
Endocrinology
Gastroenterology
Vacation (3 weeks)
Educational Leave (1 week)

Year Three

Inpatient General Medicine (12-15 weeks)
​Ambulatory Medicine (13 weeks)
Night Float (3 weeks)
Critical Care (6 weeks)
Cardiology
Pulmonary Medicine
Hematology Oncology
Infectious Diseases
Primary Care
Vacation (3 weeks)
Educational Leave (1 week)

Inpatient Service

The general medical inpatient service is designed to enable residents to evaluate and manage patients with a broad range of medical problems in both the intensive and non-intensive care settings. There is no overnight call during the inpatient rotation for PGY-1 and on average 3 overnight calls for PGY-2/3 residents.

Night Float

The night float rotation is designed to provide each resident with the experience of admitting patients during night time hours, as well as managing in-hospital needs and emergencies of his or her colleagues’ patients during the night.  Effective transition of care is a point of emphasis on the night float rotation.  PGY-1 residents do one month of night float under the supervision of a senior resident.

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Ambulatory Medicine

The continuity clinic experience incorporates a diverse group of patients that each resident follows throughout residency.  The 3+1 ambulatory block schedule is structured so that residents spend 13, one-week blocks per year in clinic.  During each ambulatory week, a resident attends 4-6 half day sessions seeing his or her patients.  The rest of the week is structured into reverse classroom sessions led by residents and attended by faculty, which focus on various topics in ambulatory medicine and quality improvement.

Subspecialty

Subspecialty rotations are interspersed between inpatient medicine months and are designed to further each resident's clinical competency as applied to each subspecialty. During these blocks, residents have no on-call or weekend responsibilities. Subspecialty rotations required include:  Cardiology, Critical Care, Infectious Diseases, Emergency Medicine, Endocrinology, Hematology, Oncology, Nephrology, Neurology, Geriatrics, Gastroenterology, Pulmonary, Rheumatology, Dermatology, and Ambulatory Medicine.

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