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Lancaster Internal Medicine Curriculum

Lancaster Internal Medicine

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The Internal Medicine program at Lancaster Medical Center will use a 4+2 (X+Y) Model Curriculum.

A “4+2” block schedule means that our residents have a four-week inpatient rotation followed by two week of exclusively ambulatory training. The ambulatory week includes a combination of continuity clinic sessions, subspecialty ambulatory clinic, two to four educational half-days including our Quality Improvement Project, Simulation training and for administration work (Calling patients, following up lab results and writing letters) Residents will still have a longitudinal relationship with their clinic patients and preceptors throughout residency.

Benefits of this Model:

  • Improves your educational experience.
  • Improves patient care.
  • Improves continuity with your clinic patients.
  • The ambulatory setting is not as intense as inpatient rotations, which acts as a de-stressor for our residents.
  • Build your own patient panel and act as their primary care physician.
  • Encourages residents to pursue primary care which is an absolute essential for a community.
  • Every 5th and 6th week your evenings and weekends are yours to spend with family and friends!
  • The schedule itself a strong foundation towards resident wellness.

Rotations

  • Anesthesiology
  • Cardiology
  • Endocrinology
  • Gastroenterology
  • Hematology
  • Infectious disease
  • Nephrology
  • Oncology
  • Palliative Medicine
  • Psychiatry
  • Pulmonology
  • Radiology
  • Rheumatology
  • Women’s Health

  • General Internal Medicine/Ambulatory Outpatient Clinic (12 blocks)
  • Hospital Medicine Inpatient Teams (9 Blocks)
  • Night Float (1.5 Blocks)
  • Individualized Educational Experiences (6 Blocks)
  • ICU / Critical Care Medicine (5 Blocks)
  • Cardiology (1 Block)
  • Endocrinology (1 Blocks)
  • Acute/Emergency Medicine (1 Block)
  • Nephrology (0.5 Block)
  • Neurology (0.5 Block)
  • Pulmonology (0.5 Block)
  • Gastroenterology (0.5 Block)
  • Infectious Disease (0.5Block)

Conferences and Educational Activities

Opportunities to engage in additional learning experiences designed to focus on a series of educational topics.

Resident led conferences using clinical pearls and board style questions these interactive sessions aim to regularly assess and improve medical knowledge at all levels, supervised by a faculty. Using the Medical Knowledge Self-Assessment Program (MKSAP) tools, these sessions allow for residents and faculty to help each other prepare for the certifying/recertifying examinations and maintenance of certification (MOC) in internal medicine.

This 18-month curriculum is designed to cover the core topics in internal medicine and intentionally uses repetition to allow learners to interact with the content at the introductory and more advanced levels and the opportunity to revisit and consolidate knowledge as they grow in clinical experiences and exposure. This series is run primarily by the core faculty and augments learning in the clinical setting (additional time spent on conditions that are important but less commonly seen in the clinical setting).

This series is held weekly and initially will be in conjunction with the MUSC Department of Internal Medicine at Charleston. Topics and speakers are selected to provide faculty and trainees with up-to-date knowledge about timely issues in internal medicine. MUSC LMC has its own Grand rounds on the Fourth Thursday of every month.

Interactive case-based discussion of unique and or challenging cases to develop clinical reasoning and decision making. Cases are either based at Lancaster Medical Center or Charleston MUSC but always have a faculty member from LMC to facilitate the discussion in-person.

This series looks at new and seminal articles relevant to the practice of internal medicine. The presentations are focused on appraisal of the medical evidence and the ramifications for practice.

The goals is to: (1) improve the quality and safety of our patient care by learning from past performance, adverse events, errors, and near misses, (2) identify and suggest practice and systems improvements to prevent similar future episodes, and (3) educate all internal medicine intern physicians via an experiential opportunity of reviewing a real-life Moffitt case with a faculty-supervised, structured root cause analysis, thereby enhancing our culture of safety within our residency program, department, and institution.

This resident guided series is held monthly with lunch provided are a chance to enjoy food and time together with content and activities around all aspects of wellbeing including.

Resident led forum to discuss their positive as well as negative aspects of their daily experiences in the program. It’s a protected time to hear their thoughts and voice for the betterment of the program and to improve residents wellbeing.

This Jeopardy parody game is an effective tool for residents which brings fun in education.

Done in our sim centers for residents to gain skills in managing rapid responses and code blue situations.

Training in performing bedside ultrasound, central and peripheral line placement, LPs, IOs and other procedures.

Longitudinal Curricular Threads

Our longitudinal curricular threads incorporate MUSC Health expertise and local and national resources with fundamental content with the aim to equip residents with a strong understanding of health systems science.

Learn more about Longitudinal Curricular Threads.

Amelia
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