Program Curriculum

The program consists of 36 months of training in internal medicine leading to ABIM board eligibility. The program is an integrated program with rotations at Sanford Health and Avera, as well as a variety of private practices. Ambulatory care accounts for approximately 33 percent of the overall training. Rotations are scheduled in a 4+2 model, in which residents alternate between four-week inpatient blocks and two-week ambulatory blocks. The four-week inpatient blocks include:

• 4-5 Months

  Inpatient General Internal Medicine

• 1 Month

  Cardiology

• 1 Month

  Critical Care

• 1 Month

  Electives

• and

  8-9 Ambulatory Blocks

• 4-5 Months

  Inpatient General Internal Medicine

• 1 Month

  Neurology

• 1 Month

  Critical Care

• 1 Week

  Palliative Care

• 1-2 Months

  Electives

• and

  8-9 Ambulatory Blocks

• 3-4 Months

  Inpatient General Internal Medicine

• 1 Month

  Emergency Medicine

• 1 Month

  Critical Care

• 2-3 Months

  Electives

• 1 Week

  Board Review

• and

  8-9 Ambulatory Blocks

Required (four week blocks)

• Inpatient general internal medicine (Average of four blocks per year)
• Cardiology (PGY1 requirement)
• Critical care (One block per year)
• Neurology (PGY2 requirement)
• Emergency Medicine (PGY3 requirement)

Electives (two-four week blocks)

• Endocrinology
• Gastroenterology
• Hematology/Oncology
• Infectious Disease
• Nephrology
• Pulmonology

Electives (one week blocks)

• Genomic Medicine
• Palliative Care (PGY2 requirement)
• Physical Medicine and Rehabilitation
• Research
• Women’s Health / Gynecology

The two-week ambulatory blocks include:

• Continuity clinics (six half-day sessions per ambulatory block)
• Longitudinal subspecialty clinics
  • Endocrinology
  • Gastroenterology
  • Hematology/Oncology
  • Infectious Disease
  • Nephrology
  • Pulmonology
  • Rheumatology
• Subspecialty clinic electives
  • Allergy
  • Dermatology
  • Hepatology
  • Transplant Medicine
  • ENT
  • Ophthalmology
  • Orthopedics
  • Psychiatry
  • Geriatrics (PGY2 requirement)
  • Women’s Health / Gynecology

Internal Medicine Residency Sample Schedules

Internal Medicine Residency Weekly Ambulatory Schedule Example