Internal Medicine
Menu

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:

PGY-1

  • 4-5 Months

    Inpatient General Internal Medicine

  • 1 Month

    Cardiology

  • 1 Month

    Critical Care

  • 1 Month

    Electives

  • and

    8-9 Ambulatory Blocks

PG-Y 2

  • 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

PGY-3

  • 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

Prelim

  • 5 Months

    Inpatient General Internal Medicine

  • 1 Month

    Emergency Medicine

  • 6 Months

    Elective Rotations including Research

Curriculum Breakout

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

Prelim Curriculum Breakout

Preliminary residents rotate in traditional four-week blocks. They spend five months on the inpatient teaching service, one month in the emergency department, and six months in elective rotations, including research. With the flexibility in planning elective rotations, preliminary residents can tailor the experience to their specific educational goals by selecting from the following two to four-week elective experiences:

  • Allergy and Immunology
  • Ambulatory Medicine
  • Anesthesiology
  • Dermatology
  • Endocrinology
  • Gastroenterology
  • Hematology/Oncology
  • Critical Care
  • Infectious Disease
  • Nephrology
  • Neurology
  • Nuclear Medicine
  • Ophthalmology
  • Physical Medicine and Rehabilitation
  • Pulmonology
  • Radiology
  • Radiation Oncology
  • Research
  • Sports Medicine
  • Surgical Critical Care