Educational Mission
The Johns Hopkins University/Sinai Hospital Internal Medicine Residency Program provides residents with a three-year curriculum in internal medicine, emphasizing the skills required to practice general internal medicine and the proficiency needed for board certification. Graduates going on to fellowship view this as a valuable springboard to a successful subspecialty career. Graduates planning to practice general internal medicine find this pragmatic experience equips them well for clinical practice. An evidence-based medicine-focused resident report is held for interns and residents. Our curriculum covers all subspecialty areas of medicine as well as topics related to the business of medicine, nutrition, ethics, and research, among others. Our goal is to foster life-long learning in a supportive and friendly environment. Residents enjoy a close relationship with faculty members and have easy access to numerous basic and clinical research projects on site.
Curriculum Objectives
Ambulatory Medicine
This training experience is designed to teach residents the essential aspects of ambulatory medical practice and principles of managed care. Residents will see their own patients throughout the three-year program and will also work closely with ambulatory preceptors who will ensure that they acquire the necessary knowledge and skills to practice medicine. Many electives are available that reinforce or expand the scope of training in ambulatory practice. Training in a community-based practice site is an essential building block of the resident’s training experience, and the opportunities within the JHU/Sinai Program are plentiful. Ambulatory experiences are provided in a variety of specialty areas including dermatology, urology, ENT, orthopedics, ophthalmology, rehabilitation, and gynecology. A self-directed computer-based Ambulatory Curriculum is used to augment the learning process.
Inpatient Medicine
The curriculum in inpatient internal medicine gives residents an opportunity for autonomy in diagnostic decision making and care of acutely ill patients. The diversity of the patient population served by Sinai Hospital encourages residents to understand the delicate inter-play between social circumstances and the management of complex illness. Residents will have the opportunity to provide ongoing care for these patients following discharge in their office practice. PGY-2 and PGY-3 residents will further their medical education by supervising the work of PGY-I residents on the patient care units and teaching medical students from The Johns Hopkins University School of Medicine.
Critical Care Medicine
Residents learn to manage patients with cardiovascular disease and complex critical illness during their experiences in the intensive care unit and coronary care unit. Residents are given significant autonomy in patient care decisions and medical procedures. Cardiology and critical care faculty provide teaching and case-based supervision in these settings where a core understanding of pathophysiology is emphasized.
Representative Resident Rotation Schedule
A representative schedule for the three-year curriculum is shown below. Residents are assigned to 13, 4-week blocks.
| PGY-1 (Categorical) |
Rotations
|
| Inpatient General Medicine |
6
|
| Critical Care (CCU, ICU)** |
2
|
| Oncology at Johns Hopkins Hospital |
1
|
| Elective/Vacation (2 weeks) |
2
|
| Night Float |
1
|
| Evidence-Based Medicine/Vacation (1 Week) |
1
|
| |
|
| PGY-1 (Preliminary) |
Rotations
|
| Inpatient General Medicine |
5.5-6.5
|
| Critical Care (CCU, ICU) |
2-3
|
| Elective |
2.75 (11 weeks)
|
| Vacation |
3 weeks
|
| Night Float |
1 |
| PGY-2 |
Rotations
|
| Inpatient General Medicine |
3
|
| Electives/Vacation (3 weeks)+# |
3
|
| Critical Care (CCU, ICU)** |
3
|
| Emergency Medicine |
1
|
| Neurology |
1
|
| Night Float |
1
|
| Geriatric Medicine at JHU/Bayview |
1
|
| PGY-3 |
Rotations
|
| Electives+# |
4
|
| Inpatient General Medicine |
3
|
| Critical Care (CCU, ICU)** |
1.5
|
| Ambulatory Medicine/Ambulatory Subspecialties |
1.5
|
| Medical Consultation Service |
1
|
| Vacation (3 weeks)- professional development (1week) |
1
|
| Night Float |
1
|
On-call - One night in four on floors with Night Float system in place; one night in three during Critical Care Rotations.
+ Electives must be approved by the Program Director and chosen to meet ambulatory requirements and individual needs.
# 4.5 rotations or electives over the three years must be in ambulatory areas. No more than one elective month is allowed in Emergency Medicine.
** Critical Care Experience represents six months of the three year categorical residency as allowed by RRC.
++ Maybe adjusted to include requirements for PGY-2 year residency program.
The Program Director reserves the right to alter this schedule.