Curriculum
Our curriculum is organized in a “4+2” block scheduling format, which features alternating blocks of 4 weeks (predominately inpatient service blocks, night float, consult rotations, and electives) and 2 weeks (predominately continuity clinic, outpatient medical specialties, quality improvement, administrative time, and vacation).
4 Week Block
| Rotation Title | R1 (total weeks) | R2 (total weeks) | R3 (total weeks) |
|---|---|---|---|
| General Medicine Inpatient (Days) | 10 | 4 | 10-12 |
| General Medicine Inpatient (Nights) | 2 | 4 (2 weeks at a time x 2) | 0 |
| Critical Care Medicine | 4 | 4 | 4 |
| Inpatient Cardiology/CICU (Med C) | 4 | 4 | 0 |
| Inpatient Hem/Onc | 2 | 4 | 0 |
| Inpatient Nephrology Transplant | 2 | 0 | 0 |
| C-A-T Night Float (Cards/Hem-Onc/Nephro) | 2 | 0 | 4 (2 weeks at a time x 2) |
| Other (2-4 weeks) | Emergency Medicine Inpatient Geriatrics Consult Inpatient Neurology Consult |
Rural Medicine Rheumatology Inpatient Renal Consult Inpatient Infectious Diseases |
Inpatient Pulmonary Consult Inpatient GI Consult VA Medical Specialties |
| Electives | 2 | 6 | 8 |
2 Week Block
| Monday | Tuesday | Wednesday | Thursday | Friday | |
|---|---|---|---|---|---|
| 7:30-8:30 AM | Morning Report | Morning Report | Grand Rounds* | Morning Report | Board Review |
| Morning | Continuity Clinic | Specialty Clinic** | M&M Conference, Personal Practice Management Time, Quality Improvement |
Specialty Clinic**/Elective | Specialty Clinic**/Elective |
| Mid-Day | Pre-Clinic Conference | Pre-Clinic Conference | Intern Report Pre-Clinic Conference | ||
| Afternoon | Continuity Clinic | Specialty Clinic** | Continuity Clinic | Continuity Clinic | Academic Half-Day |
*Grand Rounds time is 8:00 AM - 9:00 AM
** Specialty Clinic Themes:
- R1 Year: Endocrinology, Nephrology, Neurology, Geriatrics, Sports Medicine, Women’s Health, Bramhall (MMC Urgent Care, MMC Dermatology Clinic, MMC International Clinic)
- R2 Year: Endocrinology, Pulmonology, Hematology, Infectious Diseases, Palliative Care, Bramhall (MMC Urgent Care, MMC Dermatology Clinic, MMC International Clinic)
- R3 Year: Cardiology, Oncology, Gastroenterology, Surgical Specialties, Bramhall (MMC Urgent Care, MMC Dermatology Clinic, MMC International Clinic)
Continuity Clinic: Resident continuity clinic locations include MMC (Bramhall Campus), Maine Medical Partners Westbrook Internal Medicine, and the Portland VA Clinic. Each resident has their own panel of patients as part of a larger three resident coverage team (one resident from each 4+2 “track”).
Vacations: 4 weeks per year which come out of the “+2 weeks”
Longitudinal Curriculum Weeks:
- R1 Year: Foundations of Patient Safety and Quality Improvement
- R2 Year: Evidence-Based Medicine
- R3 Year: Patient Safety: Root Cause Analysis/M&M