Skip Navigation Links

Internal Medicine Curriculum

The main portion of training for Baylor University Medical Center at Dallas’ Internal Medicine residents is received at Baylor University Medical Center. The broad patient spectrum at Baylor University Medical Center allows Internal Medicine residents to treat routine and unusual health care issues on a regular basis.

 

Post-Graduate Year-1 (PGY-1)

  • Seven months' general medicine inpatient training
  • Two months CCU/MICU
  • Two months of subspecialty rotations or electives

 

First-year residents receive three weeks of vacation.

 

Post-Graduate Year-2 (PGY-2)

  • Four months supervising general medicine inpatient training
  • Six to seven months of subspecialty rotations or electives
  • One month of outpatient internal medicine training
  • One month coronary care unit training and one month of MICU training available

 

Second-year residents receive three weeks of vacation and may attend an approved medical conference supported by a stipend. Residents are expected to attend the same series of conferences as the first-year residents, and supervising residents attend morning report.

 

Post-Graduate Year-3 (PGY-3)

  • Three months supervising general inpatient teams
  • Two months of Float (day/night)
  • Six to seven months of subspecialty rotations or electives
  • One month of outpatient internal medicine training

 

Third-year residents have three weeks of vacation and attend an approved medical conference supported by a stipend. Residents are expected to attend the same series of conferences as the first-year residents, and supervising residents attend morning report.

 

General Medicine Rotations

 

The inpatient general internal medicine service is staffed by five teams. Each team includes one supervising resident (PGY-2 or PGY-3), two first-year residents (PGY-1) and one or two junior medical students from Texas A&M Health Science Center College of Medicine. Teams take call every fifth day.  Call is from 7 a.m. to 8:30 p.m., at which time the Night Float team assumes care. Private call rooms are provided for each on-call resident and student. Each member of the team receives at least one 24-hour period off every seven days.

 

The internal medicine team responds to all cardiac arrest codes and assumes primary responsibility during resuscitation attempts. A code call team is assigned to respond from 7 a.m. to 3 p.m., Monday through Friday. The daily on-call team assumes responsibility after 3 p.m. on weekdays and all day on weekends.

 

Each PGY-1 resident is responsible for the care of five to 10 patients. They perform initial evaluations, design treatment plans, write all orders and act as each patient’s principal physician during the hospital stay. PGY-1 residents, under supervision of PGY-2 or PGY-3 residents and an attending physician, perform invasive procedures including:

  • Lumbar punctures
  • Thoracenteses
  • Paracenteses
  • Central line placements
  • Arterial cannulations
  • Bone marrow aspirations
  • Biopsies
  • Joint aspirations
  • Injections

 

A teaching attending physician is assigned to each general medicine inpatient service and rounds with the team. New admissions are presented, pertinent physical findings demonstrated, and differential diagnoses and treatment discussed. The teaching attending also functions as the medical attending physician for patients admitted from the outpatient clinical service. In addition, residents confer with the attending physicians of private patients on a daily basis.

 

ICU Rotation

  

Four PGY-1 residents and 1 PGY-2 resident comprise an ICU team on a formal one-month long ICU rotation. Residents will evaluate and formulate treatment plans for critically ill patients. They will participate in interdisciplinary rounds with teams consisting of an Intensivist, a Pulmonary/Critical Care fellow, four PGY-1 residents, 1 PGY-2 resident, social work, nurses, nutritionist and a pharmacist. Residents will gain extensive experience doing various procedures including central venous catheters, arterial lines, paracentesis and lumbar punctures. Residents will learn ventilator management, vasopressor usage and other medical care aspects unique to critically ill patients.

 

A unique aspect of the Baylor University Medical Center Internal Medicine residency is the open ICUs. PGY-1 residents and PGY-2 residents provide care for patients before, during and after an ICU stay. This benefits the resident by gaining additional ICU experience and patient continuity.

 

CCU Rotation

 

Each PGY-1 medicine resident has one one-month CCU rotation and one one-month MICU rotation. The CCU team includes two PGY-1 residents and one PGY-2 resident. The CCU rotation provides our residents with broad exposure to acute and chronic cardiac diseases. A cardiologist is assigned to the CCU rounds each day with the residents. Daily conferences cover the range of cardiology topics. When patients transfer from the CCU to a step-down facility or private room, the CCU interns continue to provide follow-up care to these patients. Day call during the CCU rotation is taken every third day.

 

All residents receive at least one 24-hour period of time off each seven days.

 

Emergency Rotation

 

During the one-month emergency room rotation, PGY2 residents care for a wide variety of emergency cases. General internal medicine, trauma, pediatric and obstetrics/gynecology patients are evaluated, treated and triaged. Board-certified emergency room physicians supervise, educate and guide the trainees.

 

Ambulatory Continuity Clinic

 

Each categorical resident is assigned to a Baylor Scott & White Health outpatient clinic for one-half day each week. Residents are the primary health care providers for this group of patients. Residents are supervised by general internists who are always present in the clinic and consult with subspecialists who are always available on an as needed basis. Patients may be referred to Baylor Scott & White’s specialty clinics such as surgery or gynecology for specific problems. Categorical residents follow the same group of patients through three years of training to establish continuity of care and observe the evolution of patients and disease processes over time.

 

Outpatient Rotation

 

PGY-2 and PGY-3 residents spend one month per training year working with ambulatory patients at a large Internal Medicine practice with physicians on the medical staff at Baylor Dallas.

 

In addition, most subspecialties offer outpatient rotation options. Cardiology, gastroenterology, endocrinology, rheumatology, HIV, pulmonary, geriatrics and dermatology may be taken entirely as outpatient rotations. Other subspecialty rotations include large outpatient components.

 

Hospitalist and Primary Care Pathways are available for residents interested in pursuing their passion for general internal medicine.

 

Internal Medicine Conferences

Didactic sessions are a regularly scheduled component of each Internal Medicine resident at Baylor Dallas. Daily conferences integrate the theoretical, scientific and practical aspects of internal medicine. Discussions emphasize diagnosis and therapy, as well as the financial, social and ethical implications of medical decisions. Lunch is provided.

 

  • Attending Rounds
  • Internal Medicine Grand Rounds
  • Internal Medicine Subspecialty Conferences
  • Chief’s Conferences
  • Noon Conferences
  • Journal Club
  • Potpourri
  • Chart Conference
  • Radiology Conference
  • Morning Report
  • Morbidity and Mortality
  • CCU EKG/Angiography
  • Ambulatory Care Conference

 



Copyright © 2015 Baylor Scott & White Health All Rights Reserved.   |   3500 Gaston Avenue, Dallas, TX 75246-2017   |   1.800.9BAYLOR
Site Map   |   Privacy Terms & Patient Rights   |   Terms of Use