Internal Medicine Pediatrics Residency

Curriculum

“Internship” level rotations are scheduled for the first 4 trimesters of the residency, of which 12 are PGY1-level rotations and 4 are “PGY-neutral” rotations.

Breadcrumb

Curriculum

“Internship” level rotations are scheduled for the first 4 trimesters of the residency, of which 12 are PGY1-level rotations and 4 are “PGY-neutral” rotations.

Our alternating 4-month trimester-based schedule assures seasonal variation in exposure to both Internal Medicine and Pediatrics. At least one half of the total experience is in ambulatory care, as required by the Boards of Internal Medicine and Pediatrics.

“Internship” level rotations are scheduled for the first 4 trimesters of the residency, of which 12 are PGY1-level rotations and 4 are “PGY-neutral” rotations. As such, some PGY1-level experiences extend into the PGY2 year; this allows for more elective and ambulatory time in the PGY1 year and for residents to complete 3 inpatient ward rotations in Internal Medicine and Pediatrics before taking on senior roles.

Rotations are generally grouped as Internal Medicine and Pediatrics experiences over 4 months with 2 exceptions:

  • The initial PGY1 trimester in which PGY1s complete 2 months and shift (an adjustment requested by our residents to avoid feeling “behind” their categorical peers when a first categorical ward experience occurs);
  • The initial PGY2 trimester (again, requested by our residents so they are <2 months away from their most recent Internal Medicine or Pediatrics experience when they start their senior resident roles.)

Our categorical programs transitioned to an X+Y schedule format in July 2024 (Pediatrics) and July 2026 (Internal Medicine).

All residents participate in the ambulatory curriculum at the Medicine-Pediatrics Primary Care Center (MPPCC), which has several features:

  • Program-wide teaching sessions on ambulatory topics at Med-Peds Forum, presented by both residents and core faculty.
  • Focused didactic teaching sessions (core faculty member with 1-3 residents) for residents on Y-block within the X+Y schedule.
  • Online didactic modules through the Johns Hopkins’ Physician Education & Assessment Center (PEAC).
  • Ambulatory-focused quality improvement project starting in the PGY2 year.

Med-Peds Forum is a conference series conducted by the residency program in which literature and topics relevant to the practice of both specialties are discussed and integrated. Residents and faculty jointly contribute to the topic presentation and discussion for each session. The format reflects a respect for the role of residents as faculty colleagues, and allows the content to adapt to current interests and educational needs. The series allows for weekly meetings of residents, faculty, and other interested colleagues for formal and informal interactions and learning. 

Med-Peds residents attend conferences conducted within each department depending upon the specialty in which they are rotating for that particular trimester. Med-Peds specific conferences, which are held throughout the year, consist of Med-Peds Forum held weekly and a Med-Peds Program Meeting held quarterly.

  • Pediatrics: weekly academic half-day, inpatient case conference, and grand rounds; monthly M&M
  • Internal Medicine: weekly academic half-day and grand rounds; monthly M&M

Med-Peds residents also participate in the retreats and individual program curriculum committees within the Departments of Medicine and Pediatrics. Med-Peds residents are fully integrated into each of these departments and are regarded as peers with their categorical colleagues with respect to education, responsibility, program feedback, and participation.

Our residents have been an integral part in the planning and development process of all of the elements of our program and we take pride in their resulting sense of ownership and achievements.