Internal Medicine Residency Rotations & Schedule

Inpatient rotations

Teams consist of two interns, one resident, one attending (hospitalist or general internist).
At the start of the year, each intern is paired with one resident for 1:1 supervision to ensure a supportive transition to residency, a new institution, a new role and a new EMR.
6:00 am to 6:00 pm shifts
Census up to eight patients (hard cap)
Drip system, one admission per day per intern except on intern’s day off
Can sign out to long call team earlier than 6:00 pm
No overnight call, night float rotation present

This video highlights a day in the life of residents on the wards service.

Night float

Liver & Heme/Onc

Combined resident subspecialty services
Liver team consists of one intern, one resident, GI fellow, Heptaology attending
Hem/Onc team consists of one intern, one senior resident and oncology/hematology attendings

“Junior Hospitalist” Rotation

Special rotation done at the beginning of PGY2 year
PGY2 works one-to-one with a hospitalist attending for 3-4 weeks
Designed to consolidate clinical knowledge, develop managerial skills, and ultimately prepare residents to be able to oversee PGY1s on the Wards

This video highlights a day in the life of residents on the CCU/cardiology service.

Team consists of two interns, two residents, one PCCM fellow, one PCCM attending
Closed ICU unit (16 bed unit split between ICU and CCU teams)
No overnight call, night float rotation present
One PGY2/3 does a 24 hour call on Friday, with the weekend off

Lemuel Shattuck Hospital, a safety-net, public hospital in Boston, including a prison ward.

Four-week rotation for categorical interns
Team of four interns from different hospitals, one senior resident, one attending
Provide care to a vulnerable patient population – inmates, substance abuse, psychiatric patients

This video highlights a day in the life of residents on the MICU service.

General Internal Medicine Continuity Clinic, every fifth week:

Categorical residents only
Residents work with a designated group of preceptors in General Internal Medicine clinic every fifth week
One session is in a subspecialty clinic of choice for PGY2 residents to allow for career exploration
Monday is designated as a WIN (What I Need) day off
Tuesday and Friday are full day clinics
Wednesday is a half day afternoon clinic. Residents can use the morning for research, scholarship, etc.
Thursday is a full educational day. Mornings are dedicated to GIM teaching and quality improvement overseen by an associate program director.
A comprehensive Evidence Based Medicine lecture is conducted mid-day, taught by Dr. Sheri Keitz, our Chair of Medicine
Simulation covering a variety of medical scenarios and procedures is conducted in the afternoon

Ambulatory Subspecialties

Electives

Wide variety of inpatient rotations available to rotate through including traditional medical subspecialties as well as non-medical subspecialties such as Radiology, Blood Bank, Dermatology, etc.
Away electives can be arranged, including international electives with a recognized organization that does overseas work. Past residents have traveled to locations such as Jordan and Bolivia.

Elective Jeopardy

Emergency Medicine

Four weeks for prelim interns
Two weeks/year for categorical (PGY2/PGY3) residents
Lahey is a level-one trauma center with a busy and newly renovated emergency department which means that our residents get exposed to a wide variety of medical, surgical, and neurologic emergencies and pathology.

Geriatrics

Neurology

2 week rotation split between outpatient clinic and inpatient consults.
Work directly with various attendings who specialize in different fields like movement disorder, epilepsy, and stroke.