PGY-4

You will maintain your caseload of patients, seeing 90 adults and 90 pediatric patients throughout the year. You will continue to be the principal provider of continuity of care to your patients. 

There is a strong emphasis on preventive medicine which include initial and periodic health assessments, pre-employment and preparticipation physicals and preoperative clearances.

Faculty provide a decreasing level of supervision, consisting more of case presentation and discussion. Mini-experiences continue to take place during the ambulatory block rotation and may be tailored to suit your individual interests. 

You will continue meeting with your mentor on a regular basis. Extra opportunities to study and complete board review activities are given.

Your goals will focus on your future after residency, whether you will apply for a fellowship, become a hospitalist or primary care provider.

Our small program setting allows each faculty member to be hands-on in your education, helping you to improve on and reach the goals that you set for yourself.

You will attend monthly med-peds conferences, as well as any conferences required of internal medicine and/or pediatrics residents depending on which rotation you are on. These will include didactic sessions on core medical knowledge topics, case-based discussions, journal clubs and grand rounds.

Senior residents are often responsible for the supervision and teaching of junior residents and medical students. On inpatient rotations and units, you are sometimes assigned the supervisory resident role and become the team leader for that module.

Senior residents also present on one core knowledge topic per year at the med-peds monthly conference, such as jaundice, COPD or hyperlipidemia.