Internal Medicine Residency Program at Broward Health North

The second year of Internal Medicine residency builds on the foundational skills from PGY-1, with an increased emphasis on inpatient care and growing responsibility in clinical decision-making. It also offers more flexibility to explore subspecialty interests and refine career goals.

Training Highlights

• 18 weeks on the inpatient medicine wards, where residents take on a junior supervisory role, managing complex cases and mentoring interns
• 8 weeks of elective time, providing the opportunity to pursue subspecialty interests or individualized learning experiences
• 6 weeks in the Medical Intensive Care Unit (MICU) to further develop critical care expertise
• 10 weeks in the continuity clinic, ensuring ongoing experience in outpatient management and long-term patient care
• 2 weeks on a Neurology rotation, reinforcing neurologic assessment and management skills
• 2 weeks in the Emergency Department, offering exposure to acute care and triage in a fast-paced environment
• 2 weeks in Geriatrics, focusing on the unique needs and care of older adult patients

This year provides a well-balanced mix of inpatient and outpatient internal medicine, offering increased autonomy and opportunities for personalized career development.

The third year of Internal Medicine residency is centered on refining clinical expertise, enhancing leadership skills, and practicing with increased autonomy. Residents serve in senior roles, managing complex cases, supervising junior trainees, and customizing their training to align with their future goals.

Training Highlights

• 8 weeks on the inpatient medicine wards, serving in a senior supervisory role, overseeing patient care, and mentoring interns
• 18 weeks of elective time, offering significant flexibility to pursue subspecialty interests, research, or individualized learning experiences
• 4 weeks in the Medical Intensive Care Unit (MICU) to further hone critical care management and decision-making skills
• 10 weeks in a continuity clinic, providing consistent exposure to ambulatory care and chronic disease management
• 2 weeks on a Quality Improvement rotation, with hands-on exposure to Risk Management, Claims, Quality, and Infection Control
• 2 weeks in the Emergency Department, focusing on acute care delivery and rapid clinical assessment
• 2 weeks in Hospice, emphasizing compassionate care and symptom management for patients at the end of life
• 2 weeks in Addiction Medicine, offering experience in managing substance use disorders and associated comorbidities

This final year is designed to prepare residents for independent practice or fellowship, offering a combination of advanced clinical training, leadership development, and opportunities for tailored subspecialty exploration.

The inpatient ward rotation is a core component of internal medicine residency training at Broward Health North, offering residents essential experience in the direct care of hospitalized patients. This hands-on rotation builds the clinical foundation necessary to become a skilled and compassionate internal medicine physician.

Residents are exposed to a wide spectrum of illnesses, gaining experience in evaluating, diagnosing, and managing conditions commonly encountered in general internal medicine. Beyond the routine case mix, this rotation also offers unique exposure to complex medical and social issues, including:

• Substance use disorders
• Co-existing medical and psychiatric conditions
• Geriatric care
• HIV/AIDS
• Homelessness
• Immigrant and international health
• Health disparities and the impact of poverty on illness and care

Team Structure & Responsibilities:

The inpatient service emphasizes shared responsibility and collaboration between house staff and attending physicians:

• Interns are responsible for the full spectrum of patient care—from admission and initial assessment to daily management—while seeking guidance from residents and attendings as needed.
• Residents conduct initial assessments, develop differential diagnoses, write management plans, perform procedures, and coordinate care throughout the patient’s hospital stay.
• Attendings provide supervision, mentorship, and final oversight, ensuring patients receive high-quality care while fostering an optimal educational environment.

Residents will:

• Manage a panel of adolescent and adult patients across all stages of illness
• Care for a socioeconomically and culturally diverse patient population
• Collaborate daily with attendings to refine clinical judgment and decision-making
• Create and update problem lists, diagnostic plans, and therapeutic strategies

This rotation fosters clinical excellence and professionalism in a collegial, team-based environment, helping residents gain confidence and competence in managing complex inpatient cases.

The Intensive Care Unit (ICU) is a fast-paced, high-acuity environment that offers invaluable training in the care of critically ill patients—an essential component of internal medicine residency. Critical Care Medicine encompasses a broad spectrum of complex medical conditions and relies on a multidisciplinary approach to patient management.

At Broward Health North, the ICU rotation includes exposure to both Medical and Surgical ICUs, offering a well-rounded experience in managing critically ill patients across various specialties.

Key Features of the ICU Rotation:

• Daily morning multidisciplinary rounds with physicians, nurses, pharmacists, respiratory therapists, and other team members
• Dedicated ICU teaching sessions, providing structured learning alongside bedside experience
• Exposure to a wide range of complex pathologies, including:
  • General medical conditions
  • Neurological and neurosurgical issues
  • Cardiovascular emergencies
  • Post-operative and surgical complications

During this rotation, residents are responsible for:

• Performing comprehensive patient assessments
• Formulating differential diagnoses
• Creating and implementing diagnostic and therapeutic plans
• Ordering and interpreting diagnostic tests
• Participating in procedural training and critical care interventions

This rotation helps residents develop the clinical judgment, procedural skills, and team-based approach necessary for the effective management of critically ill patients, preparing them for both general and subspecialty internal medicine careers.

The Night Float rotation is a critical component of residency training, designed to ensure continuity of care during overnight hours while allowing daytime teams to comply with duty hour regulations. During this rotation, residents take on significant responsibility in evaluating and managing newly admitted patients.

Resident Responsibilities:

• Perform the initial assessment, physical examination, and complete the admission write-up and management plan
• Generate a differential diagnosis and formulate diagnostic and therapeutic plans in collaboration with the supervising team
• Place orders after discussion and approval from the supervising senior resident (PGY-2 or PGY-3) or attending physician
• Perform procedures as indicated and appropriate, under supervision when necessary

The Night Float team covers admissions to both the General Medicine and ICU services, providing broad exposure to a wide range of clinical presentations and acuity levels.

Supervision & Learning Environment:

• Night Float residents are closely supervised by a senior resident or attending physician
• Orders and management decisions are reviewed to ensure clinical appropriateness and safety
• The rotation fosters independent clinical thinking while ensuring adequate supervision and support

This experience strengthens residents’ ability to work independently, prioritize tasks efficiently, and manage acute issues during off-hours—key skills for success in internal medicine.

The Cardiology rotation provides residents with comprehensive exposure to the diagnosis and management of cardiovascular disease in both the inpatient and outpatient settings. This rotation focuses on developing a solid foundation in cardiac history-taking, physical examination, and the use of diagnostic and therapeutic tools in cardiovascular care.

Learning Objectives and Clinical Experience:

• Emphasis on detailed cardiovascular history and physical exam skills
• Development of differential diagnoses and evidence-based treatment plans
• Instruction in the appropriate use and interpretation of cardiovascular diagnostic tests
• Familiarity with cardiovascular medications, including indications, side effects, and drug interactions
• Clinical exposure to cardiac interventions and management of complications

Resident Responsibilities:

• Evaluate new patient admissions and consultations under close supervision
• Follow and manage assigned inpatient cases, coordinating care and participating in daily rounds
• See patients in the outpatient cardiology clinic, focusing on continuity and ambulatory cardiac care
• Participate in diagnostic testing, including:
  • Electrocardiograms (EKG)
  • Telemetry monitoring
  • Treadmill stress testing
  • Stress echocardiograms
  • Myocardial perfusion imaging

Procedural Exposure:

• Transesophageal echocardiography (TEE)
• Cardiac catheterization
• Percutaneous coronary interventions (PCI)

Rotation Goals: By the end of the rotation, residents are expected to:

• Demonstrate the ability to provide basic cardiovascular care aligned with current practice guidelines
• Understand the indications, risks, and limitations of cardiac diagnostic procedures
• Be proficient in managing common cardiovascular conditions and using cardiovascular medications appropriately
• Possess a strong grasp of cardiac physiology and apply it to clinical decision-making

The Dermatology rotation offers residents a valuable opportunity to develop clinical skills in diagnosing and managing a wide range of skin, hair, and nail conditions. This rotation is structured around one-on-one teaching with the attending physician, providing personalized instruction and direct feedback.

Clinical Experience:

• Residents will evaluate both new and follow-up patients
• After conducting the history and physical examination, residents present their findings to the attending physician
• Each case is followed by an in-depth discussion of the differential diagnosis, treatment options, and clinical decision-making

Educational Focus:

• Exposure to a variety of common and uncommon dermatologic conditions
• Emphasis on preventive care, including skin cancer screening and patient education
• Training in risk factor modification, behavioral counseling, and stress management as part of a holistic approach to dermatologic care
• Focus on cost-effective, value-based care, with attention to patient satisfaction and clinical outcomes

This rotation enhances residents’ ability to recognize and manage dermatologic presentations commonly encountered in internal medicine, while also reinforcing principles of patient-centered care and clinical efficiency.

During the Emergency Medicine rotation at Broward Health North, residents gain hands-on experience in the principles of emergency medical decision-making under the direct supervision of board-certified full-time Emergency Medicine (EM) faculty.

Residents are actively involved in the evaluation and management of both medical and surgical patients, including those presenting with critical and non-critical acute conditions. This diverse experience includes exposure to cases involving medical, surgical, orthopedic, gynecologic, ophthalmologic, and trauma-related complaints.

Key Learning Components:

• Direct supervision and support from EM attendings in real-time decision-making
• Development of skills in history taking, physical examination, and forming a broad differential diagnosis
• Exposure to a wide range of procedures, from suturing and wound care to managing patients using Advanced Cardiac Life Support (ACLS) protocols
• Time is allotted for Noon Conference from 12:00 PM to 1:00 PM

The focus is on mastering the fundamentals:

• Strengthening history-taking and physical exam skills
• Learning to triage and manage patient flow in a high-acuity environment
• Developing the ability to prioritize clinical concerns and deliver concise, focused presentations

This rotation offers a fast-paced, high-yield environment that is essential for building confidence and competence in acute care medicine.

During the Endocrinology rotation, residents spend 2 to 4 weeks working in both inpatient and outpatient settings, gaining valuable experience in evaluating and managing a wide range of endocrine disorders.

Clinical Experience:

• Residents function as consultants under the supervision of an attending endocrinologist
• They evaluate and manage patients referred for a variety of endocrine conditions in both hospital and clinic settings
• Emphasis is placed on developing the skills necessary for independent assessment, formulation of differential diagnoses, and creation of appropriate treatment plans

Educational Objectives:

• Develop a solid foundation in the diagnosis and management of common endocrine disorders, including:
  • Diabetes mellitus
  • Thyroid disease
  • Adrenal and pituitary disorders
  • Metabolic bone disease
  • Disorders of calcium and electrolyte balance
• Understand when a specialist referral is appropriate and how to collaborate effectively with endocrine consultants
• Learn to deliver care that is cost-effective and evidence-based
• Gain insights into the appropriate indications for endocrine testing and consultations

This rotation equips residents with the clinical knowledge and practical skills necessary to manage endocrine issues commonly encountered in general internal medicine, while also emphasizing high-value care and appropriate specialty utilization.

The Gastroenterology rotation offers residents essential clinical exposure to the diagnosis and management of digestive system disorders, both in the inpatient and outpatient settings. This rotation is designed to prepare residents to recognize and manage common and complex gastrointestinal conditions encountered in internal medicine.

Clinical Experience:

• Residents consult on hospitalized patients, including referrals from medical and surgical teams, under the supervision of gastroenterology attendings
• They are responsible for responding to consults in a timely and professional manner, maintaining knowledge of all patients on the service, and contributing to patient care planning from admission through discharge
• Residents may also supervise and teach senior medical students during the rotation

Ambulatory and Inpatient Learning:

• Residents rotate through both inpatient consult services and outpatient GI clinics, gaining exposure to a variety of gastrointestinal and hepatobiliary disorders
• Common topics include gastroesophageal reflux disease, peptic ulcer disease, liver disorders, inflammatory bowel disease, pancreatitis, and GI bleeding

Procedural Exposure:

• Participation in relevant bedside procedures such as paracentesis
• Observation of endoscopic procedures, including upper endoscopy and colonoscopy, with opportunities for hands-on involvement when appropriate

Educational Goals:

• Enhance understanding of GI pathophysiology, diagnostics, and therapeutic approaches
• Develop skills in the evaluation and triage of gastrointestinal complaints
• Learn cost-effective, evidence-based care in both acute and chronic GI conditions

This rotation provides a well-rounded experience in gastroenterology, equipping residents with the knowledge and clinical skills needed for managing digestive disorders in general internal medicine.

The Geriatrics rotation provides residents with essential training in the comprehensive care of older adults, with a focus on managing frail elderly patients who often present with complex, chronic medical conditions. The rotation includes outpatient and inpatient experiences and exposure to rehabilitation and long-term care settings.

Outpatient Geriatric Medicine:

• Focuses on the holistic care of elderly patients with multiple coexisting medical conditions
• Emphasizes key areas such as:
  • Functional status and mobility
  • Polypharmacy and medication reconciliation
  • Cognitive changes and altered mental status
  • Psychosocial concerns and caregiver support
  • Normal aging processes
• Residents learn how to integrate advanced medical technologies and interventions into care plans tailored to the unique needs of the aging population

Inpatient and Post-Acute Care:

• Residents participate in geriatric consults and admissions for hospitalized older adults
• Follow-up care is provided in rehabilitation centers, skilled nursing facilities, and long-term care settings
• The rotation includes interdisciplinary collaboration and discharge planning to ensure safe transitions of care

Educational Focus:

• Training aligns with evidence-based guidelines from the American Geriatrics Society (AGS), American College of Physicians (ACP), and the Society of General Internal Medicine (SGIM)
• Emphasis is placed on patient-centered care, shared decision-making, and understanding the goals of care in older adults
• Residents learn to perform comprehensive geriatric assessments and manage the complex interplay of physical, cognitive, and social factors in elderly patients

This rotation equips residents with the skills and knowledge necessary to deliver compassionate, high-quality care to the growing population of older adults in both primary and consultative roles.

The Gynecology rotation provides residents essential exposure to women’s health issues commonly encountered in primary care and internal medicine practice. This rotation focuses on building competence in evaluating, diagnosing, and managing a broad spectrum of gynecologic conditions.

Clinical Experience:

• Residents will observe and participate in the care of patients in both the outpatient clinic and procedural settings
• Emphasis is placed on conditions that internists frequently encounter in general practice

Topics Covered Include:

• Fertility concerns and menstrual irregularities such as amenorrhea
• Hirsutism and evaluation of possible hormonal disorders
• Vaginal bleeding, both acute and chronic
• Urinary tract infections (UTIs) and urinary incontinence
• Evaluation of abnormal Papanicolaou (PAP) smears
• Preventive health screenings and women’s wellness exams
• Contraceptive counseling and management
• Interpretation and follow-up of abnormal mammograms

Educational Goals:

• Enhance resident comfort and competence in addressing women’s reproductive and preventive health
• Strengthen knowledge of when to refer to gynecology specialists
• Promote evidence-based, patient-centered care in women's health

This rotation ensures residents are well-prepared to manage gynecologic issues in the context of primary care, supporting the delivery of comprehensive internal medicine.

The Hematology/Oncology rotation provides residents with comprehensive training in both inpatient and outpatient settings, focusing on the diagnosis, treatment, and follow-up care of patients with hematologic and oncologic conditions.

Clinical Experience:

• Residents will manage new consultations and follow-up care for hospitalized patients, with close supervision from attending physicians
• In the outpatient clinic, residents will see both new and follow-up patients, gaining experience in the ongoing management of patients with hematologic and oncologic disorders

Educational Opportunities:

• Residents are encouraged to spend time in the chemotherapy unit, observing patients undergoing chemotherapy treatments and learning about treatment protocols
• Visits to the radiation facility will provide valuable exposure to radiation oncology, enhancing understanding of multidisciplinary cancer care

Key Learning Goals:

• Understand the complexities of cancer diagnosis and treatment, including chemotherapy, radiation therapy, and supportive care
• Develop competence in managing hematologic disorders such as anemia, leukemia, and clotting disorders
• Gain exposure to multimodal treatment approaches and the integration of chemotherapy, radiation therapy, and palliative care in patient management

This rotation prepares residents to manage patients with complex hematologic and oncologic conditions and enhances their ability to work in multidisciplinary teams to provide comprehensive cancer care.

The Infectious Diseases rotation offers residents comprehensive training in both inpatient and ambulatory settings, equipping them with the knowledge and skills necessary to evaluate and treat a broad range of infectious diseases.

Clinical Experience:

• Residents will manage common and uncommon infectious diseases frequently encountered in the practice of internal medicine, focusing on accurate diagnosis, treatment plans, and management strategies
• Emphasis will be placed on diseases unique to our region, including tropical and subtropical infections, HIV, and travel medicine
• The rotation includes significant exposure to the management of infectious diseases in the hospital and intensive care unit (ICU) settings, enhancing residents' ability to handle complex and critical cases

Key Learning Goals:

• Develop expertise in diagnosing and managing a wide variety of infectious diseases in diverse patient populations
• Gain familiarity with tropical, subtropical, and travel-related infections that may be more prevalent in our region
• Learn the antimicrobial stewardship approach to ensure appropriate use of antibiotics and minimize resistance
• Acquire skills in managing patients with HIV and other chronic infectious conditions, focusing on long-term care and follow-up

This rotation prepares residents to manage complex infectious diseases, integrate evidence-based treatment protocols, and work effectively in multidisciplinary teams to provide comprehensive care for patients with infectious illnesses.

The Nephrology rotation provides residents with both consultative and inpatient experiences, as well as outpatient care, focusing on the evaluation, diagnosis, and management of patients with various kidney disorders.

Clinical Experience:

• Residents will manage patients with a broad range of kidney diseases, gaining hands-on experience in both common and complex cases
• Emphasis is placed on the treatment of conditions such as hypertension, electrolyte imbalances, acute renal failure, chronic renal failure, and acid-base abnormalities
• Residents will develop competence in managing renal-related conditions typically handled by general internists, and gain a solid understanding of when to refer to nephrologists or initiate dialysis

Key Learning Goals:

• Acquire in-depth knowledge of renal pathophysiology, including the mechanisms behind renal failure and other kidney diseases
• Learn to evaluate and manage hypertension and electrolyte disturbances in the context of kidney dysfunction
• Gain experience with dialysis initiation and understand the indications for renal replacement therapy
• Develop proficiency in diagnosing chronic kidney disease (CKD) and managing patients at various stages, from early diagnosis to advanced kidney failure

This rotation ensures that residents are well-prepared to manage patients with renal conditions, from acute renal failure to chronic kidney disease, and equips them with the skills to provide comprehensive care in both hospital and outpatient settings.

The Neurology rotation offers residents both inpatient and outpatient experiences, providing exposure to a wide range of neurological conditions under the supervision of a Neurology attending.

Clinical Experience:

• Residents will be exposed to acute neurological disorders encountered in the Emergency Department (ED), Intensive Care Units (ICU), and Neurointerventional radiology settings
• Opportunities will be provided to assess patients with various neurological symptoms and illnesses, including both new and pre-existing neurological conditions seen in the outpatient clinic
• The rotation involves participation in staff rounds, where residents will review neuroimaging studies and discuss diagnostic and management approaches
• Residents will also actively participate in the stroke alert process, gaining experience in the rapid evaluation and management of acute stroke patients

Key Learning Goals:

• Gain familiarity with neurological emergencies, including acute strokes, seizures, and other critical neurological conditions
• Learn to interpret neuroimaging (e.g., CT, MRI) and use imaging to guide diagnosis and treatment planning
• Develop skills in the neurological exam, identifying key findings in both acute and chronic neurological disorders
• Understand the multidisciplinary approach to stroke care, including the role of neurointerventional techniques in acute stroke management

This rotation provides valuable exposure to a broad spectrum of neurological conditions, from acute to chronic cases, and equips residents with the skills to assess and manage neurological emergencies effectively.

The Palliative Care rotation offers inpatient and outpatient experiences, helping residents transition from didactic learning to integrated clinical evaluation, decision-making, and patient management. This rotation focuses on providing comprehensive care to patients with serious, life-limiting illnesses while honing skills in communication, problem-solving, and medical record-keeping.

Clinical Experience:

• Residents will manage patients with advanced, life-limiting diseases, focusing on symptom management, quality of life, and end-of-life care
• The rotation includes exposure to both inpatient and outpatient settings, offering diverse experiences in managing complex cases and coordinating care across various settings
• Residents will develop proficiency in clinical problem-solving, decision-making, and interdisciplinary collaboration in the care of palliative patients
• Emphasis will be placed on enhancing communication skills, particularly in discussing sensitive topics such as prognosis, goals of care, and advance directives with patients and families

Key Learning Goals:

• Strengthen skills in symptom management for conditions like pain, nausea, shortness of breath, and other distressing symptoms
• Develop competence in advanced care planning, including the use of advance directives and do-not-resuscitate (DNR) orders
• Improve the ability to conduct difficult conversations regarding end-of-life care, establishing trust and fostering shared decision-making with patients and their families
• Enhance abilities in self-reflection and independent learning, promoting continual improvement in clinical practice

This rotation is designed to prepare residents for the unique challenges of palliative care, focusing on providing compassionate care while improving communication and clinical decision-making skills.

The Physical Medicine and Rehabilitation (PM&R) rotation offers a balanced experience, with 50% inpatient and 50% outpatient exposure, under the guidance of the PM&R division. Residents will participate in inpatient consultations and spend time in the outpatient setting, working closely with a Physiatrist to gain hands-on experience in rehabilitation medicine.

Clinical Experience:

• Residents will be introduced to the indications for inpatient and outpatient PM&R services, learning to assess when physical medicine and rehabilitation therapies are appropriate, as well as understanding the contraindications for their use
• The rotation will cover a wide range of conditions, including musculoskeletal disorders, neurological impairments, and spinal cord injuries, among others, with an emphasis on improving functional capacity and quality of life for patients
• Residents will observe and participate in the management of patients who are recovering from surgery, trauma, and other disabling conditions, in both hospital and outpatient settings

Key Learning Goals:

• Develop a solid understanding of the role of Physical Medicine and Rehabilitation in both acute and chronic care settings
• Gain competence in formulating rehabilitation plans that address functional impairments, including physical therapy, occupational therapy, and other rehabilitation strategies
• Learn to recognize when rehabilitation interventions are appropriate and develop an understanding of contraindications and limitations of therapy
• Build strong clinical decision-making skills in collaboration with a Physiatrist and the rehabilitation team

This rotation aims to provide residents with a comprehensive understanding of rehabilitation medicine, equipping them to effectively manage patients with functional impairments and disabilities in both the inpatient and outpatient environments.

The Psychiatry rotation offers both inpatient and outpatient experiences, with a focus on a one-on-one mentoring relationship between the resident and an attending Psychiatrist. The resident will receive guidance on clinical reasoning, the appropriateness of diagnostic testing, and the review of patient histories to develop their psychiatric assessment skills.

Clinical Experience:

• Residents will be exposed to a wide variety of psychiatric conditions commonly seen in both hospital and outpatient settings
• Pathologies include anxiety disorders, depression, dysthymia, adjustment disorders, personality disorders, schizophrenia, bipolar disorder, and more
• Residents will participate in family counseling, learning to assess when it is indicated and how to approach it effectively
• Residents will become familiar with psychiatric diagnostic modalities and develop competence in conducting psychiatric interviews, formulating diagnoses, and planning treatment strategies

Key Learning Goals:

• Gain a comprehensive understanding of common psychiatric disorders and their treatments
• Develop skills in mental health assessments, including interviewing patients, recognizing symptoms, and establishing diagnostic criteria
• Learn about psychiatric pharmacology, including the appropriate use of medications and their potential side effects
• Improve skills in patient communication, especially in sensitive and emotionally challenging contexts
• Understand when and how to involve family counseling in patient care

This rotation will provide valuable insights into the diagnosis and management of psychiatric conditions, fostering strong skills in psychological assessment and treatment planning.

The Pulmonary and Sleep Medicine rotation offers a balanced experience with 50% inpatient and 50% outpatient exposure under the guidance of the Pulmonary Division. This rotation is designed to foster a quality teaching relationship with a Pulmonary Consultant, allowing residents to see both inpatient consultations and spend time in the outpatient setting.

Clinical Experience:

• Residents will gain experience in inpatient consultations and outpatient care of patients with a variety of pulmonary conditions
• The rotation will focus on diagnosing and managing common pulmonary problems encountered by Internists, including cough, dyspnea, COPD, bronchial asthma, interstitial lung disease, lung cancer, and sleep disorders
• Residents will have the opportunity to interpret Pulmonary Function Tests and participate in essential procedures such as thoracentesis, chest x-ray readings, and understanding CT chest imaging and bronchoscopy

Key Learning Goals:

• Develop proficiency in diagnosing and managing common pulmonary conditions seen in the general internist setting
• Gain hands-on experience in performing and interpreting Pulmonary Function Tests and other diagnostic tools like chest x-rays and CT chest imaging
• Learn to perform thoracentesis and observe bronchoscopy to gain insight into more advanced diagnostic procedures
• Understand the basics of managing sleep disorders, such as sleep apnea, and become familiar with the fundamentals of sleep medicine
• Enhance skills in patient communication and develop a deeper understanding of the multidisciplinary approach required in pulmonary and sleep medicine

This rotation provides an invaluable opportunity to gain clinical expertise in diagnosing and managing a wide range of pulmonary conditions, equipping residents with essential skills for both acute and chronic care in the internist setting.

The Rheumatology rotation is primarily outpatient and focuses on providing residents with a comprehensive understanding of various rheumatological conditions commonly encountered in internal medicine practice.

Clinical Experience:

• The rotation covers a wide range of disease processes, including:
  • Crystalline arthropathies
  • Degenerative joint disease
  • Rheumatoid arthritis
  • Occupational and sports-related overuse syndromes
  • Regional pain syndromes
  • Fibromyalgia
  • Septic arthropathies
  • Reactive arthropathies
  • Vasculitis
  • Myositis
  • Scleroderma

Key Learning Goals:

• Diagnose and treat rheumatological conditions, with emphasis on conditions commonly seen in internal medicine
• Gain experience in managing complex rheumatological diseases, including understanding their diagnostic workups and treatment plans
• Develop competence in recognizing and managing crystalline arthropathies, autoimmune disorders, and inflammatory joint diseases
• Understand patient management in both acute and chronic rheumatologic diseases and their implications on quality of life
• Familiarize residents with multidisciplinary approaches to managing conditions such as systemic lupus erythematosus (SLE), vasculitis, and scleroderma

By the end of the rotation, residents will have a strong foundation in the diagnosis, treatment, and management of a wide array of rheumatological disorders, preparing them to effectively incorporate these practices into their future careers.