Curriculum

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Vidant Medical CenterBrody School of Medicine
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Curriculum

Our residencies work on a schedule of 13 blocks each year of training. The Med/Peds residency program is made up of 26 pediatric rotations and 26 internal medicine rotations. You will rotate between the two specialties at the end of blocks 4 and 9.

Internship is 16 blocks, eight blocks on both pediatrics and internal medicine. Your intern rotations are as follows:

Pediatric Intern Requirements
  • Peds Wards – 3 (1 as Peds HO Ward Intern)
  • NICU – 2
  • Ambulatory Pediatrics – 2
  • Newborn Nursery – 1
IM Intern Requirements
  • IM Wards – 4 (Up to 1 as nightfloat, may do 1 or 2 on a subspecialty ward team)
  • MICU – 1
  • Cardiology – 1
  • IM Ambulatory – 1
  • Elective - 1

All Med/Peds residents will participate in Directors Month as their first senior resident rotation in their second year. This rotation is done with the IM residency PGY2 residents but counts as either a pediatric or medicine elective.

The rest of your residency will be made up of rotations as a senior resident in pediatrics and as a senior resident in internal medicine. The complete curriculum including intern rotations is as follows.

Pediatric Requirements
  • Peds Wards – 6 (1 as Peds HO Ward Intern)
  • NICU – 3
  • PICU – 1
  • Newborn Nursery – 1
  • Ambulatory Peds – 5
  • Peds ED – 1
  • Beh/Dev Peds – 1
  • Adolescent Medicine – 1
  • Elective – 6 (4 required to be in core specialties)*
  • Ambulatory Med/Peds - 1
IM Requirements
  • IM Wards – 8 (Up to 2 as nightfloat, may do SS wards each once)
  • MICU – 2
  • Cardiology – 2
  • IM Ambulatory – 2
  • Geriatrics – 1
  • ED – 1
  • GIM Consults – 1
  • Elective – 8 (4 required to be in core specialties)*
  • Ambulatory Med/Peds - 1

*One elective will be used by Directors Month

Medicine ward rotations may be on the general medicine services, one of the sub-specialty ward teams or may be done as a night float resident. Med/Peds residents can do up to two out of their eight months of medicine wards as night float.

Below is an example of how your rotations may be arranged. This is a guide, and for some residents the order of the rotations will vary from what is seen. Note the key at the bottom for important information on rotations where vacation is allowed.

BLOCK YEAR 1 YEAR 2 YEAR 3 YEAR 4
1 PEDIATRIC WARD GENERAL MEDICINE WARD AMBULATORY MED/ PEDS@* MEDICINE SPECIALTY WARD/ NIGHT FLOAT
2 AMBULATORY PEDIATRICS* MEDICINE ELECTIVE* PEDIATRIC WARD GERIATRICS
3 NICU MEDICINE SPECIALTY WARD# AMBULATORY PEDIATRICS CARDIOLOGY/ CICU
4 PEDS HEM/ ONC DIRECTORS MONTH* PEDIATRIC ELECTIVE* MEDICINE ELECTIVE*
5 GENERAL MEDICINE WARD PEDIATRIC ELECTIVE* MEDICINE ELECTIVE* PEDIATRIC WARD
6 AMBULATORY MEDICINE* PICU GENERAL MEDICINE WARD AMBULATORY PEDIATRICS
7 CARDIOLOGY/ CICU DEVELOPMENTAL PEDIATRICS* MICU PEDIATRIC ELECTIVE*
8 MEDICINE SPECIALTY WARD/ NIGHT FLOAT PEDIATRIC WARD MEDICINE ELECTIVE* PEDIATRIC ELECTIVE*
9 MICU AMBULATORY PEDIATRICS GENERAL INTERNAL MEDICINE CONSULTS PEDS ED
10 NEWBORN NURSERY EMERGENCY MEDICINE PEDIATRIC ELECTIVE* AMBULATORY MEDICINE*
11 AMBULATORY PEDIATRICS* MEDICINE SPECIALTY WARD ADOLESCENT* AMBULATORY MED/ PEDS@*
12 PEDIATRIC WARDS MEDICINE ELECTIVE* PEDIATRIC ELECTIVE* GENERAL MEDICINE WARD
13 NICU MEDICINE ELECTIVE* NICU MEDICINE ELECTIVE*

Grey Shaded – Peds Rotation; # - Last Intern Rotation; @ - Med/Peds Rotation; * - Vacation Allowed

The curriculum for your training meets all of the requirements for Med/Peds training as set out by the ACGME, and by the Internal Medicine and Pediatric Boards. You may notice that you are allowed some months listed as electives. These are the months that you can use to pursue your interests or goals. I encourage you to plan early if you want to try to pursue a unique experience during your elective time, and to let me help you in finding the experiences and rotations you want if they are not readily available.

Away rotations are allowed. Each resident may only participate in one away rotation per year. Med/Peds residents may only be away once for every 12 months on an individual specialty. In other words you may do up to two away rotations on pediatrics (one of which is taken up by Pediatric ED at Wake Hospital in Raleigh), and two on internal medicine. Away rotations are subject to approval by the Med/Peds program director and the categorical program director, as well as to approval by the Graduate Medical Education Office.


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