Program Overview

Mission

Program Mission
It is our mission to train superior clinicians with the broad skills and knowledge necessary to be successful physicians, physician scientists and educators in the rapidly changing field of 21st century medicine. Dedicated to compassionate patient-centered care, evidence based practice and life-long learning; our innovative curriculum is designed to provide our residents with an individualized educational experience to achieve their personal and professional career goals.
 

Broad Exposure And Extensive One-On-One Instruction
With rotations at the Penn State, Milton S. Hershey Medical Center, the Lebanon Veterans Affairs Medical Center and Lancaster General Hospital our residents benefit from the hands on teaching from our dedicated faculty both in general internal medicine a well as the highly specialized subspecialty services. Our unique location as the only University Hospital in the heart of Pennsylvania gives our residents exposure to a complex case mix, while the size of our program allows for close, direct faculty interaction and ample opportunity to develop rewarding mentoring relationships.

Residents will receive ongoing multi-source evaluations and appropriate feedback throughout their residency training. Faculty are strongly encouraged to provide constructive feedback to resident physicians during and at the end of each rotation. The program directors meet with each resident individually at least twice yearly to review evaluations and progress. The program director and associate directors meet with all residents as a group at least monthly to discuss issues of mutual interest and concern.

Initiated in the 2013-2014 academic year, the Jeffries Educational Mentor and Scholar (JEMS) Program (see curricular highlights)  – named in honor of the first Chair in our Department of Medicine, Dr. Graham Jeffries – was developed to support and enhance the selection and professional development of Internal Medicine Residents through the creation of a dedicated group of faculty with advanced skills in medical education and mentorship. We believe this fosters a challenging and rewarding environment of learning, reflection and continuous personal, professional and institutional development.

Systems That Work
With input from core faculty and residents we have successfully implemented a ‘6+2' Block Structure, with residents alternating between 6-weeks of inpatient service and 2-weeks of ambulatory blocks.  This gives our residents the opportunity to truly focus on their respective rotations while maintaining continuity of care in the residents' continuity clinics. Additionally, the ‘6+2' Block Structure provides the framework and flexibility to integrate individualized curriculum into training and allows us to optimize resident focused education opportunities including Academic Half-Day, Morbidity & Mortality conference, Journal Club, and High-Yield Board Review sessions. 


During the ambulatory blocks (see curriculum) internal medicine resident physicians will develop a panel of patients that is representative of a general internal medicine practice and follow their patients for the duration of their residency, as a true primary provider. Those resident physicians interested in primary care internal medicine may use elective time in the second and third years to focus and refine their primary care skills and fund of knowledge with additional clinic time spend with a dedicated primary care faculty mentor.
Resident physicians complete their inpatient training on one of four General Internal Medicine teaching services, as well as our various subspecialty and ICU services.  These rotations are resident driven and allow our trainees to function as the primary inpatient provider.  In addition to their time as the primary providers, our resident physicians will have the opportunity to rotate through our subspecialty services in a consultative role providing a well-rounded experience in internal medicine and the various subspecialty services.
 

Available inpatient services include:
• Acute Cardiology
• Advanced Heart Failure
• Pulmonary Medicine/Cystic Fibrosis
• Medical Intensive Care
• Hematology
• Oncology
• Hepatology
• Palliative and Hospice Medicine
• Medicine Consults