Education in the Department of Medicine
Internal Medicine Residency Program
The Internal Medicine Residency Program at Montefiore New Rochelle Hospital offers challenging opportunities and rewarding educational experiences in a supportive, close-knit suburban environment.
The rotation schedule details the duration of each experience at the R1, R2 and R3 levels. The following is a brief description of the various rotations:
- Inpatient Care: Organized into two teams - each composed of two R2s and four R1s, plus medical students. Each team is supervised by a full-time hospitalist attending who conducts daily patient care and teaching rounds. In addition, each team makes rounds with the Chief of Medicine weekly. Night call is handled by a night float team.
- Critical Care: A supervisory R3 and four R1s (plus students) work under the supervision of an intensivist/pulmonologist and cardiologist. The critical care unit provides advanced monitoring capability. The team also takes responsibility for less critically ill patients with respiratory failure in an intermediate care unit.
- Ambulatory Care: Ambulatory care has become an increasingly important aspect of medical education and practice. The Department of Medicine at Montefiore New Rochelle Hospital recognizes its importance for a complete medical education experience and has provided a diversified program with dedicated faculty to achieve this goal.
Our Ambulatory Care Center serves approximately 30,000 patients annually, providing a full spectrum of primary care, subspecialty and surgical services and, therefore, a full range of educational opportunities for our house staff. Resident physicians are given the opportunity to develop and refine their outpatient skills via their continuity clinics. Residents now rotate through Ambulatory Care every five weeks, where a broad-based interdisciplinary curriculum is presented. Diverse experiences may include preventive medicine, medical interviewing, psychiatry, adolescent, geriatrics, gynecology, ophthalmology, dermatology and podiatry.
- Emergency Medicine: The Department of Emergency Medicine—is supervised by attending physicians with experience in the practice and teaching of emergency medicine. The Emergency Department (ED) at Montefiore New Rochelle Hospital is among the busiest in Westchester, with a varied patient population, presenting a broad clinical experience. Residents have immediate and constant interaction with Emergency Department attending staff 24 hours a day, seven days a week. R1s spend up to two weeks in the Emergency Department, where they see a full range of patients with emergency problems. R3s also spend one month in the ED in a Patient care and supervisory role.
- Geriatrics: The Division of Geriatrics provides resident education in the full array of geriatric services offered at the medical center. Residents participate in care on the inpatient geriatric unit in structured nursing home experiences, in ambulatory settings and in a home visit program. One R1 works under the supervision of one R2 and the geriatric attending staff.
- Cardiology: A large staff of board-certified cardiologists provides supervision in the cardiac care unit and telemetry unit and in cardiology consultation. Montefiore New Rochelle Hospital maintains state-of-the-art non-invasive echocardiographic and nuclear facilities. It participates actively in numerous inter-institutional trials. R3 residents also spend 2 weeks at the Montefiore main campus on an Advanced Cardiology rotation including cath, EPS, LVAD, etc.
- Pulmonary: Several board-certified pulmonologists supervise the Intensive Care Unit (ICU), intermediate care area, pulmonary function laboratory and our sleep disorders center.
- Endocrine: The Division maintains a full array of services and provides education to residents. The medical center maintains a long-standing commitment to diabetes care and patient education, including our recognized Diabetes Education Center.
- Nephrology: In addition to the usual consultative educational experiences, residents have the opportunity to participate in the care of end-stage renal disease patients in the medical center's hemodialysis and peritoneal dialysis programs. A free-standing dialysis unit is part of the hospital campus.
- Gastroenterology: A large faculty of gastroenterologists participates actively in the training program. The full range of diagnostic and therapeutic gastrointestinal modalities is available including special expertise in liver diseases.
- Infectious Diseases: Three full-time infectious disease physicians are members of the core faculty who participate actively in resident education. We maintain a comprehensive ambulatory HIV center and Travel Medicine Clinic. We are a nationally recognized center of excellence in antimicrobial stewardship.
- Hospitalist: This rotation is a full-time service entirely dedicated to providing comprehensive, collaborative treatment to hospitalized individuals. With increasing interest in hospitalist medicine, second-year residents rotate on a one-to-one mentorship with a hospitalist to give increased focus to care measures, patient safety, effective consultative practices and high value care.
- Palliative Care: By the end of this one-month rotation, second-year residents will be able to make recommendations for pain and other symptom management in both inpatient and nursing home settings. They will be able to demonstrate proficiency in communication skills, including discussion of advance directives, patient/family goals/wishes and plan of care through participation in individual consultations and family meetings.
- Other subspecialty divisions: Neurology, Rheumatology, Hematology-Oncology and Psychiatry contribute to the educational experience through consultation, electives and the daily conference series.