MED-PEDS PROGRAM CURRICULUM
1st Year
Internal Medicine
MTS Wards
MTS Nights
Ambulatory Cardiology
Adult ER or Geriatrics
PTS
Med Clinic
4 weeks
4 weeks
4 weeks
4 weeks
4 weeks
4 weeks
Pediatrics
Hem/Onc
Peds Wards
Newborn Nursery
NICU
Peds Clinic
Pediatric ER
4 weeks
8 weeks
4 weeks
4 weeks
4 weeks
4 weeks (1st or 2nd year)
Pediatrics
Peds Wards
PICU
Dev/Beh or Adol
Peds Elective (from list)
Peds Wards Nights
Peds Clinic
Peds ER
8 weeks
4 weeks
4 weeks
4 weeks
2 weeks
2 weeks
4 weeks (if not done 1st year)
Pediatrics
Peds Wards
Peds Clinic
Peds Elective (from list)
Dev/Beh or Adol
PICU Nights
Peds Sx
Individual Curriculum
NICU
4 weeks
4 weeks
4 weeks
4 weeks
2 weeks
2 weeks
4 weeks
4 weeks
Pediatrics
Peds Clinic Chief
Pediatric ER
Individual Curriculum
Peds Elective (from list)
4 weeks
4 weeks
4 weeks
12 weeks
2nd Year
Internal Medicine
MTS Wards
Critical Care
Infectious Disease
Adult ER or Geriatrics
Derm or OP Elective
Medicine Elective
8 weeks
4 weeks
4 weeks
4 weeks
4 weeks
4 weeks
3rd Year
Internal Medicine
MTS Wards
GI or Rheum
CTS or CC
Ambulatory Elective
PTS
8 weeks
4 weeks
4 weeks
4 weeks
4 weeks
4th Year
Internal Medicine
MP Hospitalist
CC (CTS if not PGY3)
Nephrology
Medicine Elective
Endocrinology
Med Clinic
Medicine Elective
4 weeks
4 weeks
4 weeks
4 weeks
4 weeks
4 weeks
4 weeks
**Individualized Curriculum can include an elective that aligns with your chosen career path or one of the MP
rotations that other MP residents have created or create your own. Program Director must approve this.
**Internal Medicine Electives include: Adult A/I, Adult Hem/Onc, Private Office, Adult Neuro, Procedures,
Sports Med, or can repeat Adult Nephro, Endo, ID, GI, Rheum, PDA, Derm.
**Per ACGME, Pediatric Electives MUST come from the following: Peds A/I, Peds Cards, Peds Endo, Peds
Hem/Onc, Peds Nephro, Peds ID, Peds GI, Genetics, Child Abuse, Peds Wards (4th year elective).
Med-Peds ACGME Rotation Requirements
Below are the ACGME requirements for Med-Peds residents as of 7/1/2014 and the number of weeks of each
that must be met to graduate. Obviously, some of these, such as supervisory roles & direct patient care,
overlap and are met during scheduled rotations.
Pediatrics Requirements:
PICU
NICU
NBN
Wards
Adolescent
Dev/Beh
Peds Clinic
Peds ER
Individualized Curriculum
Peds Electives
Supervisory Role
4 weeks
8 weeks
4 weeks
20 weeks
4 weeks
4 weeks
8 weeks
8 weeks (160 hours per rotation)
8 weeks
16 weeks (must be from list above)
16 weeks (must be in a role of supervising resident)
Internal Medicine Requirements:
Critical Care
Wards
Ambulatory
Geriatrics
Subspecialty
Direct Patient Care
Upper Level Supervisor
8 weeks
24 weeks
28 weeks (Med Clinic, Rheum, Endo, Outpatient Cards, PDA
4 weeks
12 weeks (can in-patient or out-patient, must have significant Cards)
72 weeks (direct patient care or supervising junior residents)
24 weeks (supervising more junior residents)
GHS Med-Peds Program Requirements
Pediatrics:
Peds Clinic Chief
PICU Nights/Surgical Subspecialty
Wards Nights/Peds Clinic
PHO
4 weeks
4 weeks (2 weeks of each PGY-3)
4 weeks (2 weeks of each PGY-2)
4 weeks
Internal Medicine:
Dermatology
PTS
CTS
GI/Rheum
ID
Endo
Nephro
4 weeks
8 weeks
4 weeks
4 weeks (can be 4 weeks of 1 or 2 weeks each of both)
4 weeks
4 weeks
4 weeks
Med-Peds:
Med-Peds Hospitalist
4 weeks
Med-Peds ACGME Continuity Clinic & Patient Requirements
Continuity Clinics
Weekly continuity clinics will begin in PGY-1 and will continue through PGY-4. Residents must have a
minimum of 36 half-day sessions per year. At GHS that will primarily consist of an entire day each week of both
Internal Medicine and Pediatrics clinics for a half day each. On some rotations, only a half day per week is
allowed and in that case the weeks will alternate Peds and Internal Medicine Clinics. Some wards rotations
will not have clinics at all. In the case that a resident is on back-to-back wards rotations where there is usually
no clinic, an interventional clinic may be scheduled.
Over a minimum of 26 weeks per year each resident must have:
18 Half-Day Internal Medicine Continuity Clinics
18 Half-Day Pediatrics Continuity Clinics
Continuity Clinic Patient Numbers
Residents much see the following number of patients per year:
PGY-1:
PGY-2:
PGY-3:
PGY-4:
54 adult and 54 pediatric patient visits
72 adult and 72 pediatric patient visits
90 adult and 90 pediatric patient visits
90 adult and 90 pediatric patient visits
These are not different patients, just patient visits.
Rotations NOT Eligible for PTO
Peds:
Med:
Wards
NICU
PICU
NBN
Adolescent
Clinic chief
Behavior
PICU nights/surg
ED
2 week rotations
MTS
PTS
CTS
Critical Care
2 week rotations
Geriatrics