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Combined Internal Medicine and Pediatrics - Curriculum

Combined Internal Medicine and Pediatrics - Curriculum

The curriculum for the Med-Peds Residency Program at Penn State Children’s Hospital is based upon the Residency Review Committee guidelines and the principles of a combined residency as set forth by the American Board of Pediatrics and the American Board of Internal Medicine.

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The curriculum for the Medicine/Pediatrics Residency Program at Penn State Children’s Hospital is based upon the Residency Review Committee guidelines and the principles of a combined residency as set forth by the American Board of Pediatrics and the American Board of Internal Medicine.

As a resident in the Medicine/Pediatrics Residency Program, you’ll rotate monthly either on pediatrics or medicine for four months and then switch. This allows two full winters and two full summers on both medicine and pediatrics. You’ll have intern duties for 16 months because of this schedule (though you’ll be paid as a PGY-2 after 12 months) so you can experience as an intern each rotation you will eventually supervise.

Unique features of our Medicine/Pediatrics Residency

  • Penn State Health Milton S. Hershey Medical Center is a large, academic tertiary and quaternary referral center, with Penn State Children’s Hospital right next door.
  • Offers experience in the highest level NICU, PICU and medical ICU, in one place
  • Truly balanced Medicine/Pediatrics residency program
  • Availability of global health opportunities
  • Residents as educators curriculum
  • Hippocrates Program provides opportunities for interdisciplinary medical education
  • Medicine/Pediatrics resident created simulation sessions to practice rapid responses/code situations are offered monthly
  • Residents gain experience in the Combined Medicine/Pediatrics Continuity Clinic, which also includes a medical legal clinic

Educational Opportunities

The Milton S. Hershey Medical Center is the only academic medical center located in south central Pennsylvania. The Medical Center and Penn State Children’s Hospital have a combined primary and secondary market that represents more than 2.8 million Pennsylvanians, spread across 16 counties. Our physicians care for a wide variety of common to very complex illnesses and injuries in adults and children across this region, sharing those experiences with the residents training here.

Our Medicine/Pediatrics program allows residents to participate in a variety of rotations to help shape their future medical careers. Interns rotate for 16 months to eight months in medicine and eight months in pediatrics. We believe this rotation helps build a strong foundation of knowledge and confidence prior to starting the senior resident level rotations. Residents rotate every two to four weeks and switch between medicine and pediatrics approximately every four months.

Unique Rotations

  • Caring for the underserved population (various locations available)
  • Milton Hershey School (cost-free private residential school for children from low-income families)
  • Emergency Medicine elective, in which residents participate as the first responder with Penn State Life Lion (medical transport – ambulance and helicopter)
  • Global Health rotation.
  • Broad array of elective rotations, including hospitalist rotations (for both adult and pediatric care)

Conferences

Every Tuesday at noon there is a Medicine/Pediatrics conference. Usually, the topic is one related to care in the outpatient setting and is presented by one of the Medicine/Pediatrics residents. These conferences are typically an hour long and allow residents to polish their presentation skills and provide useful medical updates and clinical information. The Medicine/Pediatrics faculty frequently attend this conference and offer valuable information on how the topic relates to their respective specialty. Additionally, residents participate in an “academic half day” on Thursdays, for dedicated time to focus on core internal medicine and pediatric topics.

Continuity Clinic

The continuity clinic is located in downtown Harrisburg and allows residents the opportunity to work closely with an underserved patient population. The clinic serves adults and children with varying medical and medical-related needs, including complex chronic medical conditions, medical-legal concerns, social concerns and substance abuse. Residents work exclusively with Medicine/Pediatrics faculty to see variety of patient visits including annual physical exams and acute visits, and serve as the primary care provider for the patients in this clinic.

Reach Out and Read

The Continuity Clinic is part of the Reach Out and Read Program which provides books to infants and children during well-child visits, as a way to encourage literacy. In addition, a medical-legal partnership with Penn State Dickinson Law, brings law students to the clinic to offer services and consultation for medical-legal issues to some of the most underserved in the community. Access to a Penn State Health social worker at the continuity clinic helps patients with a wide array of social concerns that may impact their care and well-being. A substance abuse clinic onsite, also helps to reduce barriers for the drug-addicted population to receive much needed medical care.

Quality Improvement Projects

Quality improvement (QI) is an important aspect of the Medicine/Pediatrics residency, with residents often involved in medicine and pediatrics QI projects and as resident representatives on unit-based quality committees. A detailed QI curriculum provides resources, education and experiences for creating your own project prior to graduation.  There are also opportunities for more education in this area with the Penn State College of Medicine Health Systems Science Academy.

Transitional Care Curriculum

The Medicine/Pediatrics residents have created a transitional care program that continues to grow and flourish. The goal is to educate adolescents and their parents on the process of transitioning medical care from pediatricians and pediatric specialty providers to physicians and providers who specialize in caring for adults. The residents are working to integrate transition into both the categorical pediatric and medicine residencies (in general and subspecialty clinics) in order to best serve our patients.

Supportive Learning Environment/Advising

There are 21 Medicine/Pediatrics faculty, all of whom have been trained in both medicine and pediatrics, who are involved in various aspects of this residency program. Each resident is assigned a physician coach, who provides advice and encouragement for professional development throughout the 4 years of residency. Regardless of coach assignment, all of the faculty are easy to approach and willing to provide advice and guidance.

Educational Resources

To support individual learning, residents are provided with memberships in the American College of Physicians (ACP), American Academy of Pediatrics (AAP) and the National Med-Peds Residents’ Association (NMPRA), as well as $600 for books and educational expenses per year.

The AAP membership also provides access to Pedialink®, the online learning center, Pediatrics and Peds in Review. The ACP membership includes a subscription to the Annals of Internal Medicine. In addition, subscriptions to the Yale Pediatric and Internal Medicine Outpatient Curriculum are provided.

On-going board review occurs throughout the four years of residency, with residents attending pediatric and medicine board review courses at the end of training. 

Sample Schedule (starting on Internal Medicine)

Adult Cardiology Inpatient– 4 weeks

Adult Heme/Onc Inpatient – 4 weeks

Vacation – 2 weeks

Medicine Elective – 2 weeks

General Medicine Inpatient (HMC) – 4 weeks

General Medicine Inpatient (VA) – 4 weeks

Pediatric Acute Care Clinic – 4 weeks

General Pediatric Inpatient – 4 weeks

Pulmonary Pediatric Inpatient – 2 weeks

Pediatric GI/Cards/Nephrology Pediatric Inpatient – 2 weeks

Pediatric Night Float – 2 weeks

Vacation - 2 weeks

Newborn Nursery – 2 weeks

Pediatric Elective – 2 weeks

Medicine Night Float – 2 weeks

Medicine Elective – 2 weeks

Medical Intensive Care Unit – 4 weeks

Adult Emergency Medicine – 4 weeks

Sample schedule

Pediatric Elective – 2 weeks

Vacation – 2 weeks

Development – 4 weeks

Underserved Rotation – 4 weeks

Neonatal Intensive Care Unit – 4 weeks

Adult Ambulatory – 4 weeks

Adult Nephrology – 4 weeks

General Medicine Inpatient Senior – 4 weeks

Medicine Elective – 2 weeks

Vacation – 2 weeks

Medicine Elective – 4 weeks

Pediatric Critical Care Unit – 4 weeks

Adolescent – 4 weeks

Pediatric Emergency Medicine – 4 weeks

Neonatal Intensive Care Unit – 4 weeks

Sample schedule

Medicine Elective – 4 weeks

Vacation – 2 weeks

Hepatology – 2 weeks

Medicine Elective – 4 weeks

General Medicine Inpatient Senior (HMC or VA) – 4 weeks

Pediatric Elective – 4 weeks

Pediatric Heme/Onc Inpatient – 4 weeks

Vacation – 2 weeks

Pediatric Night Float Senior – 2 weeks

General Pediatric Inpatient Senior (Pinnacle ) – 4 weeks

Pediatric elective – 2 weeks

Pediatric Emergency Medicine – 2 weeks

Geriatrics – 4 weeks

Adult Cardiology Inpatient Senior – 4 weeks

Medicine Elective – 4 weeks

Medical Intensive Care Unit Senior – 4 weeks

Sample schedule

Pediatric Pulmonary Inpatient Senior – 2 weeks

Pediatric GI/Cards/Nephrology Inpatient Senior – 2 weeks

Newborn Nursery Senior – 2 weeks

General Inpatient Pediatric Inpatient Senior – 4 weeks

Pediatric Elective (Individualized Curriculum) – 4 weeks

Vacation – 2 weeks

Medicine Elective (Individualized Curriculum) – 4 weeks

General Medicine Inpatient Senior (VA) – 4 weeks

General Medicine Inpatient Consult Senior – 2 weeks

Vacation – 2 weeks

Medicine Night House Officer (Senior) – 2 weeks

Medicine Elective – 2 weeks

Medicine Elective – 4 weeks

Pediatric Elective – 4 weeks

Pediatric Acute Care Clinic Senior – 4 weeks

Pediatric Emergency Medicine – 2 weeks

Pediatric Elective – 4 weeks

Pediatric Elective – 2 weeks

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