The med-peds curriculum is designed to provide adequate and equal exposure to both internal medicine and pediatrics, and yet incorporate the elements that define combined training. To accomplish this, residents rotate between departments in a series of three and four month blocks throughout the four years. This allows completion of core and subspecialty rotations in a manner that promotes a graded increase in responsibility and maintains seasonality, which is important for exposure to different pediatric illnesses.
The 14-block internship provides exposure to core rotations allowing residents to focus on the development of a fundamental skill set on which to build subspecialty knowledge as their training progresses. During the PGY 2, 3 and 4 years, residents complete an additional 19 blocks of IM and 19 blocks of pediatrics. While, the PGY-1 year focuses on general knowledge and skills, the PGY-2, 3 and four years are designed to promote flexibility and greater exposure to the subspecialties. Inpatient experiences during this time are structured to allow graded and progressive increases in responsibility, autonomy and supervision. Click for sample rotation (.pdf)
Selectives are subspecialty experiences from internal medicine and pediatrics. Currently, selectives are offered in:
- Internal medicine: endocrinology, gastroenterology, general internal medicine consults, hem/onc, infectious disease, nephrology, pulmonary, and rheumatology
- Pediatrics: allergy/immunology, cardiology, dermatology, endocrinology, gastroenterology, genetics, hem/onc, metabolic diseases, infectious disease, nephrology, pulmonary and neurology
Electives are educational experiences outside the direct practice of internal medicine and pediatrics. Geisinger residents have used elective time for research, international health, dermatology, surgical subspecialties (anesthesia, ENT, orthopaedics), or an away rotation to name a few.
As med-peds condenses six years of training into four, residents are not able to rotate through all of the subspecialty areas during the defined residency training period. Many required selectives are amenable to a combined rotation, where residents are able to merge their adult and pediatric experience into a one-month rotation.
The ambulatory med-peds rotation is a unique feature of our curriculum. It is designed as a longitudinal educational experience, with one block occurring every academic year. In the first two ambulatory blocks, the focus is on increasing knowledge and skills related to ambulatory internal medicine and pediatrics, along with experience in women’s health. During these rotations, residents will also gain familiarity with our advanced medical home, patient-centered quality initiatives, and the patient-physician interface with the electronic medical record; all of which lay the foundation for learning not just primary care but population health. The third and fourth ambulatory blocks incorporate practice management principles alongside clinical care to ensure residents have the necessary skill-set to embark on independent practice. In addition to working at a Geisinger clinic, residents are encouraged to rotate at a local free clinic to gain experience in working with underserved populations.
For residents seeking AOA certification, osteopathic requirements are completed during the first year of residency through the following rotations: two months of ambulatory block-women’s health and one month of either pediatric sedations or surgery.