- Who We Are
- How To Apply
- Training Programs & Tracks
- Why Providence?
Our General Internal Medicine Residency aims to provide a balance of ambulatory and inpatient educational experiences in order to foster the growth and development of the consummate generalist. Our program leadership believes that the exceptional generalist embodies the core values of medicine – medical knowledge, humanism, and professionalism – these are what we strive to develop in our trainees. Our overarching mission is to provide you with the skills and tools necessary to go on to careers in clinical medicine, academic medicine, research and leadership.
Approximately one quarter of the time in block is devoted exclusively to the continuing practice of outpatient internal medicine in the resident’s own longitudinal clinic, a third to subspecialty ambulatory rotations and the remaining 30-40% to a structured curriculum of topics in ambulatory medicine, including Women's Health; psychology and psychiatry in primary care; Primary care orthopedics seminars; weekly ambulatory morning report; evidence based medicine; health promotion; clinical teaching seminars; and professional development, as well as weekly journal club and special primary care seminars and events. The Center for Primary Care Curriculum (co-developed by residents and faculty) complete this component of the overall curriculum.
Subspecialty ambulatory rotations during block include geriatrics, office gynecology, allergy, ophthalmology, ENT, orthopedics, dermatology, HIV/ID, endocrine and others. As illustrated in the sample week of ambulatory block, the subspecialty rotations are often scheduled together based on similar themes, such as musculoskeletal specialties. These experiences broaden the resident's knowledge of ambulatory medicine and help to establish the skills related to the treatment and referral of specific problems in the practice of outpatient general internal medicine.
Psychosocial Aspects of Ambulatory Medicine
One major emphasis of the program is in the psychiatric and psychosocial aspects of medicine. This curriculum has remained one of the distinguishing features of our program. In the course of the three-year curriculum, residents learn to work effectively with patients whose psychiatric and/or psychosocial problems constitute a major aspect of their illness. The behavioral sciences faculty is multidisciplinary and includes a clinical psychologist and a psychiatrist, along with several internists in general medicine and faculty members from the Brown Medical School Centers for Preventive and Behavioral Medicine. In the first year, residents are involved in a course on communication, covering such topics as doctor-patient communication, the role of family in primary care and cultural differences in the experience of illness. Concurrently, a general psychiatry lecture series completes the first-year curriculum. Home visits are an important part of the second year experience. One of the residents chooses one of their patients who present difficult diagnostic and/or management issues. Program residents, working with our psychiatrist and clinical psychologist, serve as consultants and develop new management strategies for the patients' primary provider. Every graduate draws upon the invaluable information learned in these seminars throughout their careers.
Primary Care Journal Club (PCJC) is one of the longest running academic journal clubs in the country, occurring weekly. A resident and faculty member work together to choose and develop a topic based on a recent article from the medical literature. Topics cover the full spectrum of medical care problems and issues that confront physicians today. Group discussions provide a forum for debating primary care topics. The PCJC gives the resident an opportunity to learn the skills of critical appraisal of the literature and presentation, working closely with a faculty member. This conference is highly regarded throughout the institution.
In the ambulatory medicine seminars, a faculty member presents a topic in which he or she has expertise. Topics include hypertension, diabetes, substance abuse, women's health, clinical epidemiology/biostatistics, adolescent medicine, geriatrics/hospice and HIV management. Seminar topics are chosen based on their importance to outpatient practice. Two additional specific seminar series are presented during ambulatory block. A course in critical appraisal of the medical literature allows residents to formally learn skills important to the practice of evidence-based medicine. Clinical teaching skills are taught in a seminar series, which focuses on the theory and practice of effective clinical teaching. The Seminar is run by one of our revered faculty members who have attended the Stanford Faculty Development Course for Clinical Teaching.
Residents are encouraged to innovate and contribute to the teaching of their peers as well. We are exceptionally proud of the contributions made to the curriculum by recent residents. One example of resident contributions is our "Physician as Advocate" Curriculum which is now a highly regarded component of the curriculum.
Our Practice Management Curriculum takes place during third year block. The seminars include topics such as "Understanding Our Health Care System," "The Patient Centered Medical Home," and "Understanding Billing and Coding." There is still much flexibility in the month, with residents having ample time to do scholarly work and/or additional ambulatory experiences.
Throughout their training, residents receive regular evaluation and feedback, career guidance, and have an opportunity to contribute new and creative ideas in a highly receptive atmosphere. Our learning environment is one in which the values of collegiality and teamwork are paramount to providing outstanding patient care. We strive to improve the lives of our patients every day. In working toward this goal, we pride ourselves on having a non-hierarchical approach to patient care and education, one in which all members are valued. We also strive to learn something new every day and to have fun while practicing medicine. Our residents and our faculty embody this spirit.
Society for General Internal Medicine
The Society for General Internal Medicine (SGIM) is the national professional organization for general internal medicine faculty and residents. Each year the program sends residents to the regional and national meetings of SGIM where they attend workshops, mini-courses and presentations concerning all aspects of general internal medicine and primary care. Each year faculty and residents present their research findings at these meetings. Membership in the society allows for important interactions that facilitate professional growth and future career connections.