St.Vincent Hospital prepares physicians to be on the cutting edge of medical practice.
Program success is demonstrated by these facts:

• Residents pass rate on the American Board of Internal Medicine certifying exam (ABIM Boards) is at or near 100%
• 100% of those seeking fellowship have been successful in entering the subspecialty of their choice
• 60% of our graduates return to practice at St.Vincent
• Interested residents have succeeded in publishing on a variety of clinical and research topics

Curriculum and Rotations

In an environment of clinical diversity and individualized curriculum development, residents not only gain comprehensive experience in General Internal Medicine, but are able to focus on those areas most important to their future practice goals.

St.Vincent offers three tracks that lead to eligibility for ABIM certification. The 3-year tracks, outlined below, are built on solid inpatient and outpatient experiences, yet provide ample flexibility for each individual's needs. Rotation information on the combined IM-FP track is available from the program office.

PGY-1
Primary Care Track	Categorical Track
3 months General Medicine Wards 2 months Critical Care 1 month Cardiology 1 month ER 1 month Intro to Amb Med 1 month Integrated Amb Block 3 months electives	3 months General Medicine Wards 2 months Critical Care 1 month Cardiology 1 month ER 1 month Intro to Amb Med 4 months electives

PGY-2 & 3
Primary Care Track	Categorical Track
3 months General Medicine Wards 2 months Medicine Night Float 2 months Critical Care 1/2 month ICU Days 1 1/2 months Adv Amb Block 1 month Public Health 1 month Rural Medicine 13 months electives/subspecialties	4 months General Medicine Wards 2 months General Inpt Med Nights 3 months Critical Care 1/2 month ICU Days 1 1/2 months Adv Amb Block 13 months electives/subspecialties

Outpatient Continuity Clinic
Post-Graduate Year	Primary Care Sessions/Week	Categorical Sessions/Week
PGY-1 PGY-2 PGY-3	1/week 2/week 3/week	1/week 2/week 2/week
1/2 day continuity clinic - one session/week may be done in a community setting as a PGY 2 or 3.

Subspecialties

Required: Pulmonology, Gastroenterology, Nephrology, Dermatology, Geriatrics, Infectious Disease, Hematology and Oncology, Neurology, Endocrinology, and Hospice/Palliative Care.

Elective rotations are available in third-world health care, Liaison Psychiatry, Sports Medicine, Pediatric and Adolescent Health Care, Occupational Medicine, Allergy, Pain Management, Geriatric Assessment, and many other disciplines.

Procedures

All graduates are expected to achieve competency in the following:
Basic and Advanced Cardiac Life Support Central venous canalization Thoracentesis Lumbar puncture Joint Injection - Knee and Shoulder	Endotracheal intubation Arterial canalization Abdominal paracentesis Skin biopsy (shave, punch, excision) NG intubation

All residents have the opportunity to gain high level proficiency in the following:
Fiberoptic sigmoidoscopy Pulmonary function testing Exercise treadmill testing Endometrial biopsy	Fiberoptic nasopharyngoscopy Basic splinting and casting Colposcopy Nasal cautery

Inpatient Call

PGY-1 call is every 5th night for most rotations. Call in the ICU is a float system, with up to one-third of the shifts on night float.

PGY-2/3s do approximately 4 weeks of night float call for the General Medicine Ward Service at specified times during the year. This eliminates overnight call for residents doing ward months. Call in the ICU is a day/night block float system.

Residents are exposed to extensive pathology, social and technological needs, and payer mix (including managed care), and write orders on all patients. All clinical care areas provide 24-7-365 ancillary support, including IV and phlebotomy teams.