Internal Medicine Residency Subspecialty Training | NYU Langone Health

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Internal Medicine Residency Curriculum Internal Medicine Residency Subspecialty Training

Internal Medicine Residency Subspecialty Training

During the Internal Medicine Residency at NYU Langone, residents gain exposure to subspecialty clinical training in a variety of settings during dedicated subspecialty rounds.

Cardiology Teaching Service

During teaching rotations with the cardiology service at NYU Langone’s Tisch Hospital, you are part of a team of four residents, a fellow, and two attendings. Together you care for up to 16 patients with cardiac conditions. You gain experience diagnosing, evaluating, and treating patients with acute coronary syndrome, angina, atrial fibrillation, aortic dissection, congestive heart failure, hypertension, and ventricular arrhythmia.

Hematology and Oncology Teaching Service

As part of the ward team on the hematology–oncology service at NYC Health + Hospitals/Bellevue, interns and residents participate in teaching rounds with an attending physician and a fellow to manage the care of 14 patients with blood disorders and cancer.

Your patients include those with newly diagnosed cancers and those with acute blast crisis, as well as patients undergoing routine chemotherapy and transfusions. You discuss issues related to pain management, psychosocial needs, the goals of care, and the overall medical management of malignancies.

At NYU Langone Health, there are separate hematology and oncology services. On rotations with the hematology service, residents work with a senior hematologist and a fellow to care for up to 10 patients with both benign and malignant blood disorders, including conditions that affect red blood cells, white blood cells, platelets, and the clotting system. The patients in your care actively receive chemotherapy or require immunosuppression for treatment at the Rita J. and Stanley H. Kaplan Stem Cell and Bone Marrow Transplant Center, an inpatient unit within the Kimmel Pavilion.

Medical Consultation Teaching Service

As a third-year resident, you complete a four-week rotation on the medical consultation service at Bellevue, caring for patients recently released from the emergency department and managing patient flow throughout the medical service. Working under the supervision of faculty, you run codes, work with rapid response teams, and participate in acute care events throughout the hospital.

OpenConsult Specialty Teaching Rounds

Residents at Bellevue and the VA NY Harbor Healthcare System have targeted 30-minute specialty teaching sessions. OpenConsult teams choose a subspecialty, topic, or patient that they wish to learn more about and schedule a session with the attending of record for a particular service. The rounds, conducted in conjunction with an assigned hospitalist, are case-based, occur at the bedside, and include critiques of house staff presentations and diagnostic skills. Through these sessions, instead of learning from a specialist who is not directly involved in the care of a particular patient, you can discuss the rationale for specific care decisions with the healthcare providers who are directly involved in that patient’s care.

The Saul and Doris Farber Bedside Teaching Service

The Saul and Doris Farber bedside teaching service is an intensive two-week inpatient rotation at Bellevue that features structured evaluations in a learning environment with a limited number of patients per day.

Teams consist of one resident, two interns, and a hospitalist. During morning rounds, experienced clinicians moderate team case presentations and engage residents in the process of clinical reasoning to avoid diagnostic errors. Physical examination skills are taught at the bedside each afternoon, with residents observing and practicing core elements of cardiac, pulmonary, musculoskeletal, neurologic, and dermatologic examinations.

Interns are given extensive feedback and learn the essential skills of effective case presentation, writing notes for the medical record, and documenting the patient handoff.