College of Medicine / Residencies / Internal Medicine / Internal Medicine Residency Rotations

Internal Medicine Residency Rotations

Our intern class begins the academic year with orientation activities during the last two weeks of June.  Floor rotations are spread out between the three hospital sites.  Critical rotations occur at Boca Raton Regional Hospital and Bethesda Hospital East.  The program will assist osteopathic residents in obtaining AOA recognition and certification of the PGY1 year if desired. 

4+1 Schedule

We utilize a 4+1 schedule to emphasize residents’ experience in primary care. This allows for dedicated focus on each rotation without needing to leave service for a clinic session.  It also improves the continuity aspect of outpatient clinic in that residents can easily schedule their patient panel for follow up visits during their clinic weeks. 

Sample Intern Schedules
  Week 1 Week 2 Week 3 Week 4 Week 5
Intern A Clinic Service 1 Service 1 Service 1 Service 1
Intern B Night Float Clinic Service 2 Service 2 Service 2
Intern C ID ID Clinic ICU ICU
Intern D ICU ICU ICU Clinic Service 3
Intern E Service 3 Service 3 Service 3 Service 3 Clinic

Inpatient Services

Our residents rotate at all three of our partner hospitals.  Residents take the lead role in the evaluation and management of complex medicine patients. The interns work up and manage patients under the guidance of both the supervising residents and the attending physician. Each inpatient team has a teaching attending that works with the team for at least one week at a time.

At Boca Raton Regional Hospital, there are three general medical teams consisting of one PGY3 resident, one PGY2 resident, and two interns.  At Bethesda Hospital East, there are two teams, each consisting of one PGY3 resident, one PGY2 resident and two or three interns. 

Medical students from FAU (and sometimes also visiting medical students) will be on floor teams at all three hospitals and sometimes in the ICU.  This allows interns and residents the opportunity to practice their teaching skills and provide valuable feedback to students. 

Medical ICU

ICU rotations occur at Boca Raton Regional Hospital and Bethesda Hospital East.  Both sites are overseen by intensivist physicians 24 hours per day.  Our residents provide direct care for these critically ill patients including performing procedures under the guidance and instruction of the intensivists. There are two senior residents and two interns on each ICU service.  Additionally, residents from the Emergency Medicine Residency rotate with us in the Bethesda ICU.

Medicine Sub-specialties

During the three years of residency, residents will rotate through subspecialties of internal medicine to help gain the knowledge and experience needed in those fields.  For residents focused on fellowship application, there may be opportunities to do away rotations in the field of their choice (*pending availability and depending on Covid-19).

Other Electives

Elective rotations can be selected to suit the resident’s individual interest.  Residents can choose rotations including Allergy & Immunology, Dermatology, Radiology, Physical Medicine and Rehab, Women's Health, and Sports Medicine.  Research rotations are available on a case-by-case basis.  Other specific rotations may be available upon request. 

Night Medicine

None of our rotations have overnight call; instead, we use a night medicine rotation (consisting of either a single senior resident or a team consisting of an intern and a PGY3).  Night medicine includes both cross-coverage duties as well as admissions under the guidance of nocturnist attending physicians. 

 

Overview of 3-year Rotations

3-year Rotations Schedule
Rotations PGY-1 PGY-2 PGY-3
In-patient Wards 6 months 3 months 3 months
Night Medicine 1 month 4-6 weeks 4-6 weeks
Medical ICU 2 months 1-2 months 1-2 months
Emergency Medicine 2 weeks   2 weeks
Geriatrics   1 month  
Electives 1 month 3-4 months 4 months

Daily Schedule

A sample day on an inpatient floor service
  Times
Sign-out from Night Med/Transfer of Care 6:00 a.m. to 6:45 a.m.
Morning report (Wed/Fri) 7:15 a.m. to 8:00 a.m.
Teaching Rounds 9:30 a.m. to 12:00 p.m.
Admissions 11:00 a.m. to 5:00 p.m. (M-F)
7:00 a.m. to 5:00 p.m. (Sat/Sun)
Sign-out/Transfer of Care 6:00 p.m.

Preliminary Interns

Our preliminary interns follow similar schedules to our categorical interns other than not having the continuity clinic week.  Additionally, our preliminary interns get more elective time (approximately 3 months) to help them prepare for their advanced training.  Preliminary interns who do not require ICU may get an additional month of floor service. 



Last Modified 9/29/22