The Good Samaritan Residency Program in Internal Medicine is affiliated with the University of Cincinnati and offers comprehensive training fully accredited by the ACGME. Clinical training and education of residents is a central focus in the Department of Medicine. We seek to provide a strong background in general Internal Medicine for all residents, particularly those seeking a career in primary care.
We also provide abundant opportunities for residents interested in a future in the medical specialties. Preliminary interns take part in the same curriculum and develop a solid clinical base before entering their specialty residency. Our placement rate for fellowships has been consistently high. There are currently 28 residents in the program – 8 PGY1, 10 PGY2, and 10 PGY3. Preliminary PGY1 positions are offered with graduates continuing on to residencies including radiology, anesthesiology, dermatology, neurology, PM&R, and ophthalmology.
First-year residents rotate on the General Medicine Service as members of a team composed of the ward attending, a senior supervising resident, fellow PGY-1 residents, acting interns, and third-year medical students. For the remainder of the year, residents rotate in ICU/CCU, emergency, neurology, ambulatory, night float, palliative care, and electives.
The second-year curriculum concentrates on the medical subspecialties with assignments in cardiology, gastroenterology, hematology/oncology, infectious disease, nephrology, and pulmonary. During these periods, residents perform consultations on both private and clinic patients, learning through close interaction with a select group of subspecialty attending physicians. Each resident also has the opportunity to evaluate outpatients in the offices of these subspecialists.
The third year is the culmination of the educational experience for medical residents. Third-year residents act as team leaders for the General Medicine and ICU services. Rotations in various electives comprise the remainder of the schedule. During this year, the senior residents teach junior residents and students, refine skills, and solidify knowledge and understanding. By performing medical consultations for other services, Internal Medicine residents are groomed for the reality of medical practice. In addition, there is ample time for independent study and preparation for the board examination.
Throughout the program, house staff follow their own group of clinic patients. Under the supervision of the general medicine faculty, they assume the primary responsibility for total care of these patients, both in the hospital and ambulatory settings. Residents make decisions to admit patients, perform diagnostic evaluations, render treatment, arrange for consultations and coordinate discharge planning. Residents follow their clinic patients during their scheduled ambulatory hours. This continuity of care nurtures a sense of personal responsibility for patient care and affords invaluable insight in to the natural history of disease. Our program is nearing its goal of implementation towards Patient Center Medical Home (PCMH) in the Faculty Medical Center.
One component of our didactic curriculum is the academic half-day, which consists of Grand Rounds, lectures provided by skilled faculty covering topics in both general Internal Medicine and the subspecialties, and Resident Case Reports. Patient Safety and Quality Improvement lectures are also integrated into our academic half-day curriculum. Additional learning opportunities consist of Topic Reviews, Morning Report, and bedside rounding. The program also engages in Morbidity and Mortality conferences, Tumor Board, MedSurg/GI Conferences and Chest Conferences. Skills in critically reviewing the current literature are developed at the monthly Journal Club. This core curriculum provides solid grounding in the fundamentals of Internal Medicine and meets the requirements of the American Board of Internal Medicine.
Categorical residents are expected to engage in a research project with faculty guidance and submit that work for potential publication. Residents are encouraged to present abstracts and posters at regional and national professional meetings. Project funding is available from Good Samaritan Hospital research monies.