Curriculum

Our internal medicine curriculum places a strong emphasis on team-based care, includes direct involvement in systems-based care through multidisciplinary rounds and interaction with case management on all rotations, and involves daily tiered huddles to celebrate good catches, identify safety issues and determine daily readiness. Learn more about specific curriculum for each program year by expanding the box below.

About CoRE Curriculum
In addition to a block schedule, this program offers the Cornerstones of Resident Education (CoRE) - a three-year longitudinal curriculum that engages residents across all programs. Learn more

The general internal medicine physician is an essential part of the lifesaving treatment for the patients with who present with cardiovascular disease. The practicing internist must be able to stabilize and diagnose as well as treat the patients who present with a variety of symptoms from underlying cardiac disease including ischemic heart disease, valvular heart disease, electrical heart rhythm disorders, muscle failure, and so much more.

On this rotation, the PGY 2 resident for internal medicine will be exposed to many consults for patients presenting to the hospital emergency room. The resident will also experience the fast-paced world of cardiology as patients ask conditions are diagnosed and the patient’s move from the general service to the subspecialty practices within the hospital. The residents on this service will find that the teaching is stimulating and the variety of cardiovascular problems is impressive. Because the Northeast Georgia health system is a leading heart hospital there are many studies that are being conducted. The resident is expected to find the rotation academically challenging and intellectually stimulating. On this rotation, the residents will care for a panel of patients that have a variety of general cardiac conditions.

Residents will chose from a variety of specialties and locations to gain additional training.

In PGY-1 residents will rotate on inpatient medicine service and learn the care of the medical patient in a community that draws from a slightly different mix of patients from the Gainesville inpatient experience. Residents on this service will be challenged to practice with patients and families who are often technologically informed and who will expect impeccable communication skills. Residents on this service will learn excellence in patient satisfaction skills in addition to the typical medical knowledge and patient care cases seen on a hospitalist service in a busy community hospital.

PGY-1 residents will rotate on inpatient medicine service and learn the care of the medical patient in a community that draws from a slightly different mix of patients from the Gainesville inpatient experience. Residents on this service will be challenged to practice with patients and families who are often technologically informed and who will expect impeccable communication skills. Residents on this service will learn excellence in patient satisfaction skills in addition to the typical medical knowledge and patient care cases seen on a hospitalist service in a busy community hospital.

Inpatient internal medicine rotation is a necessary opportunity for residents to improve and build their foundation to become a competent, compassionate, and well-rounded physician. On the medical ward, residents will build their medical knowledge through the exposure to different pathologies and management of hospitalized patients, improve upon their communication and interpersonal skills with patients and medical staff, and learn the complex relationship of health status and poverty.

The Inpatient Ward service at the Gainesville campus will provide an intense experience of caring for acutely, ill patients with a wide variety of medical and peri operative conditions.

The Inpatient Internal Medicine rotation is a necessary opportunity for residents to improve and build their foundation to become a competent, compassionate, and well-rounded physician. On the medical ward, residents will build their medical knowledge through the exposure to different pathologies and management of hospitalized patients, improve upon their communication and interpersonal skills with patients and medical staff, and learn the complex relationship of health status and poverty.

The Inpatient Ward service at the Gainesville campus will provide an intense experience of caring for acutely, ill patients with a wide variety of medical and peri operative conditions.

The Inpatient Internal Medicine rotation is a necessary opportunity for residents to improve and build their foundation to become a competent, compassionate, and well-rounded physician. On the medical ward, residents will build their medical knowledge through the exposure to different pathologies and management of hospitalized patients, improve upon their communication and interpersonal skills with patients and medical staff, and learn the complex relationship of health status and poverty.

The Inpatient Ward service at the Gainesville campus will provide an intense experience of caring for acutely, ill patients with a wide variety of medical and peri operative conditions.

Inpatient internal medicine rotation is a necessary opportunity for residents to improve and build their foundation to become a competent, compassionate, and well-rounded physician. On the medical ward, residents will build their medical knowledge through the exposure to different pathologies and management of hospitalized patients, improve upon their communication and interpersonal skills with patients and medical staff, and learn the complex relationship of health status and poverty.

The Inpatient Ward service at the Gainesville campus will provide an intense experience of caring for acutely, ill patients with a wide variety of medical and peri operative conditions.

The successful internist must achieve competence in the essential skills of stabilizing and intervening in the care of critically ill patients in the ICU. In current society, the general internist is typically expected to be qualified at the end of three years of residency to successfully manage a critically ill patient for at least 24 hours until intensive care specialists can come in and take over that care. Because of this important responsibility for the general internist, the 3-year curriculum has five rotations of critical care medicine all of which are expected to continually allow/challenge the resident to gain progressively higher levels of autonomy in managing acutely ill patients.

The rotation is a team-based curriculum including multidisciplinary team rounding. It is expected that residents will review the goals and objectives and discuss their individual goals each rotation with the attending critical care specialist. The successful resident on this rotation will show a proactive approach with a keen sense of collaboration with interdisciplinary teams as well as with the attendings. Completion of each subsequent rotation in the intensive care unit will lead to increasing knowledge, skills, confidence, and humility in managing critically ill patients. Residents will use tools such as mechanical ventilation, intensive care pharmacology, IV fluid resuscitation, complex communication skills consistent with establishing clear goals for the patient’s care. This rotation will challenge every resident to be at their best in professionalism during stressful and emotionally charged environments.

We have two MICU practice environments, Gainesville and Braselton. PGY 3 residents will have the opportunity to rotate at both. While at Braselton the PGY 3 resident will have the opportunity for one-on-one teaching daily and increase autonomy when managing patients.

The successful internist must achieve competence in the essential skills of stabilizing and intervening in the care of critically ill patients until a medical intensive care specialist can take over that care. In current society, the general internist is typically expected to be qualified at the end of three years of residency to successfully manage a critically ill patient for at least 24 hours until intensive care specialists can come in and take over that care. Because of this important responsibility for the general internal medicine specialist, the 3-year curriculum has 5 rotations of medical intensive care unit all of which are expected to continually allow/challenge the resident to gain progressively higher levels of autonomy in managing acutely ill patients.

Because the rotation is a team based curriculum (including multidisciplinary team rounding) the goals for PGY 1, PGY 2, PGY 3 are all integrated in this set of goals and objectives. It is expected that the residents will review the goals and objectives and discuss their individual goals each rotation with the attending critical care specialist. The successful resident on this rotation will show a proactive approach with a keen sense of collaboration with interdisciplinary teams as well as with the attendings. The completion of each rotation and subsequent intensive care month should lead to an increasing amount of knowledge, skill and confidence and humility in managing critically ill patients with such tools as mechanical ventilation, intensive care pharmacological, IV fluid resuscitation, complex communication skills consistent with establishing clear goals for the patient’s care. This rotation will challenge every resident to be at their best in professionalism during stressful and emotionally charged environments.

On this rotation, the PGY 1 Returning Resident is expected to demonstrate more competence in data gathering, interpreting of data, and managing patients with some assistance from the PGY 2/PGY 3 and the attending.

This rotation is designed to give the PGY 1 Intern an early exposure to all levels of kidney disease (Acute, Chronic, Acute on Chronic) in both the Inpatient (50%) and Outpatient (50%) as well as acid base disorders, electrolyte disturbances and more. Lessons learned on this rotation will greatly aid the resident in the next two years of training and beyond. The Rotational Goals are laid out for PGY 1 with Goals for PGY 2 and 3 included so that interns can envision the progressive level of responsibility that will be expected to demonstrate in the coming years of the residency as they care for nephrology patients in various settings such as office, inpatient services, and wards.

Inpatient internal medicine night float rotation is a valuable experience for residents to learn assessment of patients’ initial presentation through admissions, address acuity of floor patients, form differential diagnosis, attend rapid responses, codes blue, and plan for work-up. Residents will build their medical knowledge through the exposure to different pathologies and acute management of patients, improve upon their communication and interpersonal skills with patients, families, subspecialists, and medical staff. Night float rotations are necessary opportunities for residents to improve and build their foundation to become a competent, compassionate, and well-rounded physician. Night rotations also allow the future practicing internist to see the variations in staffing models between day and night medicine. PGY 1 residents on this rotation are expected to be able to provide the same level of patient care and communication to patients and families as those on the day inpatient teams. Mastery of handover is an essential element of the night float rotation.

The ambulatory rotation will provide a structured office setting experience in the management of out-patients in the field of Internal Medicine. It will provide residents with the appropriate tools to accurately assess and initiate appropriate diagnostic and therapeutic maneuvers. This curriculum will also develop the skills necessary for residents to interact with others in the health care (i.e. attending physicians, nursing staff, therapists, family members, and patients). Furthermore, the ambulatory curriculum will improve and build their foundation to become competent, compassionate, well-rounded physicians, and develop their communication skills, understand doctor-patient relationship in areas of behavior, diversity, socioeconomic status, and educational backgrounds. During the ambulatory rotations, residents will build their medical knowledge through the exposure to different pathologies and incorporation of skills and techniques that will prepare them for management of patients in an ambulatory setting.

During the Ambulatory Internal Medicine Months PGY 1, PGY 2 and PGY 3 residents will usually work independently under the supervision of the Attending. However, in certain settings like the Ambulatory Offices the PGY 3 and PGY 2 Resident will assist in coaching and training the PGY 1 residents.

During the Ambulatory Internal Medicine Months PGY 1, PGY 2 and PGY 3 residents will usually work independently under the supervision of the Attending. However, in certain settings like the Ambulatory Offices the PGY 3 and PGY 2 Resident will assist in coaching and training the PGY 1 residents.

My personal vision for this rotation is to introduce new internal medicine physicians to a unique community and instill in them a burning desire to return to a rural community to practice medicine, there is no better place to be a physician than in a small town. The sense of fulfillment, belonging, and being valued cannot be overstated. In addition to sharing our vision and mission, I plan to take every opportunity to weave our values of respectful compassion, responsible stewardship, deep interdependence, and passion for excellence so deeply into the hearts of our residents that they will want to become a part of the fabric of our healthcare community.

I would expect residents to attend meetings with me to get a sense of their leadership potential in corporate and community roles and responsibilities of the general internist. Things to learn more about can include but are not limited to: Chamber of Commerce Board Relations as a small business in the community, Patient Centered Medical Home, Finances for the Physician Office, Quality Control and Quality improvement, Operations/Management, NGPG Board Leadership, Access, Readiness Huddles, etc.

The vision of the cardiac care unit rotation is to expose the future practicing internist to the highly specialized and amazingly lifesaving world of intensive care cardiology. Cardiovascular disease is present along a wide spectrum from undetectable to acutely life-threatening. On this rotation, the resident will help manage the care of acutely ill cardiac patients with conditions including acute myocardial infarction, cardiogenic shock, heart failure, valvular heart disease, and unstable cardiac arrhythmias. This rotation will also expose the residents to therapies in interventional cardiology and cardiovascular surgery, advanced hemodynamic monitoring, principles of pacing, mechanical circulatory assist devices such as intra-aortic balloon pumps percutaneous and surgical left and right ventricular assist devices, and extracorporeal life support.

This rotation will challenge residents to dive deep into the literature and to learn about and apply evidence based medicine through discussion of various studies that have led to modern clinical decisions and treatment options. The rotation has been designed for the PGY -2 resident to give them a mid-residency career experience that will allow them additional time in their PGY-3 year to have an enhanced knowledge of advanced cardiology prior to independent practice.

Residents will chose from a variety of specialties and locations to gain additional training.

The overall vision for the Emergency Medicine Rotation is to provide the Internal Medicine resident with skills in the acute assessment and stabilization of critically ill patients. The rotation will also provide the experience needed to work up undifferentiated conditions. While this is a PGY 2 rotation the Resident should be aware of expectations of a PGY 1 intern since they will not have worked exclusively in the ER until now. Quickly demonstrating mastery of the PGY 1 expectations will be essential to feeling successful by the completion of this rotation.

Cancer is the second leading cause of death in the US, and hematologic abnormalities are frequent in medical patients. Internists must therefore be familiar with the diagnosis and care of hematologic and oncologic conditions. Through this mandatory rotation, residents will become familiar with common elements of the history, physical, differential diagnosis, and evaluation of hematology/oncology patients. Internists must be comfortable with prevention, screening, initial diagnostic evaluation and management, indications for prompt referral, and appropriate co-management of a plethora of hematologic and oncologic conditions. They must also be knowledgeable regarding indications for transfusion of blood components, management of neutropenia and immunosuppression, care for treatment-related side effects and palliative care.

The resident will evaluate outpatient continuity cancer patients, hospitalized hematology-oncology continuity patients, and hospitalized patients in need of hematology-oncology consultation. All patients will be presented to the attending physician who will fully supervise the resident’s care decisions. With faculty guidance as necessary, the resident will construct a differential diagnosis and plan further diagnostic studies and treatment. Residents perform as consultants in both the inpatient and outpatient setting, with full supervision of the consultative plan by the attending physician.

Internal Medicine Residents will evaluate patients with acute and chronic infectious diseases across the entire spectrum of the specialty, learn the diagnostic and therapeutic approach to these patients and learn to communicate recommendations with other health care providers in both written and oral form.

Inpatient internal medicine rotation is a necessary opportunity for residents to improve and build their foundation to become competent, compassionate, and well-rounded physicians. On the medical ward, residents will build their medical knowledge through the exposure to different pathologies and management of hospitalized patients, improve upon their communication and interpersonal skills with patients and medical staff, and learn the complex relationship of health status and poverty.

Inpatient internal medicine rotation is a necessary opportunity for residents to improve and build their foundation to become competent, compassionate, and well-rounded physicians. On the medical ward, residents will build their medical knowledge through the exposure to different pathologies and management of hospitalized patients, improve upon their communication and interpersonal skills with patients and medical staff, and learn the complex relationship of health status and poverty.

A fundamental knowledge of critical care medicine is essential to the practice of every discipline within medicine. The successful internist must achieve competence in the essential skills of stabilizing and intervening in the care of critically ill patients for the first 24 hours until a medical intensive care specialist assumes care. The Northeast Georgia (MICU) rotation will provide residents with a rigorous experience in the assessment and care of the critically ill medical patient. Northeast Georgia provides a unique environment of diverse pathophysiology as well as patients from diverse communities, socioeconomic and cultural backgrounds. Residents will manage patients in a tertiary care ICU setting as part of a multidisciplinary team, under the direct supervision of attendings with expertise in critical care medicine.

Unique to Northeast Georgia Medical Center, we have 2 MICU unique practice environments, Gainesville and Braselton. PGY 2 residents will rotate at the Gainesville Campus. PGY 2 residents will have the opportunity for teaching and supervising the intern as well as learning to become proficient in leading daily academic multidisciplinary rounds. The skill to be able to lead a multidisciplinary team is a skill that resident must be skilled in upon completion of 7 MICU.

The general internal medicine physician will be faced with numerous patients that present with neurologic complaints and conditions. It is the vision of this rotation to provide the resident physician with a variety of inpatient and outpatient acute and chronic neurologic conditions from which to learn and develop an experience incompetency in the care of the neurologic patient.

Inpatient internal medicine night float rotation is a valuable experience for residents to learn assessment of patients’ initial presentation through admissions, address acuity of floor patients, form differentials, attend rapid responses, codes blue, and plan for work-up. Residents will build their medical knowledge through the exposure to different pathologies and acute management of patients, improve upon their communication and interpersonal skills with patients, families, subspecialists, and medical staff. Night float rotations are necessary opportunities for residents to improve and build their foundation to become a competent, compassionate, and well-rounded physician.

General internal medicine physician will encounter numerous patients with diseases of the lung. To be a fully competent physician, residents must train in the specialty of pulmonary medicine in order to diagnose and treat lung disease is seen in the office and consultation inpatient services. During this rotation residents will also develop experience in sleep medicine from a pulmonary sleep medicine perspective.

This rotation’s purpose is to allow our senior residents (PGY 3) to have the opportunity to work one-on-one with an attending hospitalist that is part of the inpatient Long Street Clinic hospitalist model. The learner will have the opportunity to further develop his/her clinical care and medical knowledge in hospital medicine, while learning to communicate and improve the pathway for continuity of care for the patient after discharge. PGY-3 will also learn about the administrative and financial aspects of hospital care, and have the opportunity for direct observation, bedside teaching and role modeling by the faculty. The goal of this rotation is to prepare the senior resident for independent practice after graduation from residency.

The rotation structure consists of four 1-week rotations in each of four cardiovascular subspecialty areas. For the NGMC Internal Medicine residency, the areas in which the resident will rotate through include: heart failure team, interventional cardiology team, electrophysiology team, and noninvasive team (ECHO, stress testing, etc.).

The vision of the cardiac care unit rotation is to expose the future practicing internist to the highly specialized and amazingly lifesaving world of intensive care cardiology. Cardiovascular disease is present along a wide spectrum from undetectable to acutely life-threatening. On this rotation, the resident will help manage the care of acutely ill cardiac patients with conditions including acute myocardial infarction, cardiogenic shock, heart failure, valvular heart disease, and unstable cardiac arrhythmias. This rotation will also expose the residents to therapies in interventional cardiology and cardiovascular surgery, advanced hemodynamic monitoring, principles of pacing, mechanical circulatory assist devices such as intra-aortic balloon pumps percutaneous and surgical left and right ventricular assist devices, and extracorporeal life support.

This rotation will challenge residents to dive deep into the literature and to learn about and apply evidence based medicine through discussion of various studies that have led to modern clinical decisions and treatment options. The rotation has been designed for the PGY -2 resident to give them a mid-residency career experience that will allow them additional time in their PGY-3 year to have an enhanced knowledge of advanced cardiology prior to independent practice.

This rotation will provide residents a more in-depth subspecialist experience for common cardiac conditions that are seen by the general internal medicine physician.

Internal Medicine residents will train on Endocrinology consult and clinic rotation to develop a solid foundation in the pathophysiology, diagnostic evaluation, differential diagnosis and approach to management of endocrine disorders.

The Gastroenterology rotation provides a valuable experience needed to complete your medical training. The Gastroenterology Service provides the opportunity for residents to consult on hospitalized patients referred by their primary care physicians regarding specific issues related to gastrointestinal problems that often include complex cases. This responsibility includes response to consult requests in a timely fashion as required by the circumstances, knowledge of all patients on the service, supervision of senior medical students, participation in provides including patient preparation and disposition following hospital discharge.

Internal Medicine Residents will train on Geriatric services to:

  • Learn an interdisciplinary approach to health care of older adults including:
  • Diagnose and manage medical problems of older adults
  • Provide medical care of the older surgical patient, including pre-operative evaluation and post-operative management
  • Perform comprehensive assessments of functional status and appropriate levels of care
  • Master discharge planning to optimize use of community and outpatient services available to older adults
  • Assess and manage ambulatory community-based older adults
  • Care for institutionalized long-term care patients
  • Learn the principles of caring for chronically ill and older patients with acute and sub-acute medical issues, and care for dying patients and their families
  • Provide experience with frail older patients with multiple medical, psychiatric, cognitive, socio-economic and/or functional problems
  • Explain the various locations and types of services in the Northeast Georgia communities which provide resources and safety net services for seniors.

Cancer is the second leading cause of death in the US, and hematologic abnormalities are frequent in medical patients. Internists must therefore be familiar with the diagnosis and care of hematologic and oncologic conditions. Through this mandatory rotation, residents will become familiar with common elements of the history, physical, differential diagnosis, and evaluation of hematology/oncology patients. Internists must be comfortable with prevention, screening, initial diagnostic evaluation and management, indications for prompt referral, and appropriate co-management of a plethora of hematologic and oncologic conditions. They must also be knowledgeable regarding indications for transfusion of blood components, management of neutropenia and immunosuppression, care for treatment-related side effects and palliative care.

The resident will evaluate outpatient continuity cancer patients, hospitalized hematology-oncology continuity patients, and hospitalized patients in need of hematology-oncology consultation. All patients will be presented to the attending physician who will fully supervise the resident’s care decisions. With faculty guidance as necessary, the resident will construct a differential diagnosis and plan further diagnostic studies and treatment. Residents perform as consultants in both the inpatient and outpatient setting, with full supervision of the consultative plan by the attending physician.

Residents will also attend outpatient chemotherapy infusion center activities and assist with patient care activities but will NOT write chemotherapy orders.

The successful internist must achieve competence in the essential skills of stabilizing and intervening in the care of critically ill patients in the ICU. In current society, the general internist is typically expected to be qualified at the end of three years of residency to successfully manage a critically ill patient for at least 24 hours until intensive care specialists can come in and take over that care. Because of this important responsibility for the general internist, the 3-year curriculum has five rotations of critical care medicine all of which are expected to continually allow/challenge the resident to gain progressively higher levels of autonomy in managing acutely ill patients.

The rotation is a team based curriculum including multidisciplinary team rounding. It is expected that residents will review the goals and objectives and discuss their individual goals each rotation with the attending critical care specialist. The successful resident on this rotation will show a proactive approach with a keen sense of collaboration with interdisciplinary teams as well as with the attendings. Completion of each subsequent rotation in the intensive care unit will lead to increasing knowledge, skills, confidence, and humility in managing critically ill patients. Residents will use tools such as mechanical ventilation, intensive care pharmacology, IV fluid resuscitation, complex communication skills consistent with establishing clear goals for the patient’s care. This rotation will challenge every resident to be at their best in professionalism during stressful and emotionally charged environments.

Unique to Northeast Georgia Medical Center, we have two MICU practice environments, Gainesville and Braselton. PGY 3 residents will have the opportunity to rotate at both. While at Braselton the PGY 3 resident will have the opportunity for one-on-one teaching daily and increase autonomy when managing patients.

The successful internist must achieve competence in the essential skills of stabilizing and intervening in the care of critically ill patients in the ICU. In current society, the general internist is typically expected to be qualified at the end of three years of residency to successfully manage a critically ill patient for at least 24 hours until intensive care specialists can come in and take over that care. Because of this important responsibility for the general internist, the 3-year curriculum has five rotations of critical care medicine all of which are expected to continually allow/challenge the resident to gain progressively higher levels of autonomy in managing acutely ill patients.

The rotation is a team based curriculum including multidisciplinary team rounding. It is expected that residents will review the goals and objectives and discuss their individual goals each rotation with the attending critical care specialist. The successful resident on this rotation will show a proactive approach with a keen sense of collaboration with interdisciplinary teams as well as with the attendings. Completion of each subsequent rotation in the intensive care unit will lead to increasing knowledge, skills, confidence, and humility in managing critically ill patients. Residents will use tools such as mechanical ventilation, intensive care pharmacology, IV fluid resuscitation, complex communication skills consistent with establishing clear goals for the patient’s care. This rotation will challenge every resident to be at their best in professionalism during stressful and emotionally charged environments.

Unique to Northeast Georgia Medical Center, we have two MICU practice environments, Gainesville and Braselton. PGY 3 residents will have the opportunity to rotate at both. While at Gainesville, the PGY 3 resident will have the opportunity for one-on-one teaching daily and increase autonomy when managing patients.

The practice of rheumatology and musculoskeletal diseases has become quite intricate with the intention of new immune suppressant drugs. The general internal medicine physician to be proficient in counseling and advising patients will need to see a variety of rheumatologic conditions during residency.

This rotation is designed to give the resident the best exposure to a vast variety of pathologies when it comes to rheumatology. This rotation will expose the resident to not only very interesting and a vast variety of immune rheumatologic conditions but will also expose the resident to very common and complicated conditions such as rheumatoid arthritis and lupus. This rotation will also contain some exposure to musculoskeletal diseases. The faculty on this rotation are top-notch and will teach the resident business skills and medicine as well as how private practice physicians can participate in research as part of everyday practice. Residents will be expected to perform and to seek guidance as needed. During this rotation, the resident will be exposed to an infusion center in office x-rays DEXA densitometry and laboratory testing.