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Training Program

This three year program offers direct patient care responsibility under close full time faculty supervision in an academic setting. The goals of the program are to optimize house officers' clinical skills, knowledge base, problem-solving abilities, clinical judgment and patient interactions.  Many of the rotations, both inpatient and outpatient, are in the subspecialties which allows trainees to learn each subject area from an expert in that field. 

The vast majority of the house staff rotations are at Tufts Medical Center. Trainees rotate through the medical subspecialties as well as the ambulatory care practices. House staff have several primary care block rotations at the Medical Center – Tufts Primary Care Boston (our internal medicine practice) and our walk in clinic. In the weekly continuity clinic, interns and residents follow their own patients, many of whom are recruited from their inpatient services.

Each trainee also spends some time rotating in a community hospital, Newton-Wellesley Hospital. In this setting, house officers work with house officers from MGH and are exposed to community-based medicine and a diverse case load. In addition, there is one rotation at the Lemuel Shattuck Hospital, a state-operated facility providing care to the economically disadvantaged.

 

PGY 1

PGY 2

PGY 3

Bone Marrow Transplantation

X

Cardiac Care Unit

X

 

X

Cardiology Inpatient

X

X

Continuity Clinic

X

X

X

Electives

X

X

X

Emergency Department

X

Endocrinology Outpatient   X X

Gastroenterology Inpatient

X

X

General Medicine Inpatient

X

X

General Medicine -Shattuck Hospital

X

General Medicine – Newton Wellesley Hospital

X

X

X

Geriatrics Inpatient

X

X

Hematology/Oncology Inpatient

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X

Infectious Diseases Inpatient

X

X

Medical Consults

X

Medical ICU - Tufts Medical Center

X

X

X

Nephrology Inpatient

X

X

Night Float

X

X

X

Primary Care Ambulatory Block

X

X

X

Pulmonary Inpatient

X

X

Rheumatology Outpatient

X

X

Subspecialty Ambulatory Blocks

X

X

X

Medical Education Track

X

X

Primary Care Track

 

X

X

Internship

In conjunction with their residents and attendings, interns have primary responsibility for patient care. The interns have 13 rotations over the course of their year. The experiences include ward rotations at Tufts Medical Center on the Cardiology services, General Medicine Service, Renal, Pulmonary, Infectious Diseases, Geriatrics, Hematology/Oncology, Gastroenterology, and Leukemia/Bone Marrow Transplantation Services. In general, interns are on long call until 8 pm every fourth night during these rotations.  There is one rotation through the Medical Intensive Care Unit.

We have instituted a “3+1” structure for interns so that each three week block is followed by a one week block of ambulatory and/or elective time. In addition, there are night float experiences. 
The internship starts approximately ten days prior to July 1 to facilitate the transition of the house staff. At the end of the year, the interns will have 7 days off prior to starting their residency. Interns successfully performing the duties of their initial year of training are expected to continue in the program.

Second Post Graduate Year

The second year consists of 17 three week blocks.  Residents do not have back to back ward rotations. Junior residents are responsible for the care and supervision of patients on the inpatient services. At Tufts Medical Center the inpatient rotations include; Cardiology, Pulmonary, Infectious Diseases, Gastroenterology, Renal, Hematology/Oncology, Medical Intensive Care and Coronary Care Units.There is one rotation in the second year in the Newton-Wellesley Hospital intensive care unit.

In addition to these experiences, a substantial amount of ambulatory and non-inpatient time has been incorporated into the program. Junior residents have two blocks in the Primary Care ambulatory practice, and several subspecialty ambulatory experiences (including required rotations in Rheumatology and Endocrinology. Elective time is ample as well. Day float and night float rotations also exist.

Doctor and studentThird Post Graduate Year

The senior residency also consists of 17 three week blocks and is designed to complement the first two years of intensive training in inpatient medicine with an emphasis on ambulatory medicine. At present, the senior year consists of inpatient experiences at Tufts on the General Medicine service, Geriatric service and in the Medical Intensive Care Unit.

There are two blocks in the General Medicine Associates, several outpatient rotations in medical subspecialty clinics, a month in the Tufts emergency department and an experience as the medical consultation resident. There are several blocks of elective time with opportunities for research projects. There is currently one rotation on the General Medicine Service at the Lemuel Shattuck Hospital and one at Newton Wellesley Hospital. The on-call requirements occur only during the inpatient rotations. Many residents also use their third year to explore global health options, such as working in a health center in Botswana. 

Additional Training 

With the addition of a new simulation center at the Tufts University School of Medicine, we have enhanced our educational curriculum with several new learning experiences.  All incoming interns participate in an OSCE and central line training session to improve their patient care skills.  All second year residents participate in mock code and high urgency clinical scenarios to enhance their performance in these challenging situations. Each year we have been expanding our physical diagnosis teaching as well.  These programs are expanding every year.