Curriculum

Available Positions

• Categorical – 17 positions per year
• Preliminary – 5 positions
  • 5 positions are offered for individuals seeking one year of internal medicine training in preparation for residency in another discipline (e.g. radiology, neurology, anesthesia, PM&R, dermatology).
  • The schedule for interns in the Preliminary Program is parallel to our Categorical Program and Preliminary interns are treated as valued members of our training program.

We have moved to a NO 24 hour Call system, with a dedicated Night Float Team

Note:

• 1 block = 4 weeks
• The above schedule is a generic example of an academic year and may be changed based on individual residents’ circumstances.

Internal Medicine Services

Cardiology – PGY 1-3

• 4 interns + 3 seniors + 1 fellow + attending
• East Carolina Heart Institute – 120 beds
• Multidisciplinary rounds with Pharmacy
• Weekly didactics taught by Cardiology fellow
• Residents will learn to care for patients with NSTEMI, heart failure and arrhythmias along with exposure to CICU patients
• Opportunities for residents to teach medical students rotating in cardiology
• Opportunity to rotate in CICU for PGY-3 residents interested in pulmonary/critical care or cardiology fellowship

Emergency Medicine – PGY-2 or PGY-3

• Level I Trauma Center that provides interventional medical services for acute, cardiac, and neurologic disease
• Weekly Wednesday morning conference
• Direct one-to-one interaction with the attending physician
• Excellent opportunities to develop POCUS and procedural skills

General Internal Medicine – PGY 1-3

• 2-3 interns + 1 seniors + attending + 1 MOD
• ECU Health Medial Center – 974 beds
• Multidisciplinary rounds with Nursing, Pharmacy, and Case Management
• Residents will learn to care for patients presenting with basic and complex medical pathology on a day-to-day basis.
• Opportunities to teach M3 and M4 students
• Excellent opportunities to develop POCUS and procedural skills

Medical Officer of the Day (MOD) – PGY-2 or PGY-3

• Internal medicine consults and triage where residents develop their triage skills to determine if patients need to be admitted, observed or can be discharged from the ED
• MOD assigned to each general medicine team Manage ICU and clinic transfer calls as well as ED consults for admissions

Geriatrics – PGY 3

• 2 residents + Geriatrician
• 4 weeks providing care for patients at 3 local nursing homes – East Carolina Rehab and Wellness, MacGregor Downs and Universal Healthcare.
• Geriatrics clinic once a week

Medical Oncology Hospitalist Rotation – PGY 2-3

• 1 senior Resident + 2 Attendings
• Residents will take care of a wide variety of patients with various cancers; the role is to mainly focus on the medicine aspects while Hematology/Oncology consultants will focus more on chemo/radiation regimens
• More autonomy for residents to manage critically ill patients and opportunity to perform procedures

Medical Intensive Care Unit (MICU) – PGY 1-3

• 3-4 residents + fellow + attending / team
• Closed ICU with 24 beds
• Multidisciplinary rounds with Pharmacy, RT, PT/OT, Nursing, and Nutrition
• Excellent opportunity to develop POCUS, procedural and ventilator management skills

Community Hospitalist Rotation – PGY 3

• 1 senior Resident + Attending
• Elective rotation
• Residents will take care of a wide variety of patients while learning the function of the hospitalist in a community setting. This includes what care can be delivered in a community setting versus an academic setting while providing access to patients in critical access locations across Eastern North Carolina
• Hospital management lectures by the Medical Director of ECU Health Hospitalists, Dr. Manning Exposure to open ICU and associated procedures

Night Medicine – PGY 1-3

• 2 interns + 2 seniors + attending
• 4 weeks of night medicine each year
• Residents will be exposed to a wide variety of diseases and allows senior residents to increase autonomy

Pirate Medicine – PGY 2-3

• 2 seniors + attending
• Residents will be involved with medicine and procedure consults from various departments and co-management of orthopedic patients

Elective Rotations

• Away Rotation – PGY-2 or greater
• Anesthesia Rotation – can be arranged for interested preliminary PGY-1
• Cardiology
  • Consults and outpatient clinic
  • Heart Failure – PGY-2 or greater
  • Electrophysiology (EP) – PGY-2 or greater
  • Intensive Care Unit (CICU) – PGY-3 if pursuing pulmonary/critical care or cardiology fellowship
• Hematology/Oncology Inpatient Consult and outpatient clinic
• Endocrinology Inpatient Consult and outpatient clinic
• Gastroenterology Inpatient Consult and outpatient clinic
  • Advanced GI with access to advanced endoscopic procedures (ERCP and EUS) – PGY-2 or greater
• Hospitalist Rotation – PGY-3 or greater
  • Can rotate at a community hospital and ECU Health Medical Center
• Infectious Disease Consults and outpatient clinic
• Medical ICU Elective – PGY-2 or greater
• Musculoskeletal Outpatient – PGY-2 or greater
• Nephrology Consults and outpatient clinic including transplant and glomerulonephritis clinic
• Psychiatry Consults
• Pulmonary Consults and outpatient clinic
• Radiology Rotation – can be arranged for interested preliminary PGY-1
• Research
• Neurology Consults
• Dermatology Clinic
• Hybrid Complex Medical Unit (Med-Psych unit)

Facilities