Internal Medicine

Block Rotations

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The Internal Medicine Residency program's academic year consists of thirteen 28-day blocks. The following is a typical block schedule.

Blocks PGY1 PGY2 PGY3 Preliminary
1 Wards Wards Wards (RMH/VA) Wards
2 Wards Wards CCU Wards
3 Wards Wards (VA) MICU Wards
4 Wards MICU Day Float Wards
5 Wards (VA) CCU NF or wards Wards (VA)
6 Cards wards Cards wards Neurology (VA) Cards wards
7 MICU NF or wards Ambulatory MICU
8 NF Ambulatory Selective (Pulm) NF
9 ED Geriatrics Selective (GI) Ambulatory
10 Ambulatory Selective (Endo) Selective (HemOnc) Elective
11 Selective (Neph) Selective (Rheum) Elective Elective
12 Elective Elective Elective Elective
13 Elective Elective Elective Elective

Some residents schedule one or more special electives with a focus on scholarly activity (research blocks). Categorical residents may schedule a rotation at another institution during the second year to facilitate fellowship exploration and placement.

Overnight call is every fourth night in the MICU and on Inpatient Medicine at the Salem VAMC. There is no overnight call in the CCU or for Residents on Inpatient Medicine at Carilion Roanoke Memorial Hospital (CRMH). Interns on Inpatient Medicine at CRMH stay overnight every eighth evening.

Categorical Interns and Residents have Continuity Clinic weekly when not on MICU or CCU rotations. PGY-2 and PGY-3 Residents have two Continuity Clinics weekly on elective rotations. Preliminary Interns do not have Continuity Clinic.

After-hours and weekend telephone calls from the resident continuity clinic are handled by the faculty, thereby allowing the residents on-call to focus on inpatient care and learning.