Program Objectives
The Jewish Hospital Internal Medicine residency program is
dedicated to preparing resident physicians for the practice of
Internal Medicine by providing a curriculum in accordance with
ACGME guidelines for General Internal Medicine. Our specific
goals are:
1. provide learning experiences based on measurable objective for
education of general internists during their training
2. integrate principles of basic sciences with clinical experiences in a
progressive manner.
3. promote a broad understanding of the role of internal medicine with
respect to other
4. medical disciplines such as surgery and psychiatry throughout the
program provide for progressive responsibility for patient care, ultimately
enabling complete patient management
5. promote understanding of the economic, legal, social, and ethical
challenges of contemporary internal medicine.
Beyond the general goals of our program, outlined above, each of the
required and elective rotations also have specific education goals called
"Unit Objectives". The unit objectives for each of the required and elective
subspecialty rotations are described below. In addition, residents can
design their own rotations by submitting a request along with a "Unit
Objectives" proposal for approval by the program director.
dedicated to preparing resident physicians for the practice of
Internal Medicine by providing a curriculum in accordance with
ACGME guidelines for General Internal Medicine. Our specific
goals are:
1. provide learning experiences based on measurable objective for
education of general internists during their training
2. integrate principles of basic sciences with clinical experiences in a
progressive manner.
3. promote a broad understanding of the role of internal medicine with
respect to other
4. medical disciplines such as surgery and psychiatry throughout the
program provide for progressive responsibility for patient care, ultimately
enabling complete patient management
5. promote understanding of the economic, legal, social, and ethical
challenges of contemporary internal medicine.
Beyond the general goals of our program, outlined above, each of the
required and elective rotations also have specific education goals called
"Unit Objectives". The unit objectives for each of the required and elective
subspecialty rotations are described below. In addition, residents can
design their own rotations by submitting a request along with a "Unit
Objectives" proposal for approval by the program director.
Cardiology Elective
At the completion of a one-month elective in Cardiology, each resident will be able to demonstrate a basic
understanding of the general principles of consultative cardiology, understand patient management problems
as well as techniques employed in cardiac evaluations, and effectively interpret clinical and laboratory findings.
Coronary Care Unit (CCU) Rotation
Upon completion of a the CCU rotations, each resident will have a fundamental knowledge regarding
management of the critically ill cardiac patient. Management of unstable angina, acute myocardial infarction,
arrhythmias, congestive heart failure, and valvular pathology will be stressed, with emphasis placed on active
involvement of the resident in medical and ethical decision-making.
Dermatology Elective
At the completion of a one-month elective in Dermatology, the resident will have been exposed to general
dermatological problems and will be capable of making diagnostic and therapeutic management decisions
appropriate for a general internist. The indications for obtaining a dermatology consultation will be emphasized.
Emergency Medicine Rotation
Upon completion of a one-month rotation in Emergency Medicine, each resident should demonstrate an
understanding of common medical emergency problems and demonstrate an ability to expeditiously evaluate a
patient and formulate a plan for treatment and disposition.
Endocrinology Elective
Upon completion of a one-month rotation in Endocrinology, each resident will be expected to demonstrate an
understanding of the initial diagnosis and management of the patient with an endocrinologic problem. Each
resident will be exposed to a variety of clinical conditions, including diabetes mellitus and pituitary, thyroid and
adrenal abnormalities.
Gastroenterology Elective
The purpose of this elective to familiarize the resident with common gastrointestinal disorders including GI
bleeding, peptic ulcer disease, hepatic cirrhosis, chronic liver disease, inflammatory bowel disease, chronic
pancreatitis, GI malignancies, biliary tract disease, and functional bowel disorders. At the end of the elective,
each resident will be expected to be able to obtain a complete history and perform an appropriate physical
examination focusing on specific GI complaints, formulate a diagnostic plan, and execute a reasonable
treatment plan. In addition, the resident will become familiar with the diagnostic and therapeutic endoscopic
modalities available in Gastroenterology and will obtain hands-on practical experience in flexible sigmoidoscopy.
General Medical Wards
Exposure of the resident to the non-critically ill hospitalized patient is essential at all levels of training. Each
resident will be expected to assume increasing responsibility for patient care during his/her training. Exposure
to all medical pathologies and age groups will be stressed. Interactions with general internists and medical
subspecialists will occur daily to enhance the learning experience.
Geriatrics Elective
Upon completion of a one-month rotation in Geriatrics, each resident will be expected to have developed an
awareness of specific medical concerns of the geriatric population and how they differ from those of younger
patients as well as an understanding of the special syndromes in the geriatric population.
Hematology/Oncology Elective
During the one-month rotation in Hematology/Oncology, each resident will be exposed to the diagnostic
evaluation and treatment of various hematologic and oncologic diseases, including the use of chemo-
therapeutic agents and their side effects.
Infectious Disease Elective
Upon completion of the one-month rotation in Infectious Disease, the resident should have an understanding of
the pathophysiology, clinical presentation and appropriate treatment of common clinical syndromes such as
HIV/AIDS, meningitis, head and neck infections, pneumonia, gastroenteritis, intra-abdominal infections, genito-
urinary tract infections, bone and soft tissue infections, treatment of the neutropenic patient, and an
understanding of immunizations. The resident should also demonstrate a knowledge of the appropriate use of
a microbiology laboratory.
Medical Intensive Care Unit (ICU) Rotation
Upon completion of the ICU rotations, each resident will be expected to be able to manage the critically ill
medical patient as well as counsel family and patients on medical and ethical issues. Ventilator care and
management of sepsis, respiratory failure, acute renal failure, hemorrhage, oncological emergencies, and
central nervous system pathology will be stressed.
Nephrology Elective
Upon completion of a one-month rotation in Nephrology, each resident should be able to demonstrate an ability
to evaluate and manage both acute and chronic renal failure of various etiologies. There will be exposure to
both inpatient and outpatient management problems, including chronic hemo- and peritoneal dialysis.
Neurology Elective
Upon completion of a one-month rotation in Neurology, each resident will be expected to demonstrate
proficiency in the neurological examination and correlation of the patients symptomatology with neuro-imaging
studies and neuro-physiology. There will be exposure to both common and uncommon neurological diseases
including CVA, neuromuscular disorders, neuro-ophthalmological problems, etc.
Orthopedics Elective
During the elective in orthopedics, each medical resident will learn the office management of various musculo-
skeletal disorders. Emphasis will be placed on the medical management and the appropriateness of an
orthopedic consult.
Otolaryngology Elective
Upon completion of the rotation, each resident should have an understanding of the initial evaluation and
treatment of specific disorders involving the head and neck. Common clinical problems encountered will
include head and neck neoplasms, chronic sinusitis, and various middle and inner ear pathology.
Primary Care Outpatient Rotation
Upon completion of this unit, which will usually consist of one-half day sessions in a private physician’s office
throughout the second and third years of training, each resident will have developed a better understanding of
primary care practice. The resident will be exposed to office management and business decisions as well as
having primary responsibility for patient care while at the office.
Pulmonary Elective
Upon completion of a one-month rotation in Pulmonary Medicine, each resident will be expected to demonstrate
an overall understanding of acute and chronic lung disorders. The focus will be on emphysema, asthma,
carcinoma of the lung, various lower respiratory tract infections, and adult respiratory distress syndrome
(ARDS).
Radiology Elective
The purpose of this elective rotation is to acquaint the medical resident with a wide variety of procedures
performed in the Department of Radiology. Selection of the appropriate imaging procedure to solve a specific
clinical question is stressed. Interpretation of plain radiographs is emphasized. Residents are also instructed
on the basic principles of imaging techniques such as ultrasound, computerized tomography, and magnetic
resonance imaging.
Rheumatology/Immunology Elective
Upon completion of a one-month rotation in Rheumatology/Immunology, each resident will be expected to
demonstrate a basic fund of knowledge of the diagnosis and treatment of rheumatologic disorders. Common
disorders encountered during the rotation will include mono- and polyarticular-arthritis, connective tissue
diseases, osteoporosis, vascular disease, back pain, fibromyalga, and chronic fatigue syndrome.
At the completion of a one-month elective in Cardiology, each resident will be able to demonstrate a basic
understanding of the general principles of consultative cardiology, understand patient management problems
as well as techniques employed in cardiac evaluations, and effectively interpret clinical and laboratory findings.
Coronary Care Unit (CCU) Rotation
Upon completion of a the CCU rotations, each resident will have a fundamental knowledge regarding
management of the critically ill cardiac patient. Management of unstable angina, acute myocardial infarction,
arrhythmias, congestive heart failure, and valvular pathology will be stressed, with emphasis placed on active
involvement of the resident in medical and ethical decision-making.
Dermatology Elective
At the completion of a one-month elective in Dermatology, the resident will have been exposed to general
dermatological problems and will be capable of making diagnostic and therapeutic management decisions
appropriate for a general internist. The indications for obtaining a dermatology consultation will be emphasized.
Emergency Medicine Rotation
Upon completion of a one-month rotation in Emergency Medicine, each resident should demonstrate an
understanding of common medical emergency problems and demonstrate an ability to expeditiously evaluate a
patient and formulate a plan for treatment and disposition.
Endocrinology Elective
Upon completion of a one-month rotation in Endocrinology, each resident will be expected to demonstrate an
understanding of the initial diagnosis and management of the patient with an endocrinologic problem. Each
resident will be exposed to a variety of clinical conditions, including diabetes mellitus and pituitary, thyroid and
adrenal abnormalities.
Gastroenterology Elective
The purpose of this elective to familiarize the resident with common gastrointestinal disorders including GI
bleeding, peptic ulcer disease, hepatic cirrhosis, chronic liver disease, inflammatory bowel disease, chronic
pancreatitis, GI malignancies, biliary tract disease, and functional bowel disorders. At the end of the elective,
each resident will be expected to be able to obtain a complete history and perform an appropriate physical
examination focusing on specific GI complaints, formulate a diagnostic plan, and execute a reasonable
treatment plan. In addition, the resident will become familiar with the diagnostic and therapeutic endoscopic
modalities available in Gastroenterology and will obtain hands-on practical experience in flexible sigmoidoscopy.
General Medical Wards
Exposure of the resident to the non-critically ill hospitalized patient is essential at all levels of training. Each
resident will be expected to assume increasing responsibility for patient care during his/her training. Exposure
to all medical pathologies and age groups will be stressed. Interactions with general internists and medical
subspecialists will occur daily to enhance the learning experience.
Geriatrics Elective
Upon completion of a one-month rotation in Geriatrics, each resident will be expected to have developed an
awareness of specific medical concerns of the geriatric population and how they differ from those of younger
patients as well as an understanding of the special syndromes in the geriatric population.
Hematology/Oncology Elective
During the one-month rotation in Hematology/Oncology, each resident will be exposed to the diagnostic
evaluation and treatment of various hematologic and oncologic diseases, including the use of chemo-
therapeutic agents and their side effects.
Infectious Disease Elective
Upon completion of the one-month rotation in Infectious Disease, the resident should have an understanding of
the pathophysiology, clinical presentation and appropriate treatment of common clinical syndromes such as
HIV/AIDS, meningitis, head and neck infections, pneumonia, gastroenteritis, intra-abdominal infections, genito-
urinary tract infections, bone and soft tissue infections, treatment of the neutropenic patient, and an
understanding of immunizations. The resident should also demonstrate a knowledge of the appropriate use of
a microbiology laboratory.
Medical Intensive Care Unit (ICU) Rotation
Upon completion of the ICU rotations, each resident will be expected to be able to manage the critically ill
medical patient as well as counsel family and patients on medical and ethical issues. Ventilator care and
management of sepsis, respiratory failure, acute renal failure, hemorrhage, oncological emergencies, and
central nervous system pathology will be stressed.
Nephrology Elective
Upon completion of a one-month rotation in Nephrology, each resident should be able to demonstrate an ability
to evaluate and manage both acute and chronic renal failure of various etiologies. There will be exposure to
both inpatient and outpatient management problems, including chronic hemo- and peritoneal dialysis.
Neurology Elective
Upon completion of a one-month rotation in Neurology, each resident will be expected to demonstrate
proficiency in the neurological examination and correlation of the patients symptomatology with neuro-imaging
studies and neuro-physiology. There will be exposure to both common and uncommon neurological diseases
including CVA, neuromuscular disorders, neuro-ophthalmological problems, etc.
Orthopedics Elective
During the elective in orthopedics, each medical resident will learn the office management of various musculo-
skeletal disorders. Emphasis will be placed on the medical management and the appropriateness of an
orthopedic consult.
Otolaryngology Elective
Upon completion of the rotation, each resident should have an understanding of the initial evaluation and
treatment of specific disorders involving the head and neck. Common clinical problems encountered will
include head and neck neoplasms, chronic sinusitis, and various middle and inner ear pathology.
Primary Care Outpatient Rotation
Upon completion of this unit, which will usually consist of one-half day sessions in a private physician’s office
throughout the second and third years of training, each resident will have developed a better understanding of
primary care practice. The resident will be exposed to office management and business decisions as well as
having primary responsibility for patient care while at the office.
Pulmonary Elective
Upon completion of a one-month rotation in Pulmonary Medicine, each resident will be expected to demonstrate
an overall understanding of acute and chronic lung disorders. The focus will be on emphysema, asthma,
carcinoma of the lung, various lower respiratory tract infections, and adult respiratory distress syndrome
(ARDS).
Radiology Elective
The purpose of this elective rotation is to acquaint the medical resident with a wide variety of procedures
performed in the Department of Radiology. Selection of the appropriate imaging procedure to solve a specific
clinical question is stressed. Interpretation of plain radiographs is emphasized. Residents are also instructed
on the basic principles of imaging techniques such as ultrasound, computerized tomography, and magnetic
resonance imaging.
Rheumatology/Immunology Elective
Upon completion of a one-month rotation in Rheumatology/Immunology, each resident will be expected to
demonstrate a basic fund of knowledge of the diagnosis and treatment of rheumatologic disorders. Common
disorders encountered during the rotation will include mono- and polyarticular-arthritis, connective tissue
diseases, osteoporosis, vascular disease, back pain, fibromyalga, and chronic fatigue syndrome.
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| Copyright 2008 Jewish Hospital Internal Medicine Contact: webmaster@jewishhospital-cincinnati.com |
| The Jewish Hospital Internal Medicine Residency |
We are proud to announce that Jewish Hospital Internal Medicine
Residency Program was recently awarded a 5-year accreditation by
the Internal Medicine Residency Review Committee. Based on the
structure and quality of the educational experience you will receive,
this puts our program in approximately the top 25% of internal
medicine residency programs in the United States.
Residency Program was recently awarded a 5-year accreditation by
the Internal Medicine Residency Review Committee. Based on the
structure and quality of the educational experience you will receive,
this puts our program in approximately the top 25% of internal
medicine residency programs in the United States.
| ROTATION OBJECTIVES |