Education & Curriculum
Residency Overview
Our resident group is divided into cohorts, each on a rotating 4+1 schedule. During the +1 week or Ambulatory Week, residents and interns manage their continuity patients in clinic. The Ambulatory Week also gives our residents the opportunity to take part in ongoing Quality Improvement & Patient Safety projects.
These projects are original and many of our residents’ works are presented at local and national conferences. The +1 schedule also allows for a “golden weekend” where residents are free from clinical duties and can enjoy local San Antonio or other nearby attractions.
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Categorical PGY-1 Blocks
| 0.5 Backup Rotation |
| 4-5 Internal Medicine Ward months, including half a month on Palliative Care |
| 1 Critical Care month |
| 1 Cardiology/CCU month |
| 1 Night Float |
| 1 Procedure Team / Patient Safety month |
| 0.5 Pallative Care / 0.5 Neurology |
| 1 Elective |
PGY-2 Blocks
| 2-3 Internal Medicine Ward months (with the option of 1 months on HIV Wards.) |
| 1 Critical Care month |
| 1 Cardiology/CCU month |
| 1 High Value Care month |
| 1 Endocrinology/Nephrology core rotation |
| 0.5 Emergency Medicine |
| 0.5 Backup Rotation |
| 3 Electives |
PGY-3 Blocks
| 2-3 Internal Medicine Ward months (with the option of 1 months on HIV Wards.) |
| 1 Critical Care month |
| 1 Cardiology/CCU month |
| 1 Night Float month |
| 1 Medicine Consult month |
| 0.5 Medicine Triage |
| 1 Backup Rotation |
| 3-4 Electives |
Rotations are offered at both teaching hospitals and are supplemented with daily conferences covering high-yield, board-testable topics.
Categorical Internship Curriculum
The goal for our PGY1 residents is to develop a strong base in medicine through robust exposure to general medicine wards, ambulatory care, critical care, palliative care, bedside procedures, and an elective of choice.
Intern Learning Group (ILG)
Dedicated intern didactics are offered one afternoon a week throughout the year. During the first 2-3 months of the year, this time is filled with boot camps and simulations to learn the skills required to be an efficient and effective intern on Night Float, MICU, and CCU. Following completion of bootcamps, ILG is devoted to didactic lectures covering topics such as EKG, Heart Sounds, CXR, and PFT review. Interns are also tasked with presenting a clinical case to their peers. At the end of PGY1 year, we hold an off-campus intern retreat devoted to preparing for the role of resident and includes workshops on team leadership, managing an inpatient service, and understanding the role of a senior resident. After all the workshops, our newly minted Residents get to enjoy the rest of the day in the water and sun!
Resident Curriculum
The goal for our upper-level residents is to build on their foundation to become confident, competent, and independent physicians. Inpatient rotations cover a broad range of clinical disciplines including internal medicine wards, HIV wards, medicine consultation, night float, cardiology, critical care, emergency medicine, and neurology. Additionally, senior housestaff have 2-4 months of electives, including the option of a board study month.
Preliminary Internships
Preliminary interns rotate through internal medicine wards, Cardiology, MICU, and night float. They also receive an elective month and their ambulatory weeks which may be used to rotate in areas of their chosen specialty (such as neurology, radiology, anesthesia or ophthalmology).
