During your residency you will develop the tools necessary to become comprehensive internists capable of managing diverse patients with a broad range of diseases. Your training will prepare you for any field of medicine you are interested in, whether you pursue a career in General Internal Medicine, subspecialty medicine, or academic medicine.

2021-2022 Internal Medicine Curriculum

 


Essential Functions of a Resident 

Residents must manage the care of patients across a variety of clinical settings, provide safe and quality care, and are required to work day, evening,  and overnight shifts of varying length and intensity, as well as be available, dependable, and fit to work when called in for “back up” when an assigned resident is absent.  Care of patients includes, but is not limited to:  obtaining history and physical exams, performing procedures and responding to rapid response team and code blue calls, complex medical decision making including diagnostic and therapeutic plans, directing and coordinating interprofessional team, communicating and educating patients and updating families, documenting H&P and daily progress notes.

Residents participate in clinical rotations that are sufficient in length and continuity to provide meaningful assessment and feedback regarding development and implementation of management plans for patients with multisystem disease and comorbid conditions and they are able to modify management based on clinical course.

Residents must be fit to work up to 80 hours per week, averaging one day off in seven, and be able to care for up to 20 patients when supervising more than one PGY1 Intern as per ACGME requirements.  They must possess sufficient sensory and motor function to elicit information from patients by palpation, auscultation, percussion and other diagnostic maneuvers.  It is essential that residents are able to perform all job functions while dressed in protective clothing required for clinical duties, including tolerating a mask, gown, and gloves.  They need to be able to travel throughout the Medical Center to address routine and emergent patient care issues and to attend required educational programs.  Residents must be present and maintain ABIM board eligibility

Residents lead clinical teams, supervise and directly observe PGY1 Interns and medical students, and adapt their communication style in order to cultivate an academic, safe, and inclusive environment that fits the interprofessional team needs, exhibits good professional judgement, reconciles conflict, and provides difficult feedback.  They have the emotional maturity to self-assess, know own limitations and seek advice or counseling in situations that might impair their own learning or performance in the care of patients, and to proactively seek appropriate treatment including leaves of absence.

Residents perform administrative tasks, communicate with supervising staff, and perform patient care responsibilities in a timely manner in complex or stressful situations.  Administrative tasks include but are not limited to utilizing computers for completing clinical documentation, decision support, research, education, and timely follow-up of test results.


Inpatient

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Inpatient medicine is a cornerstone of internal medicine residency training.  Our program at Augusta University offers an ideal training ground that allows for our residents to rotate through all major subspecialties, learn in intermediate and critical care settings, and experience a diverse spectrum of pathologies that can only be found at a tertiary care facility. 

Training for our residents is structured around the goal of shaping modern-day physicians who have the kind of well-rounded skillsets suited to handle the unique challenges we are facing in medicine today.  This includes access to the training and equipment to perform bedside ultrasound and procedures. Didactics while on an inpatient service include morning reports (a journal club, overnight cases, interesting “Case of the Week” presentations, etc) and more traditional noon conferences taught by faculty in those subspecialties.  There is a separate SIM Curriculum and Ultrasound Curriculum woven into the noon conference lecture series. We have found that the pace of a rotation is also important to maximize learning and well-being during a long residency – and so, in addition to a 4+2 block schedule, we have cultivated a Q4-call cycle for our General Medicine Ward Teams allowing for a balanced experience between a busy call day and learning about patients.

 

photo of Gail Kouame, MLIS

Gail Kouame, MLIS

  • Associate Professor
  • Assistant Director for Research & Education Services
  • Greenblatt Library | Augusta University
  • Support physicians, residents, and students by assisting with research, providing guidance on accessing the library’s resources, and offering point-of-care clinical information support.
  • Available to teach searching strategies and evidence-based practice, including forming clinical questions, performing efficient and effective evidence searches, and assessing the evidence for validity and relevance.

 

AU Wards     (3 traditional academic teams)

1 Attending
 

 

Q4 call (7a-7p), Can sign out patients to cross cover team on non-call days at 4 pm

1 Resident
 
2-3 Interns
 
 
         

AU Wards - Grey Medicine (1 Hospitalist-Style Academic Team)

1 attending
 

 

Share Q4 call day cycle and cross coverage with the 3 AU ward teams. Hospitalist style schedule with 7 days on followed by 7 days off. 

2 residents
 
 
     

 

VA Wards  (3 academic teams)

1 Attending
 

 

Q4 call (7a-7p), Can sign out patients to cross cover team on non-call days at 4 pm

1 Resident
 
2-3 Interns
 
 
         

AU MICU

1 Attending
 

 

Admit to a closed ICU service 7a-7p, each senior resident has one week of nights during rotation.

1 Fellow
 
3 Residents
 
3 Interns
 
 
         

VA MICU

1 Attending
 

 

Admit to a closed ICU 7a-7p, nights are covered by dedicated night float

1 Fellow
 
1 Resident
 
1 Intern
 
 
         

AU Cardiac ICU

1 Attending
 

 

Admit to a closed Cardiac ICU, one resident and one intern from either CCU team or cardiology floor team stays until 7p each day for admissions. Senior residents complete one week of nights during rotation.

1 Fellow
 
2 Residents
 
2-3 Interns
 
 
         

AU Cardiology

1 Attending 
 

 

Admit to cardiology floor team, one resident and one intern from either CCU team or cardiology floor team stays until 7p each day for admissions. Senior residents complete one week of nights during rotation. 

2 Residents
 
2 Interns
 
 
         

AU Heme/Onc (2 teams, Blue and BMT)

1 Attending
 

 

Admit solid tumor, sickle cell, transplant, and leukemia/lymphoma patients to either Blue or BMT service. Generally 7a-5p. 

1 Fellow
 
1 Interns
 
             

Night Float

   

Interns only responsible for cross-cover, one at the VA one at AU. Residents alternate admitting AU floor, VA floor, and VA ICU.  Supervision for interns and residents as well as staffing of floor admissions with in-house hospitalist attendings.

 

Outpatient

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At AU, we are dedicated to providing both excellent outpatient resident education and comprehensive care for our patients.

photo of Kate W. O’Connor

Kate W. O’Connor

  • PGY2 Ambulatory Care Pharmacy Residency Program Coordinator; Ambulatory Care Clinical Pharmacist, Internal Medicine Clinic
  • Department of Pharmacy
  • Collaborate with residents in the Medicine Continuity Clinic to assist with clinical care plan development, drug information requests, and patient education in a team-based environment.
  • Facilitate learning via participation in weekly didactic sessions, presentations at noon conferences, contribution to journal club discussions, and informal pharmacotherapy discussions.
  • Serve as a pharmacotherapy resource for ambulatory care-related topics for all internal medicine residents.

 

A resident’s outpatient week in the 4+2 schedule has each resident spend time both in their personal internal medicine continuity clinic and in specialty clinics.

Monday

ELECTIVE (CLINICS/CONSULTS)

ELECTIVE (CLINICS/CONSULTS)

Tuesday

ELECTIVE (CLINICS/CONSULTS)

ELECTIVE (CLINICS/CONSULTS)

Wednesday

ELECTIVE (CLINICS/CONSULTS)

ELECTIVE (CLINICS/CONSULTS)

Thursday

CONTINUITY CLINIC

CONTINUITY CLINIC

Friday

ELECTIVE (CLINICS/CONSULTS)

ELECTIVE (CLINICS/CONSULTS)

 

In the general internal medicine clinic, residents care for their longitudinal primary care patients with our dedicated academic outpatient internal medicine attendings. In the outpatient specialty clinics, residents have the opportunity to work with academic faculty in each internal medicine specialty. In our outpatient internal medicine clinics, we serve as primary care physicians for our diverse community, providing care to people of all backgrounds. We work with our dedicated clinical staff, pharmacists, translators, care coordinators, and others to provide patient-centered care for each patient. Our residents see patients at either the AU Clinic Site, located inside the Medical Office Building (MOB) or at the Uptown VA, just a few minutes away.