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Program Description

The Department of Medicine’s Residency Program seeks to educate residents to be outstanding practitioners, lifelong learners, critical thinkers, and patient advocates. The program provides a well rounded core curriculum that meets the requirements of the ACGME, yet is diversified and flexible enough to allow every resident the education which best suits his or her career goals. All residents have the opportunity and are encouraged to do research with clinical and basic science researchers.

Rotation Descriptions

The University of Kansas Hospital (KUMED)

  • Eight inpatient medical services
    • Four general medicine services
    • One in each hematology, oncology, cardiology and renal subspecialties
  • Four critical care services
    • Three medical intensive care unit services
    • One cardiology intensive care unit service
  • Subspecialty consult services that involve both inpatient consults and ambulatory clinics
    • Allergy
    • Cardiologyy
    • Dermatologyy
    • Endocrinology
    • Gastroenterology
    • General Medicine
    • Geriatrics
    • Hematology
    • Infectious Diseases
    • Nephrology
    • Neurology
    • Oncology
    • Palliative Care
    • Pulmonary
    • Rheumatology

The Kansas City Veterans Affairs Medical Center (KCVAMC)

  • Four inpatient medical services
    • Three general medicine services
    • One hematology/oncology service
  • Two critical care services
    • Cardiac care unit
    • Medical intensive care unit
  • Subspecialty consult services that involve both inpatient consults and ambulatory clinics
    • Cardiology
    • Dermatology
    • Endocrinology
    • Gastroenterology
    • General Medicine
    • Hematology/Oncology
    • Infectious Diseases
    • Nephrology
    • Neurology
    • Palliative Care
    • Pulmonary
    • Rheumatology

Leavenworth Veteran’s Hospital (Leavenworth VA)

  • Two inpatient medical services with an open medical intensive care unit

Private Practice

  • Residents have the opportunity to rotate in a private practice setting with internists

Typical Schedules

sample schedule

Throughout all three years of categorical residency, each resident has a half-day per week dedicated to an ongoing continuity clinic.

First Year Resident (PGY 1: Categorical and Preliminary)

  • 6-7 blocks of general and subspecialty inpatient services
  • 2-3 blocks of cardiac care unit and medical intensive care unit experience
  • 2-3 blocks of non-inpatient experience in the ER, ambulatory medicine clinics, or consult services
  • 4-6 weeks of night float
  • 0-1 overnight shift weekend calls per inpatient block on general medicine and subspecialty wards at KU Med and KCVA only
  • 7-8 blocks will be at KU Med, 3-4 blocks at the KCVA, and 0-1 blocks at the Leavenworth VA
  • No call while on non-inpatient blocks
  • Preliminary year residents can expect two to three blocks in which two week blocks can be done within their field of future sub specialization.

Second and Third Year Residents (PGY 2 and 3)

  • 6-8 blocks of inpatient supervising =  Involves guiding 2 PGY 1s, as well as 2-3 medical students in the care of inpatients
  • 4-6 weeks of night float
  • 3-5 blocks of cardiac care unit and medical intensive care unit
  • 1-3 blocks (total for all three years) of elective time
    • International Rotations
    • Board Review
    • Research
    • Other specialty rotations (radiology, anesthesia, etc.)
  • 1 block (total for all three years) of geriatrics
  • 1 block (total for all three years) of neurology
  • 1 block (total for all three years) of emergency medicine
  • 1-2 overnight 12-hour shifts per non-inpatient rotation

Ambulatory Experience

Continuity clinic

  • All categorical residents have at least one half day a week of continuity care clinic
  • Sites include:
    • KU Med             
    • KCVA                 
    • Westwood Internal Medicine
    • Kansas City Free Clinic                   
    • Swope Park Health Clinic = Jackson and Wyandotte Counties
    • Kansas City Internal Medicine
  • Preliminary residents do not participate in a continuity clinic care experience

Ambulatory blocks

  • All residents will have the same ambulatory experience and it is outlined to have exposure to all of the internal medicine sub-specialties. Ambulatory rotation blocks will occur over 2 blocks in each of PGY 2 and PGY 3.
  • Sub-specialty exposure:
    • Ambulatory 1: Wound Clinic, Rheum, Gynecology, Allergy, Endocrinology
    • Ambulatory 2: Lipid, Pulmonary, Renal, Heart Failure, Heme/Onc
    • Ambulatory 3: Derm, GI, ID
    • Ambulatory 4: KC Free clinic, which is the largest free clinic in the US, and is one of the largest safety net service providers in the Kansas City region. This clinic exists to promote health and wellness by providing quality health care services, at no charge, to people without access to basic care.

Call Schedules

KUMed and KCVA Inpatient Ward Weekend and Night Coverage and Weekday day coverage

  • 1 person from each inpatient ward team stays until 7:00 pm nightly
  • Weekday night float coverage
    • All interns and upper level residents will rotate on several two-week ward night float blocks
    • Night float team is made up of two interns and one senior resident
    • Night float rotation runs from 7:00 pm to 8:00 am, Monday through Saturday, for 2 consecutive weeks
  • Weekend intern resident coverage
    • Interns on inpatient blocks have zero to one overnight weekend calls per block
      • Sunday 8pm – Monday Noon
  • Weekend senior resident coverage
    • Senior residents on inpatient ward blocks cover the day shift from 8:00 am to 7:00 pm
    • Senior residents on consult rotations cover 1-2 night shifts from 7:00 pm to 8:00 am on Sundays

KU Med Medical Intensive Care Unit Night Coverage

  • Senior residents cover 5-6 consecutive nights from 6:00 pm to 7:00 am
  • Interns do not take overnight call in the MICU

KU Med Coronary Care Unit Night Coverage

  • Senior residents cover 5-6 consecutive nights in the unit from 7:00 pm to 8:00 am
  • Interns do not take overnight call in the KU CCU

Teaching Conferences

Excellence in both clinical and didactic education has long been a strength of the KU residency program.  We have been praised for our "Strong commitment to the training of practicing clinicians," the "availability of the faculty to teach the residents to be excellent physicians," and our "commitment to the importance of excellence in medical education."

Teaching conferences are held as follows:

  • Grand Rounds with all division faculty, fellows and residents is held Wednesday morning at 8:00 am
  • Core Curriculum lecture series are held Monday, Tuesday, Thursday, and Friday at 12:00 pm
    • Mandatory for all housestaff
    • Televised to the KCVA and Leavenworth VA Hospital
    • Podcasting available of all conferences except Patient Safety Conferences
    • Our conferences are based on ABIM blueprint and are organized by system
  • Morning Report is held each weekday morning at 8:30 am, except on Wednesdays
    • Program directors, faculty from all subspecialties, housestaff, and medical students attend and participate in morning report
  • General Housestaff meetings are held monthly
  • Board Review: 2-3 Fridays per month the noon lecture is a board review where we go thru questions in a group format relevant to the subject being taught that week
  • Journal Club, a literature review conference, is held on the 3rd Friday of the month at 12:00 pm with lunch provided
  • Clinicopathologic Conference (CPC) is held the second Monday of the month at 12:00 pm
  • Patient Safety Conference is held on the 4th Tuesday of the month at 12:00 pm
  • Ethics Conference for PGY-2 and PGY-3 residents is held the second Wednesday of the month at 12:00 pm with lunch provided