Tinsley Harrison Internal Medicine Residency Program                        Excellence Without Ego

Curriculum

The objective of the curriculum is to provide a broad experience in the comprehensive field of internal medicine. Residents develop skills both in primary patient care and consultative medicine. The multiple hospitals and clinics provide diversity in patient populations and practice settings, contributing to the breadth of experiences for UAB internal medicine residents. Graduates will be prepared to practice general internal medicine or enter subspecialty fellowship training.

PGY-1 PGY-2 PGY-3
Subspecialty Wards CCU Subspecialty Consult
General Medicine Night Float Palliative-Neurology Emergency Department
General Medicine Wards MICU Ambulatory Block
General Medicine Wards Subspecialty Consult General Medicine Wards
Subspecialty Consult CCU Subspecialty Consult
CCU VA Urgent Care Clinic VA ICU
Geriatrics Subspecialty Wards Subspecialty Consult
General Medicine Wards Ambulatory Block General Medicine Wards
MICU Subspecialty Wards Research/Medical Selective
Ambulatory Block Research/Medical Selective General Medicine Night Float
Subspecialty Wards MICU Subspecialty Consult
Inpatient Block Subspecialty Consult General Medicine Wards

General Medicine Wards: Tinsley Harrison (UAB Hospital) and the VA Hospital
Subspecialty Wards: Gastroenterology/Liver, Oncology, Pulmonary, Renal
Subspecialty Consults: Gastroenterology/Liver, Hematology/Oncology, Pulmonary, Renal, Cardiology, Rheumatology, Infectious Disease, General Medicine, Endocrine
Ambulatory Block: Outpatient subspecialty Clinic month
Inpatient Block: Rotation for all PGY1s that includes procedural and ultrasound training as well as educational assignments and didactics covering topics such as health disparities, cost conscious care, patient safety. PGY-1s also take shifts working with the Medical Emergency Team (MET) in the hospital.
Medical Selectives: These rotations allow the resident to study in depth an area that interests them. We currently have medical selectives in medical education, women's health, health disparities, patient safety and quality improvement, medical genetics, and global health.
Community Preceptorship: During the PGY-2 or PGY-3 year, residents can spend a month working with a community physician in an area of their interest.

Site Specifics

  • VA Wards- Teams are comprised of one third year resident, two interns, and two medical students. Residents admit patients on a Q5 cycle, with a night float admitting from 8pm-7am. An intern night float will help with admissions and cross-cover from 8pm-7am.
  • Tinsley Harrison Wards- Teams are comprised of an upper level resident, two interns, and two medical students. Residents admit patients on a Q5 cycle, with a night float admitting from 8pm-7am. An intern night float will help with admissions and cross-cover from 8pm-7am.
  • Subspecialty Wards (GI/Liver, Oncology, Nephrology, Pulmonary) Teams are comprised of 1-2 fellows, two upper level residents and 3-4 interns. Admissions are done on a Q4 cycle. Interns work either one-two weeks of night shift during this rotation. Resident night float admits Monday through Thursday.
  • MICU/CCU- Teams are comprised of one fellow, 2-3 upper level residents and 2-3 interns. Each member of the team will admit on a q4 cycle. Interns take call during the day until 8pm Sunday-Thursday. Friday and Saturday interns take call from 8pm-noon the following day. Residents work 24 hour shifts on their designated call days. A resident night float arrives at 8pm Sunday-Thursday to relieve the intern on call.

Continuity Clinics

Categorical residents will have their continuity clinic at either The Kirklin Clinic or the VA Clinic. They will serve as the primary care provider for their panel of patients throughout the 3 years of training. Both clinic sites have access to any imaging, specialty referral, medications, or procedures that patients may need. There is a low 3-4 resident per attending ratio to facilitate ambulatory learning.

During the PGY-1 year, residents will have one clinic per week on all rotations (except MICU). During the PGY-2 and PGY-3 years, residents will have 2 clinics per week on non-ward months, and no clinics during their ward months. This scheduling system allows residents to have a better clinic and ward experience.