Curriculum

The Med-Peds program has been developed with careful consideration for the special needs of our residents. Combining two excellent university teaching programs with a comprehensive ambulatory training track ensures a well-balanced experience for individuals seeking a career in internal medicine and pediatrics.

The program is structured to include a balance between ambulatory, inpatient and subspecialty rotations with progressively increased responsibility to senior/supervisory status.

At the completion of the training program, graduates will have maximum flexibility for career options in primary care, academics, or subspecialty training in medicine, pediatrics or both.

The curriculum is divided equally over four years allowing completion of 24 months of training in both internal medicine and pediatrics. Residents rotate in 3-month cycles during all four years of training. During the first year our residents are provided a foundation in internal medicine; rotating through several facilities, general medicine ward months, emergency department, exposure to cardiology and ambulatory medicine. In similar fashion, basics of pediatrics are established with general rotations, well baby care, NICU experience and emergency pediatrics. Click here to view our curriculum (Note: The attached file is a PDF. Click here to download the free Adobe Reader.).

One entire month during the intern year is spent call-free at the faculty Med-Peds practice working one-on-one with Med-Peds-trained preceptors.

The second and third years continue to expand the breadth of experience. Further subspecialty ward exposure is combined with unique ambulatory experiences in both medicine and pediatrics. Resident preference in rotations is emphasized.

Ample elective time is also available for research projects, overseas electives/missions or rotations in other specialties (Ortho, ENT, etc.).

Second and third year residents also begin supervising the care of interns and students.

In the final year residents assume a team leader position on both medicine and pediatric general ward services, outpatient services and subspecialties. They also serve as additional primary educators for our students and interns.

Daily Education

The educational conferences held at UAB are diverse and numerous. Sample and actual schedules will be provided during your visit to allow you to see the 'impossible to see it all' offerings. In addition to the clinical schedules, the Departments of Medicine and Pediatrics offer many other conferences regarding basic sciences, health research, health policies and clinical medicine.

In the Department of Medicine, each division regularly holds a grand rounds conference during the noon hour on Thursdays and case / pathology / radiology conferences weekly. Pediatric divisions also have scheduled joint conferences with pathology and radiology. Formats of conferences vary. Some involve case presentations and discussions by residents. In others, faculty discuss the evaluation of an unknown case presented to them.

Didactic lectures are also common. Evidence-based medicine discussions are held regularly during journal clubs and are a regular part of noon lecture series in both departments. Senior residents also deliver short-topic talks of their choice. Smaller group sessions are held for improving outpatient medicine procedures and evaluations (such as shoulder and knee exam techniques and injections).

In short, educational opportunities abound at UAB. We expect our residents to take advantage of everything offered and ensure they have adequate time to attend.

Continuity Clinic Experience 

A vital component of any Med-Peds training program is the continuity clinic experience. First year Med-Peds residents attend continuity clinic one-half day per week, alternating every other week between a medicine clinic and a pediatric clinic. They, as well other Med-Peds residents, are supervised by pediatricians, internists, gynecologists and Med-Peds physicians. Second, third and fourth year residents attend two half-day clinics per week, one-half day of medicine clinic and one-half day of pediatric clinic each week.

By the end of residency, Med-Peds residents will have completed the same amount of continuity clinic as their categorical counterparts. For those interested, continuity clinic may include significant exposure to women’s health issues by joining the Women’s Health Track. This expands clinic exposure to include basic gynecology care.

We feel that training in these two categorical clinics ensures adequate experience, exposure and comfort with the care of ambulatory patients.

Education and Diversity

One of the strengths mentioned previously was diversity. This is true not only of the various training environments in which our residents work, but also of the patient problems that are encountered during a single, month-long rotation.

The two main hospitals (University Hospital for medicine and Children's Hospital for pediatrics) serve as tertiary referral centers for the entire state of Alabama and surrounding areas. This gives our residents exposure to diseases and situations during a "general" ward month that a private, community-based physician only rarely sees.

We believe these encounters help prepare a resident for their future in which they are likely to be faced with difficult clinical scenarios. During your interview, a list of recent illnesses seen from general rotations will be provided so that you may begin to appreciate the breadth of exposure offered at UAB.