Curriculum and Rotations
Your IM Residency at a Glance
| PGY-1 | PGY-2 | PGY-3 | |
| Focus | Build a strong foundation | Increase autonomy & leadership | Lead teams & prepare for independent practice |
| Inpatient medicine | 6 blocks | 4 blocks | 2 blocks |
| Critical Care | 1 block | 1 block | 2 blocks |
| Cardiology | 1 block | 1 block | |
| Ambulatory | 1 block | 1 block | 1 block |
| Emergency Medicine | 1 block | ||
| Hospital Medicine | 2 blocks | ||
| Core Subspecialities | 1 block (Nephrology) | 2 blocks (Neurology, Rheumatology) | 5 blocks (Pulmonology, Gastroenterology, Endocrinology, Infectious Diseases and Hematology/Oncology) |
| Electives | 1 block | 1 block | 2 blocks |
Elective Opportunities: Residents may personalize their education with electives including: Anesthesia, Cardiovascular ICU, Electrophysiology, Emergency Medicine Procedures/POCUS, Interventional Cardiology, Medical Oncology & Radiation Oncology, Obesity Medicine, Pain Management, Psychiatry, and Vascular Medicine. Core IM Subspecialties at different Ascension Wisconsin sites are also available.
Educational Experience
Learning resources
- AMBOSS: Residents receive access to AMBOSS for board preparation, clinical learning, and point-of-care decision support.
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Ambulatory Medicine Curriculum: Residents participate in the Yale Office-Based Medicine Curriculum, strengthening skills in preventive care, chronic disease management, and outpatient medicine.
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Professional Development: Residents receive American College of Physicians (ACP) membership, with access to educational resources, networking, and scholarly opportunities.
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OSCE-Based Clinical Skills: During PGY-1 orientation, residents participate in Objective Structured Clinical Examinations (OSCEs) designed around engaging clinical scenarios and essential communication skills. Cases assess clinical reasoning, patient-centered communication, and the ability to navigate challenging patient encounters.
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POCUS Boot Camp: PGY-2 residents participate in a dedicated Point-of-Care Ultrasound (POCUS) Boot Camp focused on developing practical bedside ultrasound skills for diagnostic decision-making. Through hands-on instruction, residents build confidence integrating POCUS into real-time patient assessment.
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Megacode & Procedural Boot Camp: PGY-2 residents participate in a Megacode Boot Camp that immerses them in high-fidelity simulation, including a megacode, stroke alert, and goals-of-care OSCE. Residents also gain hands-on procedural experience with lumbar puncture, thoracentesis, paracentesis, intubation, and central venous line placement using simulation models.
Didactic Education
Our educational conferences develop clinical reasoning, evidence-based practice, and lifelong learning, while highlighting our residency program’s commitment to strengthening clinical knowledge, critical thinking, and interdisciplinary collaboration.
| Conference | Focus |
| Noon Conference (PICO Conferences, Faculty Lectures, Visiting Presenter Lectures) |
Faculty- and residents-led lectures cycling through the core knowledge content of internal medicine on a 36-month rotating schedule |
| Journal Club |
Resident-led critical appraisal of current literature with faculty facilitation |
| Clinicopathologic Conference (CPC) | Diagnostic reasoning through complex clinical cases |
| Adverse Event/Morbidity & Mortality Conference | Structured case review with root cause analysis and systems-based improvement discussion |
| Grand Rounds | Faculty and guest expert presentations on advances in Internal Medicine and specialty care |
| Board Review | ABIM-style question review and high-yield topic sessions |
| Ambulatory Didactics | Protected half-hour covering outpatient medicine, preventive care, and longitudinal curricular threads using the Yale Office Based Curriculum during continuity clinic sessions |
Career Development & Mentorship
Residents benefit from close faculty engagement and mentorship throughout training. Our program supports each resident’s professional goals through:
- Individualized career guidance and mentorship
- Support for fellowship and career planning
- Opportunities for research, quality improvement, and scholarly presentations
- Preparation for independent practice and lifelong learning
Our comprehensive educational program provides residents with the knowledge, skills, and confidence to thrive as internists and future leaders in medicine.
