Internal Medicine Residency Rotations

Required Rotations

Medicine Wards (UH)

  • Consists of 6 teams consisting of one resident, one intern, and one attending per team. Usually, there are third-year medical students and/or sub-interns as well.
  • There is a 6 day cycle of team responsibilities, which include 1 day of call from 12:00 - 7:00 pm, 1 day of MICU transfers, 1 day of night admit overflow, and 1 protected day.
  • On days when you are not admitting, it is usually possible to leave the hospital between 4:00 - 6:00 pm when all work is completed.
  • There are 2 night float residents to take admissions starting at 7:00pm so interns do not take night call. Upper level residents on wards leave by 8 or 9 pm on day call.

Medicine Wards (VAMC)

  • Consists of four teams each comprised of 1 resident, 2 or 3 interns, a physician assistant and an attending physician. Usually, there are sub-interns and/or third-year students as well.
  • Call is q4- Interns split a 24 hour shift (night call q8), not to exceed 16 hours to complete work.
  • On days when you are not on-call, it is usually possible to leave the hospital between 3:00 – 6:00 pm after all work is completed.
  • There is an upper level night float resident to take admissions overnight starting at 8:00 pm.

MICU (UH)

  • Has one team composed of 4 residents, 4-6 interns, 1-2 attending physicians, 1-2 critical care fellows and 3-6 sub-interns.
  • Admissions are handled in shifts split between residents and interns on service, in compliance with ACGME duty hour regulations

Night Float (UH/VAMC)

  • Upper-level resident arrives at 7:00 pm (UH) and 8:00 pm (VA) and must leave to ensure 10 hours in between shifts. They have 14 shifts within a 4 week rotation, usually 5-6 nights in a row with 4-5 nights off in between. The days that the resident does not have a night shift, residents participate in continuity clinics, didactics and simulation activities.

Cardiology

  • UH: The team consists of 4 residents, a cardiology fellow, attending and nurse practitioner. Call is q4 overnight; average admissions 5-7 patients.
  • VAMC: This is a required consult service for interns at the VA. This rotation is known for excellent teaching. No overnight call.

Emergency Medicine (UH)

  • Required rotation for interns.
  • Includes 16 10-hr shifts during a 4-week block with protected time for ER and Internal Medicine lectures.

UH= UNM University Hospital
VAMC = Veterans Association Medical Center

Internal Medicine Rotation

PRIME (VAMC)

  • Outpatient clinic responsible for hospital follow-up and primary care visits when patients can't get in to see their primary care physician.
  • Clinic runs Monday through Friday, 8 am – 4 pm.
  • Clinic also features protected time for ambulatory lecture/workshops, morning reports, and Thursday School.
  • Specialized clinics for diabetes, hypertension, pain, dermatology and women’s health

Geriatrics (VAMC) - Required for Categoricals

  • Includes a variety of clinical and educational experiences including nursing home visits, hospice care and home visits.

Hematology-Oncology (UH) - Upper Level Residents

  • Team consists of a residents, fellow, attending and 2 nurse practitioners.
  • Required of 2nd year residents.
  • Residents work 6 days a week without any overnight call responsibility.

Medical Follow-up Clinic (UH)

  • Outpatient clinic responsible for hospital follow-up and primary care visits when patients can't get in to see their primary care physician.
  • Clinic runs Monday through Friday, 8 am – 4 pm.
  • Clinic also features protected time for ambulatory lectures/workshops, morning reports, and Thursday School.

Santa Fe Elective - Upper Level Residents

  • Required elective that provides exposure to private practice with primary care, subspecialty and alternative medicine clinics available in Santa Fe (housing available).

Consultative Medicine (UH)

  • Team consists of two interns and an attending.
  • Each intern will do two weeks of ER triage and two weeks of medicine consults.
  • The consult team also provides joint management with Pulmonology of Cystic Fibrosis patients admitted to the hospital.

Anita Batra discussing a clinical topic with her team

Anita Batra discussing a clinical topic with her team

Scholarly Activity

All IM residents are required to participate in a “scholarly activity” during their 36 months of training.  A resident research committee coordinates all research efforts and its members are available to assist house staff. Some residents fulfill this requirement through a research elective which can be taken during your intern year.

Electives

Traditional internal medicine subspecialty areas: Cardiology, Endocrinology, Gastroenterology, Geriatrics-Palliative Care, Hematology/Oncology, Infectious Diseases, Nephrology, Pulmonary, and Rheumatology

Other Elective Opportunities:

Behavioral Medicine
Dermatology
Emergency Medicine
Heart Failure
Hematopathology
Integrative Medicine
International
Medical Consults

Medical Economics
Neurology
Occupational Medicine
Ophthalmology
Palliative Medicine
Pain Clinic
Pediatrics ER
Psychiatry

Radiology
Research
Rural Medicine
Spinal Cord
Sleep Medicine
Sports Medicine
Transfusion Medicine
Toxicology
Women's Health