department of medicine
Internal Medicine Residency Program
The inpatient clinical and teaching activities at Temple University are centered around rotations on the General Medical Service and the intensive care units. Each rotation is staffed by one second- or third-year resident, one first-year resident, and one to three medical students, who work with one attending. We are dedicated to our 1:1:1 ratio of faculty to resident to intern because we believe that it delivers the most comprehensive and individualized education possible.
The activities of each service are supervised by full-time teaching attending physicians who conduct daily teaching rounds. Residents may be assigned to subspecialty units in Congestive Heart Failure, Renal, Pulmonary and Cardiology, which are supervised by their respective specialist.
In July of 2011, Temple successfully transitioned from a traditional overnight call system to one without any overnight call. Utilizing intern and upper year night admitters and nonteaching services, this new system has improved the education that our residents receive at Temple, while maintaining outstanding patient care. In order to minimize patient handoffs and deliver a top-quality education, intern night admitters round each morning with the team and attending assuming care of the patients admitted that night. This ensures that all clinical information is communicated and that the admitting interns receive feedback and teaching during the normal attending physician-led morning rounds.
Note: The above chart may add up to over 52 weeks due to variability in schedules.
The role of the medical house officer is characterized by direct and extensive responsibility for the care of patients. Therapeutic decisions are primarily based on evidence published in the medical literature rather than personal anecdote. An intellectually stimulating environment is fostered on the services by the close one-to-one relationships between the second/third-year resident and the first-year resident and unobtrusive supervision is provided by clinically adept faculty.
Hospitalists are playing an increasing role in health care nationally, and this is true at Temple University Hospital as well. We have an expanding core of full-time hospitalists who specialize in managing complex inpatient cases. The majority of general medicine services are staffed by these academic hospitalists. Subspecialists also participate in inpatient floor care by staffing the subspecialty services mentioned above.