Program Structure and Curriculum

Hospitalist Training Pathway

Majeed Chaudry N

 
The Hospitalist Training Pathway is designed to prepare outstanding clinicians as well as hospital system architects and leaders through improved understanding of quality improvement, patient safety, hospital efficiency, healthcare finances and the business of medicine.

At the completion of the program, Internal Medicine residents will excel in hospital medicine roles both in academic and private practice settings.

Residents rotate through several core rotations, workshops and elective rotations. At the same time, residents meet the ACGME requirements for ambulatory experience with elective time for subspecialty training. Residents in the hospitalist track have the same number of sub-specialty rotations and clinic months as categorical IM residents.

Overall structure:

At end of the first year, 3 residents are eligible to join this pathway. Over the subsequent two years, these residents will have specialized and unique experiences in Quality Improvement, Business of Medicine, Leadership training workshops, and close mentoring within the section of Hospital Medicine. . Click here to view details of the Hospitalist Pathway Structure.

Unique Rotations in the Hospitalist Training Pathway:

Quality Improvement Rotation: This rotation is designed for residents to acquire skills and qualities to become a “System Architect” with the overarching goal of improving the hospital system.  With this education, trainees should be ready to not only participate in QI projects but also lead them. During this rotation, residents work closely with Quality Improvement and Risk Management leadership of hospital. The rotation involves workshops intended to improve understanding of concepts of Quality Improvement. Residents will also be able to choose a Quality Improvement Project and one root cause analysis to finish during their residency.

Business of Medicine Rotation: During this rotation, residents are exposed to the business of medicine constructs including healthcare economics, hospital operations, financial literacy, and practice management. This rotation is designed to improve residents’ understanding of the health care system and help them more effectively design QI projects to improve patient outcomes and practice high-value medicine. This rotation prepares residents for future leadership roles in hospital administration.

Leadership Training:  Leadership training includes a distinct 6-day workshop that residents are able to attend during their training period. As noted above, residents also acquire leadership skills through leading QI projects.

Education Excellence: Residents work with faculty members to comprehend the steps involved in curriculum development and exercise this knowledge to develop new rotations or refine the existing rotations. This experience prepares residents to assume the role of a course director, clerkship director or Associate Program Director early in their career.

Career development training: Residents work closely with the section of Hospital Medicine. They also have designated mentors who guide them during residency and provide support in making long-term meaningful career decisions.

Academic Hospitalist Rotation: Residents work in parallel to the hospitalist faculty model of week-on, week-off assignments. This rotation is designed to allow the resident to work as an independent provider with increased autonomy but with appropriate supervision. Residents also get training in core hospital measures as well as medical coding and billing. Residents also work in hospital follow up clinics to improve understanding of patient care at the interface between hospital and ambulatory care settings (transitional medicine).

ACE:  Under supervision of the section on Gerontology and Geriatric Medicine, this rotation is designed to improve understanding of the special needs of our elderly patient population. This rotation focuses on management of common medical problems in patients over age 65, such as delirium and dementia, as well as a better understanding of hospice and palliative care.

AIM: This rotation is designed to improve understanding of perioperative medicine. With this rotation residents should be able to understand perioperative cardiac and pulmonary risk assessment, perioperative management of common medicines, and need for specific tests in guiding perioperative care.

Medical OB/GYN: This elective rotation is designed to improve ability to independently evaluate and treat commonly encountered scenarios in  pregnant patients including UTI/pyelonephritis, HTN, sexually transmitted diseases, HIV, chest pain, pulmonary embolism, congestive heart failure and diabetes. Residents should also be able to identify medications that are considered safe in pregnancy and lactation for common issues such as hypertension, urinary tract infections, high cholesterol, common infections, PE and diabetes.

GMT: This rotation is designed to improve understanding of inpatient glycemic control, nutrition in hospitalized patients, basics of wound care and disaster management.

Palliative care/Hospice: Two week elective designed to focus on basics of pain management and end of life care including hospice.

Procedure Rotation: This elective rotation is designed to enhance procedure competency in several areas like basic USG training, USG guided IV’s, joint injections, intubations, paracentesis, thoracentesis, LP, etc.

    For questions contact:

     

    Chaudry N. Majeed, MD
    Assistant Professor of Internal Medicine
    Director Hospitalist Training Pathway
    cmajeed@wakehealth.edu
     

    Quick Reference

    Internal Medicine Residency
    Betsy Burkleo
    Residency Coordinator

    Residency Office
    336-716-4305

    Wake Forest School of Medicine
    Medical Center Blvd
    Watlington Hall, 3rd Floor
    Winston-Salem, NC  27157
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    Last Updated: 07-30-2014
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    Disclaimer: The information on this website is for general informational purposes only and SHOULD NOT be relied upon as a substitute for sound professional medical advice, evaluation or care from your physician or other qualified health care provider.