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Program Structure and Curriculum

Program Essentials

haponik rounds

In the Wake Forest Internal Medicine Program, our overarching goals are to promote a progressive growth of proficiency in Internal Medicine knowledge and clinical skills throughout the three years of training.  Interns enter a collegial environment that fosters appropriate autonomy early on in training, with a high level of support and guidance.  As residents progress through the curriculum, they develop as team leaders and are well-positioned to practice Internal Medicine independently upon graduation.


The HO-1 year is designed to offer a broad exposure to direct patient care in internal medicine. This year, we are transitioning to a new schedule model (X+Y) for the intern year based on prior years’ feedback. We will institute a 3+1 model which showcases three weeks on an “X” service (Wards, ICU, Nights, Urgent Care Clinics, VA Clinic, Emergency Department) followed by one week of ambulatory medicine, which features a variety of clinic experiences and educational conferences. Throughout the year, interns learn to manage patients in a variety of clinical settings with excellent exposure a broad range of patient populations and have the opportunity to learn directly from subspecialist on a variety of inpatient services and outpatient clinics.


The HO-2 and HO-3 years are designed to facilitate the growth and maturation of the house officer into a skilled internist.  Upper level residents transition to a role of leader and manager of the general medicine and subspecialty inpatient services (cardiology, hematology/oncology, leukemia, nephrology and geriatrics). Additional blocks include 1.5 blocks of night float coverage, and the medical and cardiovascular intensive care units.  The remaining blocks consist of subspecialty consults and clinic experiences, private practice internal medicine clinic, general medicine acute care clinic, VA outpatient clinic, as well as Board Study and other various electives, and one block of combined general internal medicine consults, ED consults, procedures, and perioperative clinic.  Elective time allows tailoring of the upper level schedule to the interests of each resident.  Most residents schedule at least one research block. 


During the HO-2 and HO-3 years of the program, the schedule follows a general structure of alternating between 4-week ward services and 4-week non-ward rotations.  Continuity clinics are not scheduled during inpatient ward services.  Resident continuity clinics are organized into practices, and residents have two half-days of continuity clinic per week during their non-ward blocks that include dedicated sessions for ambulatory quality improvement.


Our interdisciplinary ward teams generally consist of 2-3 interns, 1 upper level resident, and 1 attending, as well as medical students, acting interns, clinical pharmacists, nursing case managers and other helpful ancillary staff.  Upper levels supervise the care of 10-20 patients on the ward services.  The medical intensive care unit is staffed by two teams each consisting of 3-4 interns, 2 upper levels, fellow, and attending.  The cardiovascular intensive care unit is staffed by 2-3 interns, 2-3 upper level residents, fellow, and attending.


Our intern call system consists of a block night float system for ward services and a short stretch in the MICU and CVICU.


Our upper level call system consists of a night float that covers Sunday through Thursday and overnight call on Friday and Saturday.  Upper levels on ward services cover the Friday and Saturday calls: a total of two overnight calls per ward block.  In the MICU, call is every fourth or fifth day. The CVICU will have a night float system where upper levels rotate short stretches of nights throughout the rotation.


Quick Reference

Internal Medicine Residency
Heather Yates
Residency Program Administrator

Residency Office

Wake Forest School of Medicine
Medical Center Blvd
Watlington Hall, 3rd Floor
Winston-Salem, NC  27157
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Last Updated: 11-15-2017
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