Program Structure and Curriculum

Scheduling Guidelines


Scheduling Guidelines for 3 Year Medical Residents 2016-2017

Each academic year consists of thirteen 4-week blocks.  Guidelines for scheduling are listed below and are intended to provide a well-rounded internal medicine experience with flexibility to meet individual residents training goals.

Intern Year 

    • 6-7 blocks of inpatient wards (including one block of night medicine)
    • Two Intensive Care blocks (CV-ICU and MICU)
    • 3-4 outpatient blocks (include VA, AGE, and Acute Care Clinic)
    • One Emergency Medicine (ED) block

Upper Level Years 

  1. Total Upper Level Ward Experience:  11 Blocks
    • 3  Intensive Care Blocks  (1-CV-ICU, 1-MICU, 1-either)
    • 1  Hem/Onc (Hem/Onc A or Leukemia)
    • 1  ACE Unit (Acute Care of the Elderly)
    • 2  Gen Med Wards (either 2 GenMeds or 1 GenMed & Hospitalist)
    • 2  Other Wards  (Hospitalist, Gen Med, Renal, Hem/Onc A, Cardiology, or Leukemia)
    • 2.5 ROC (Resident On Call) blocks: 1.5 as HO2 and 1 as HO3
  2. Other Required Upper Level Rotations:  11 Blocks
    • 1  IM Consults with pre-operative clinic experience (2 weeks)/HO3 ED (2 weeks)
    • 1  Acute Care Ambulatory Rotation:  DHP (HO3 Only); OPD (HO2/3)
    • 1 VA Outpatient Clinic (HO3)
    • 6 Subspecialty Consult Months (Renal, Endocrine, Pulmonary, GI, ID, Rheumatology)
    • 1 Board Study (2 weeks) which is paired with 2 weeks of vacation
    • 1 Outpatient Internal Medicine (2 weeks)/Elective (2 weeks)
  3. Subspecialty Exposure:
    • Categorical residents will complete a consultative rotation at WFBMC in all six  of the following subspecialties: Endocrinology/Gastroenterology/Infectious Diseases /Pulmonary/Rheumatology/Renal.  These rotations provide both outpatient and inpatient consultation experiences.
    • Other Elective Experience:  4-5 Blocks
      • See the web page for Primary Care Track requirements and elective informartion.
      • Subspecialty  (e.g. Hem/Onc, Geriatrics, Palliative Care, Allergy, etc.)  Electives
      • Non-Internal Medicine Specialties (e.g. Derm, Ophtho, ENT, Sports Medicine)
      • Research Electives
      • Clinical and Basic Research: Tinsley Harrison Research Experience (2-3 blocks)
      • Community-Based Experiences & Other Self-Styled Electives (including international electives) based on the individual learner's needs
      • EBM, Medical Systems, and Quality Improvement


    Preliminary interns receive six days of vacation over Christmas or New Year's and two other weeks of their choosing (during ambulatory rotations or the ED rotation).  In addition, preliminary interns complete the year on June 23 to transition to their advanced training program.

    Categorical interns receive six days of vacation over Christmas or New Year's, and 2 other weeks of their choosing (during ambulatory rotations or the ED rotation).   Categorical Residents complete the program on June 23rd of their HO-3 year to allow time to prepare for job or fellowship transitions.

    HO2 and HO3 residents receive six days of vacation over either Christmas or New Year's and three additional weeks each year (1 week during an Elective and 2 weeks paired with HO3 Board Study or HO2 night float).

    Quick Reference

    Internal Medicine Residency
    Betsy Pike
    Residency Coordinator

    Residency Office

    Wake Forest School of Medicine
    Medical Center Blvd
    Watlington Hall, 3rd Floor
    Winston-Salem, NC  27157
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