Rotations and Curriculum

Facility

Bon Secours St. Francis Downtown Hospital 300-bed hospital 50,000 Emergency Department visits annually High case mix index indicating high acuity and complexity of illness Advanced cardiac care including STEMI 40 ICU beds Open heart surgery team Cardiac catheterization Electrophysiology procedures lab Comprehensive GI services including advanced endoscopic procedures Sleep lab Endobronchial ultrasound suite

Rotation Schedule

Our rotations are structured in a 4+2 format, with rotations that prioritize either inpatient OR outpatient experiences. Inpatient blocks focus on hospital-based responsibilities, while outpatient blocks concentrate on ambulatory care and continuity of care for established patients. 

All residents are assigned to continuity clinic for one full day during the +2 part of their 4+2 block. To address resident wellness and work-life balance, residents are assigned to subspecialty rotations for two weeks.

Subspecialty Rotations

• Hematology/Oncology
• Gastroenterology
• Endocrinology
• Pulmonary Medicine
• Rheumatology
• Infectious Disease
• Nephrology
• Geriatrics
• Palliative Care
• Cardiology
• Neurology

Residents who pursue research elective rotations will devote 100 percent of their time to research activities, with no participation in patient care during that period.

Didactic Curriculum

Structured as follows but subject to change depending upon the needs of the residents and program.

Research and Scholarly Activity

Our program emphasizes quality improvement and scholarly activity, featuring resident-led, faculty-guided projects in both inpatient and ambulatory settings. Residents are required to complete at least one scholarly or quality improvement project before graduation. This requirement is designed to enhance their ability to critically appraise and integrate scientific evidence.

Residents can choose from a variety of options to meet this requirement, with expectations that they will develop a deeper understanding of clinical questions, research methodologies and critical appraisal of studies. They may participate in quality improvement initiatives aimed at addressing health care system inefficiencies and disparities, empowering them to advocate for systemic improvements and optimal patient care.

Residents are encouraged to collaborate with interprofessional teams and our Quality Department on scholarly activities, culminating in a presentation of their QI project at a quality or patient safety meeting.

Graduation is contingent upon meaningful participation in at least one scholarly project.