Saint Raphael’s Department of Medicine’s Internal Medicine Residency
Training Program boasts a consistent three-year rolling board
exam pass rate of between 97 and 100 percent, as listed in the
American Medical Association-Association of American Medical
Colleges FREIDA database.
Both our accredited preliminary and categorical teaching programs offer renowned faculty in an outstanding academic health science setting. Seventeen categorical and nine preliminary residents are admitted as PGY 1s each year.
Our internal medicine training balances primary care with acute medicine. With our close affiliation with nearby Yale University School of Medicine, our program helps residents become high-caliber, caring clinicians with a scientific yet humanistic foundation in internal medicine.
Teaching
program
The Department of Medicine's full-time faculty is devoted solely to resident teaching - whether at the bedside or as a mentor for a board review reading group. Experience in both inpatient and ambulatory settings is emphasized.
Residents are given:
- A weekly half-day continuity clinic to follow your panel of patients.
- Additional month-long blocks in our Primary Care Center (during the primary care block, residents are freed from inpatient responsibilities).
- An opportunity to spend one month in a community physician's office.
Within these and other settings, our staff takes a topic-based approach to learning. Faculty present several weeks of intensive daily interactive conferences grouped by topic, designed to promote reading and retention.
Other opportunities include:
- Board review groups led by
full-time faculty.
- Conferences, Hospital of
Saint Raphael Medical Grand Rounds and Yale Medical Grand
Rounds.
- Peer teaching conferences.
PGY-3 residents, working with an attending, regularly present
topics with text and literature review to fellow residents
and faculty members.
- Journal Club. Residents work
with faculty to analyze an article, discussing study design,
strengths, weaknesses, and application to the clinical setting.
- An interactive weekly board-review
conference where an attending reviews materials and MKSAP
questions relating to the monthly topic, and residents answer
questions with an audience response system.
- "Medical Quiz Show Conference"
held monthly as preparation for the board exam. Using a
computer display with scanned photos, smears and short-answer
questions, residents play as part of a team.
- EKG interpretation. Weekly
conference to learn the techniques of basic and advanced
EKG reading, taught by an attending cardiologist.
- Radiology rounds. Unit teams
meet daily with an attending radiologist to review films
and procedures, and to discuss differential diagnoses.
- Medical informatics rotation
which combines developing computer skills and using electronic
databases to search medical literature.
- Computer room and medical
library facilities that are open 24 hours a day. These are
complimented by the Yale Medical Library and MEDLINE.
- Research. All categorical
residents work on a research project and are strongly encouraged
to publish research findings.
Rotations
A typical day at Saint Raphael's includes signing in at 7
a.m.; attending morning report until 8 a.m. (patient pre-rounds
for PGY 1s); carrying out work rounds from 8 a.m. to 9:30
a.m. and patient care from 9:30 to 11 a.m.; and then participating
in teaching rounds for the rest of the morning. A noon conference
with free lunch takes place each weekday, followed by radiology
rounds, continuity clinics and other care responsibilities.
Also scheduled on various days are medical grand rounds, chairman's
rounds (case discussions with a focus on clinical decision-making
and systems of care), professor's rounds (case discussions
with a senior clinician), autopsy conference and a renal pathology
conference.
Night call for all residents is every fourth night on all inpatient medical and critical care units. PGY 1s are not on call during ambulatory or elective rotations. PGY 2s and PGY3s, however, are on call two nights per month during electives.
During call time, comfortable and convenient sleep accommodations are available. Most call rooms include a bed, telephone, TV, bathroom with shower, and computer with Internet access.
Night float consists of two two-week rotation blocks on a specific unit or ward.
Electives
Residents choose from a wide variety of elective opportunities
at Saint Raphael's, Yale-New Haven Hospital and the VA Connecticut
Healthcare System, West Haven campus. Each elective emphasizes
subspecialties or related fields of medicine, enhancing training
and introducing residents to career opportunities.
Electives offered at Saint Raphael's include:
Cardiology - Evaluate and follow patients with a
spectrum of cardiac diseases, both at the inpatient level
and in the clinic.
Gastroenterology – Exposure to the spectrum of acute
inpatient gastrointestinal and hepatic disorders.
Infectious diseases - Provide consultation and follow-up
on patients with a challenging and stimulating variety of
infectious and inflammatory disorders.
Renal - Work closely with fellows and participate
actively in conferences at both Saint Raphael's and at Yale-New
Haven Hospital with emphasis is on evaluation, diagnosis and
treatment of acute renal failure, chronic renal failure and
glomerulonephritis.
Pulmonary and critical care - Pulmonary physiology
and physiopathology are emphasized, well as bronchoscopy,
thoracentesis, pleural biopsy and invasive critical care monitoring.
Hematology-oncology - Evaluate and follow patients,
with emphasis on diagnosis and therapy of common neoplasms
and hematologic disorders, as well as management of common
treatment complications.
Rheumatology - The experience is intended to reflect
the spectrum of diseases present in internal medicine practice,
and includes opportunities for arthrocentesis. The use of
the laboratory in serologic testing and analysis of joint
fluid is emphasized.
Recent
graduates
A partial list of where our recent graduates have gone after completing their Saint Raphael residencies includes:
Primary care
Hospital of Saint Raphael
New Haven Area
Virginia
Maryland
California
Arkansas
Florida
Nevada
Allergy & Immunology
Mt. Sinai, New York
Cardiology fellowship
Dartmouth-Hitchcock Hospital
Hospital of Saint Raphael
Drexel University College of Medicine (MCP-Hahnemann)
University of Connecticut Health Center
West Penn Hospital, Pittsburgh (Temple)
Endocrinology fellowship
Yale-New Haven Hospital
Rhode Island Hospital (Brown University Program)
University of Connecticut Health Center
Southern Illinois University
Gastroenterology fellowship
Yale-New Haven Hospital
East Carolina University
Geriatrics fellowship
Yale-New Haven Hospital
Hematology-Oncology fellowship
Beth Israel Medical Center, New York City
MD Anderson Cancer Center (Palliative Care)
RUSH Presbyterian
Infectious Diseases fellowship
Yale-New Haven Hospital
Nephrology fellowship
Hospital of Saint Raphael
Pulmonary fellowship
Yale-New Haven Hospital
Thomas Jefferson University Hospital
Norwalk Hospital
Rheumatology
Yale-New Haven Hospital
University of Pennsylvania
University of Illinois-Chicago
For
more information
For more information or to request our brochure, please contact Lynn-Marie Wright , Residency Program Coordinator, at the Department of Medicine, Hospital of Saint Raphael, 1450 Chapel Street, New Haven, CT 06511; by phone at (203) 789-6080; by fax at (203)789-3222; or by e-mail at lwright@srhs.org.
We alse offer an Internal Medicine Clerkship.
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