Our curriculum is organized in a “4+2” block scheduling format, which features alternating blocks of 4 weeks (predominately inpatient service blocks, night float, consult rotations, and electives) and 2 weeks (predominately continuity clinic, outpatient medical specialties, quality improvement, administrative time, and vacation).
4 Week Blocks
| Rotation Title | R1 (total weeks) | R2 (total weeks) | R3 (total weeks) |
|---|---|---|---|
| General Medicine Inpatient (Days) | 10 | 4 | 10-12 |
| General Medicine Inpatient (Nights) | 2 | 4 (2 weeks at a time x 2) | 0 |
| Critical Care Medicine | 4 | 4 | 4 |
| Inpatient Cardiology/CICU (Med C) | 4 | 4 | 0 |
| Inpatient Hem/Onc | 2 | 4 | 0 |
| Inpatient Nephrology Transplant | 2 | 0 | 0 |
| C-A-T Night Float (Cards/Hem-Onc/Nephro) | 2 | 0 | 4 (2 weeks at a time x 2) |
| Other (2-4 weeks) | Emergency Medicine Inpatient Geriatrics Consult Inpatient Neurology Consult | Rural Medicine Rheumatology Inpatient Renal Consult Inpatient Infectious Diseases | Inpatient Pulmonary Consult Inpatient GI Consult VA Medical Specialties |
| Electives | 2 | 6 | 8 |
2 Week Blocks
| Monday | Tuesday | Wednesday | Thursday | Friday | |
|---|---|---|---|---|---|
| 7:30-8:30 AM | Board Review | Morning Report | Morning Report | EBM | |
| Morning | Continuity Clinic | Personal Practice Management & QI Time | Continuity Clinic | Specialty Clinic**/Elective | Specialty Clinic**/Elective |
| Afternoon | Continuity Clinic | Intern Conference or Specialty Clinic | Continuity Clinic | Senior Conference or Specialty Clinic | Specialty Clinic** |
** Specialty Clinic Themes:
- R1 Year: Addiction Medicine, Endocrinology, Geriatrics, Nephrology, Palliative Care, Hematology-Oncology, MHMMC-Portland Clinics (Urgent Care, Dermatology Clinic, International/Refugee Clinic)
- R2 Year: Endocrinology, Hematology, Preble Street (Healthcare for the Unhoused Community), Infectious Diseases (including HIV, Hepatitis, and TB Clinics), Pulmonology, MHMMC-Portland Clinics (Urgent Care, Dermatology Clinic, International Clinic), Outpatient Electives
- R3 Year: Cardiology, Hematology-Oncology, Gastroenterology, MHMMC-Portland Clinics (Urgent Care, Dermatology Clinic, International Clinic), Outpatient Electives
Continuity Clinic: Resident continuity clinic locations include MHMMC Portland, ,MaineHealth Primary Care – Internal Medicine - Westbrook and MaineHealth Primary Care – Internal Medicine - Scarborough. Each resident has their own panel of patients as part of a larger three resident coverage team (one resident from each 4+2 “mini practice”).
Vacations: 4 weeks per year (one out of +4 and the other three from “+2 weeks”)
Longitudinal Curriculum Weeks:
- R1 Year: Foundations of Patient Safety and Quality Improvement
- R2 Year: Evidence-Based Medicine
- R3 Year: Patient Safety: Root Cause Analysis/M&M