General Residency Goals and Objectives

OverviewJamie Froeschner, MD

The goals of the University of Wisconsin-Madison Internal Medicine Residency are that graduates will attain the professional, attitudinal, cognitive, and technical skills necessary to provide their patients with kind and compassionate care. Residents have many opportunities to learn and practice patient communication and shared decision making and to apply current evidence-based knowledge to achieve the best likelihood of the patient's desired outcome. Residents are given guidance and advice to develop their careers, achieve scholarship, and complete the prerequisites needed for the next steps of their careers. Our house staff learn how to problem solve and begin the process of self-directed, life-long and mutually reinforcing teaching and learning. House staff are taught to assess patient outcomes in order to improve future decision making and guide practice management. They acquire the ability to organize their workdays, as well as reflect upon and plan for professional-personal balance, stress reduction, and personal health. The competencies listed below are achieved through a required set of rotations, a didactic and interactive curriculum, and a self-tailored set of electives. Our residents, faculty, rotations, and program are continuously evaluated to ensure success in achieving these competencies, goals and objectives.

Core Rotations for Residents to Achieve the Competencies

All residents have rotations in intensive care, coronary care, emergency medicine, general medical wards, subspecialty wards, general medicine and subspecialty ambulatory experiences, continuity general practice, consultative medicine in several specialties of their choice, neurology, younger adult health care (University Health Service), urgent care, a procedure rotation, geriatrics, palliative care, and hospitalist care, in the University, Veterans Administration, and Meriter (community) hospitals. In addition, sufficient opportunity is made available for residents to elect rotations in community service, women's health, various procedural areas relevant to their future practice, patient-centered facilitated care, rural health, urban underserved care, international health, hospice, alternative and complementary medicine, eldercare, nursing home care, sports medicine, dermatology, ambulatory surgery, and other non-medicine specialties. Residents elect a second continuity practice in a field of their choice in the second and third year of residency. Residents work on teams with physicians, students, pharmacists, social workers, advanced practitioners, and case managers. Except for the consultative service, residents will engage and carryout all direct aspects of medical care and management for the patients they are assigned. In total, residents spend no less that 33% of their residency in ambulatory care settings, have one day off each week, have limitations on work hours and patient volume to ensure education-service balance, have excellent supervision and are given time for attending the curriculum and scholarship.

Competencies

Evaluation