Clinical Duties, Schedules, and Supervision:
Work Schedules
- Regular Day (RD): 7:00–17:00
- Long Day (LD): 7:00–20:00 when scheduled
- Night Float (NF): 20:00–09:00
There is no traditional 24-hour call; the program uses a Night Float system. Daily protected educational time is held from 07:00–09:00.
Continuity Clinic and Ambulatory Care
Continuity ambulatory clinics occur on a recurring cycle (typically one week of clinic per five-week rotation). Residents manage longitudinal primary care panels and participate in subspecialty outpatient clinics. The ambulatory program is transitioning to Patient-Centered Medical Home (PCMH) models and uses Athena for outpatient documentation.
Procedure Tracking and Competency
Residents must log procedures and clinical encounters in New Innovations. Procedure competency is supervised and documented; procedural logs are part of the resident file.
Evaluation, Milestones, and Progression
Resident performance is assessed across the ACGME core competencies:
- Medical Knowledge
- Patient Care
- Practice-Based Learning and Improvement
- Interpersonal and Communication Skills
- Professionalism
- Systems-Based Practice
Evaluations occur at least twice yearly by a Clinical Competency Committee and are documented in New Innovations. Additional 360° feedback includes evaluations from peers, nursing staff, and patients.
- Gathers and synthesizes essential and accurate information to define each patient’s clinical problems.
- Develops and achieves comprehensive management plan for each patient.
- Manages patients with progressive responsibility and independence.
- Skill in performing procedures.
- Requests and provides consultative care.
- Clinical knowledge.
- Knowledge of diagnostic testing and procedures.
- Works effectively within an interprofessional team (e.g. peers, consultants, nursing, ancillary professionals and other support personnel).
- Recognizes system error and advocates for system improvement.
- Identifies forces that impact the cost of health care, and advocates for, and practices cost-effective care.
- Transitions patients effectively within and across health delivery systems.
- Monitors practice with a goal for improvement.
- Learns and improves via performance audit.
- Learns and improves via feedback.
- Learns and improves at the point of care.
- Has professional and respectful interactions with patients, caregivers and members of the interprofessional team (e.g. peers, consultants, nursing, ancillary professionals and support personnel).
- Accepts responsibility and follows through on tasks.
- Responds to each patient’s unique characteristics and needs.
- Exhibits integrity and ethical behavior in professional conduct.
- Communicates effectively with patients and caregivers.
- Communicates effectively in interprofessional teams (e.g. peers, consultants, nursing, ancillary professionals and other support personnel).
- Appropriate utilization and completion of health records.
Professionalism and Responsibilities: This comes first under the tab for responsibilities
Resident responsibilities include
- Delivering high-quality, evidence-based care
- Maintaining accurate documentation and timely dictations
- Completing duty-hours, case logs, and evaluations in New Innovations
- Participating in teaching, research, and QI activities
- Seeking supervision for uncertain or high-risk clinical situations
Professional conduct and adherence to program policies are mandatory; lapses may prompt remediation.
Educational Resources and Library Services
The Fournarakis Medical Library provides physical and electronic resources including UpToDate, PubMed, StatRef, CINAHL, and access to NYMC resources via institutional credentials. Library services include reference support, literature searches, and training. Contact: 718-818-3955.
Technology and Communication
RUMC utilizes Meditech for inpatient documentation, CPOE, PACS for imaging, MUSE for ECGs, and is rolling out integrated order sets. In the out-patient, documentation is in Athena. New Innovations is used for duty hours and evaluations. Schedules are published via Amion and Outlook. Every resident has an institutional email.
Resident Support, Well-Being, and Professional Development
Orientation includes sessions on fatigue management, professionalism, cultural competence, risk management, and institutional policies. Residents receive mentorship, structured feedback, and support for career planning including fellowship application assistance.
Program Size and Structure
The Internal Medicine program comprises categorical and preliminary positions across PGY-1 to PGY-3 levels, with 69 approved residency slots. Rotations include inpatient wards, ICU, electives, ambulatory care, and procedural experiences distributed across the three years.
Policies and Administrative Notes
- New Innovations is mandatory for duty-hours, case logs, and evaluations.
- Attendance and quiz completion are required for promotion.
- Schedules are fixed; swaps require prior approval from Chief Residents.
- Schedules and conferences will also be available in Amion.
- Consultations are performed by residents and discussed with supervising attendings.
Approximate workload by level and service
Work exposure for PGY1, PGY2 and PGY3 include medical floors, ICU, research, Board study, subspecialty/elective rotations, and vacation. An approximation of the work distribution, measured in 4-week blocks, per level is below.
| Time | M | T | W | Th | F | Sat** | Sun** |
| 7:00-8:00 | Morning report | M&M[1] | Morning report[2] | Renal Journal Club | Morning report [3] | Patient care | Patient care |
| 8:00-9:00 | AM Lecture/MKSAP Q&A | Grand Rounds[4] | AM Lecture/MKSAP Q&A | AM Lecture/MKSAP Q&A | AM Lecture/MKSAP Q&A | NF Endorsement to day team | NF Endorsement to day team |
| NF Endorsement to day team | NF Endorsement to day team | NF Endorsement to day team | NF Endorsement to day team | NF Endorsement to day team | Patient care(WI leaves at 1p after endorsing) | Patient care(WI leaves at 1p after endorsing) | |
| 9:00-17:00 | Patient care | Patient care | Patient care | Patient care | Patient care | ||
| Endorsement to LD team | Endorsement to LD team | Endorsement to LD team | Endorsement to LD team | Endorsement to LD team | |||
| 17:00-20:00 | LD team Patient care | LD team Patient care | LD team Patient care | LD team Patient care | LD team Patient care | ||
| Endorsement to NF | Endorsement to NF | Endorsement to NF | Endorsement to NF | Endorsement to NF | Endorsement to NF | Endorsement to NF | |
| 20:00-9:00 | NF Patient care | NF Patient care | NF Patient care | NF Patient care | NF Patient care | NF Patient care | NF Patient care |
**Interns/Residents work either Saturday or Sunday with one day completely free of clinical activities. NF: Night Float
Weekly Ambulatory Continuity Clinic Schedule
All residents are mandated to comply with Ambulatory Clinic which lasts the entire residency. This allows continuity of care of patient roster and teaches the resident about care of ambulatory patients. As part of this commitment:
- Categorical PGY-1 interns participate in the outpatient clinic rotation every 5 weeks
- Preliminary PGY-1 interns participate in the outpatient clinic rotation every 10 weeks
This structure ensures that all interns gain valuable exposure to continuity of care and the ambulatory patient experience, while balancing their inpatient responsibilities.
| Time | M | T | W | Th | F | Sat | Sun |
| 9:00-12:00 | AM clinic | AM clinic | AM clinic | AM clinic | AM clinic | Free | Free |
| 1:00-5:00 | PM clinic | 1 PM clinic | 1 PM clinic | Research time | PM clinic |
How to Learn More
For program inquiries or to propose speakers or topics for medical education:
Jennifer Dominguez, Medical Education Coordinator: [email protected], 718-818-3106
Contacts Summary
Program Office: 718-818-2419 / 718-818-1645 Program Coordinators: Ms. Sarina Libonati; [email protected]; Keisha
