Our residency program offers multiple elective opportunities during the
PGY-2 and PGY-3 years to give sufficient exposure in the various medical
subspecialties. Each resident may self-tailor his or her own elective
choices, with the aim of achieving sufficient preparation for future career
paths after residency.
INPATIENT ELECTIVES
CARDIOLOGY
Duration: 1 Block (4 weeks)
Description: In this rotation, residents gain experience in various aspects
of clinical cardiology. Residents rotate at the Cardiology clinic and
do inpatient Cardiology consultations. Residents participate in the acute
management of acute myocardial infarction (Code STEMI). Residents also
gain exposure to various cardiac procedures (elective and emergent cardiac
catheterizations, exercise and nuclear stress tests, transthoracic and
transesophageal echocardiography, EKG interpretation).
GASTROENTEROLOGY
Duration: 1 Block (4 weeks)
Description: In this rotation, residents gain experience in various aspects
of clinical gastroenterology. Residents rotate at the Gastroenterology
clinic and do inpatient Gastroenterology consultations. Residents also
are exposed to various procedures (EGD, colonoscopy, capsule endoscopy,
endoscopic ultrasound, ERCP, esophageal manometry).
NEUROLOGY
Duration: 1 Block (4 weeks)
Description: In this rotation, residents gain experience in various aspects
of clinical neurology. Residents are trained to do a reliable neurologic
examination, to synthesize the findings so as to anatomically localize
the disease process and to construct a reasonable differential diagnosis
and plan of investigation. Residents rotate at the outpatient clinic of
Neurology Specialists of Monmouth County and do inpatient Neurology consultations.
Residents also participate in acute inpatient management of cerebrovascular
accidents (Code STROKE). Residents gain exposure in interpretation of
neuroimaging procedures (CT, MRI), electroencephalography, electromyography
and lumbar puncture.
PULMONARY MEDICINE
Duration: 1 Block (4 weeks)
Description: In this rotation, residents gain experience in various aspects
of pulmonary medicine. Residents do inpatient pulmonary medicine consultations
and rotate at the Cystic Fibrosis and Lung Nodule Clinics. Residents also
gain exposure to various pulmonary procedures (pulmonary function testing,
bronchoscopy, endobronchial ultrasound and biopsy).
HEMATOLOGY-ONCOLOGY
Duration: 1 Block (4 weeks)
Description: In this rotation, residents gain experience in various aspects
of hematology and oncology. Residents do inpatient hematology-oncology
consultations and rotate at Breast Cancer center and outpatient Oncology
clinic. Under the supervision of teaching hematologists-oncologists, residents
also gain exposure in bone marrow aspiration and biopsy, microscopic interpretation
of biopsy slides and initiation of appropriate chemotherapy regimens.
INFECTIOUS DISEASE
Duration: 1 Block (4 weeks)
Description: In this rotation, residents gain experience in various aspects
of infectious disease. Residents do inpatient infectious disease consultations
and rotate at the HIV clinic. Residents are trained to target suspect
pathogens and design appropriate antibiotic regimens. Residents are also
involved in the management of protocol-driven approaches to severe sepsis
and septic shock (Code SMART).
NEPHROLOGY
Duration: 1 Block (4 weeks)
Description: In this rotation, residents gain experience in various aspects
of clinical nephrology. Residents do inpatient nephrology consultations
and rotate at the Dialysis center. Residents are trained in the management
of fluid and electrolyte disorders, acute renal failure and chronic kidney
disease. Residents learn the basics of hemodialysis and peritoneal dialysis.
*Cardiology, Gastroenterology, Pulmonary Medicine and Neurology are REQUIRED
inpatient rotations.
*Each medical resident is expected to complete at least 6 blocks of inpatient
electives.
AMBULATORY ELECTIVES
Ambulatory medicine is an integral part of internal medicine training at
Monmouth Medical Center. Outpatient practice skills are developed primarily
at the Monmouth Family Health Center’s continuity medical clinic.
In addition, residents may also rotate at various outpatient subspecialty
clinics. Ambulatory elective choices include:
- Allergy and Immunology
- Endocrinology
- Rheumatology
- Ophthalmology
- Otorhinolaryngology (ENT)
- Breast Center
- Primary Care
- ED Urgent Care
- Orthopedics
- Sports Medicine
- Outpatient Stress Testing
- HIV Clinic
*Each medical resident is expected to complete at least 5 blocks of ambulatory
electives.
NON-PATIENT CARE ELECTIVE ROTATIONS
Residents are given the option of doing one 2-week free choice elective
in a non-patient care rotation. Elective Choices include:
- Endotracheal intubation
- Special Procedures (Interventional Radiology)
- Radiology
- Pathology
- Palliative Care
OFF-SITE ELECTIVE ROTATIONS
Once the corresponding inpatient equivalent is completed, a resident is
allowed to take an off-site elective in the same specialty for a maximum
duration of 4 weeks. The residents are required to complete the application
to the off-site program and state permit requirements prior to the approval
of the elective.
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