Curriculum: Hospitalist Track

The UConn Internal Medicine Residency Hospitalist Track is designed for the individual who wishes to pursue a career in Hospital Medicine, Academic General Internal Medicine, or hospital-based subspecialty. While residents participating in this track will still have ambulatory experiences in their own continuity clinics as well as on electives, there will be an emphasis in the 2nd and 3rd years on providing experiences that will enhance the development of the unique set of skills required for the care of the medical inpatient. Ambulatory experiences will be of particular use highlighting the importance of communication and continuity as patients move between the inpatient and outpatient realms.

The core elements of this Track include rotations on acute inpatient Medicine wards, ICU/CCU, and ED. This is supplemented with a Hospitalist rotation in which a 3rd year resident is paired with an attending, in a "junior attending" role. This "junior attending" is given more autonomy and control over the evaluation and management of medical inpatients. The resident will do this as the only housestaff assigned to a patient, to give the resident an experience that is as close as possible to a community Hospitalist experience. Other rotations will include Medical Consultation, Hospice/Palliative Care, inpatient Neurology, HIV ward service, and a Psychiatry experience. Time will also be spent in the Surgical ICU, to give the resident a broader multi-disciplinary experience that should help improve understanding across clinical disciplines. In addition, time will be spent on an outcomes or QA/QI project, practice guideline development, and on "continuity committees", to get a sense of the non-clinical aspects of a hospitalist's duties. One of the most unique aspects of the Hospitalist Track will be the "non-ambulatory" block, during which the trainee will get experiences in wound care, sub-acute care, medical informatics, case management, social work, and nursing homes.