The program lasts for 24 months, covering the period from PGY-1 to PGY-2. Residents will receive a minimum of 20 months of clinical training, which aligns with the requirements established by the ABIM. Throughout the residency, residents are expected to participate in a continuity clinic on a weekly basis, attending a half-day clinic each week. Additionally, residents are encouraged to pursue research-aligned subspecialty electives to enhance their core training experience.

Year-by-Year Breakdown (example)

PGY-1

Clinical (12 months):
– 6 months Wards
– 2 months ICU/CCU
– 2 months Night Float
– 2 months Ambulatory/Electives/vacations

Research Integration:
– Orientation to research track
– Mentor assignment by month 6
– Introductory course in clinical/translational research
– Attendance at Research-in-Progress seminars

PGY-2

Clinical (9 months):
– 4 months Wards (senior role)
– 2 month ICU
– 2 months of night float
– 1 month Ambulatory

Research/vacation (3 months protected):
– Project design and IRB submission
– Advanced coursework in biostatistics, epidemiology, and grant writing
– Abstract submission to national meeting

PGY-3-6

Under subspecialty training

– Subspecialty available: Pulmonary, Infectious Disease, Nephrology, Hematology-Oncology, Endocrinology.
– 12-24 months of clinical training
– 24-36 months of research training/time
– Continuity clinic one half day x week during all training.

Research Training Components

1. Formal Coursework:
– PGY-1: Intro to Clinical/Translational Research
– PGY-2: Advanced Biostatistics, Research Ethics

2. Seminars & Workshops:
– Quarterly workshops/Research in progress meetings (abstracts, manuscripts, presentations)

3. Mentorship Policies:
– Approved primary mentor required
– Mentor evaluations every 6 months

Policies

– Eligibility: Strong academic record and research interest required
– Continuity Clinic: Weekly half-day, not interrupted by research
– Progression: Requires satisfactory evaluations in both clinical and research domains
– Exit Clause: Residents failing milestones may transfer to categorical track

Evaluation Framework

Clinical Evaluation:
– ABIM Milestones assessed by CCC
– Annual in-service exam

Research Evaluation:
– Semi-annual mentor evaluations
– ROC reviews twice yearly

Governance and Oversight

Program Director (PD): Provides overall leadership, ensures ABIM compliance.
Research Track Director (RTD): Senior physician–scientist overseeing scholarly training.
Clinical Competency Committee (CCC): Reviews clinical performance milestones.
Mentorship Triad: Resident, primary research mentor, and RTD.