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Creighton University offers postgraduate training in internal medicine to both preliminary (one year) and categorical (three year) residents. There are 15 categorical positions and six preliminary positions available each year. In addition to this, the department administers the four year combined Internal Medicine/Pediatrics program with four positions each year.
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"This University Program offers a friendly and comfortable atmosphere without compromising quality of training. The Subspecialty rotations are excellent." Angela Ferguson, MD |
First Year Categorical Residents The first year resident functions as the patient's primary physician. She or he works under the direct supervision of a more senior resident and an attending physician at all times. The department has policies regarding the number of patients that can be assigned to a first year resident. This is to ensure that resident education is not compromised by excessive patient care responsibilities. A PGY-I physician should never be responsible for more than five new admissions in any one day, or eight new admissions in a 48 hour period. On average, first year residents are responsible for the ongoing care of 8 to 12 patients. At Saint Joseph Hospital a night float system from 8 pm to 8 am is utilized to lighten the call burden from Monday through Friday. On a typical day, a first year resident will stop accepting new admissions at 4:30 pm and will turn over the care of his or her patients to the on call resident. A "short call" PGY-I will cover the new admissions between 4:30 pm and 8 pm. Residents average four "short calls" a month and one to two 24 hour weekend calls per month. At the VA hospital, where admissions tend to be fewer in number, the first year residents take overnight call on average every four to five days. A typical first year resident's schedule is shown on page 10. Each resident is assigned to two months on the University Medicine Services at Saint Joseph Hospital and two months on the Private Medicine Services at Saint Joseph Hospital, two to three months of general medicine at the Omaha VAMC, one month of critical care at the Omaha VAMC, one month of ambulatory care, one month of emergency medicine, three to four months of subspecialty medicine such as cardiology, nephrology, pulmonology, oncology, neurology and gastroenterology, and one month of night float service. In addition to this, each first year resident has one-half day of clinic each week at the Omaha VAMC or Saint Joseph Hospital. During the private medicine rotations, first year residents attend one afternoon each week in the gynecology clinic to obtain experience in office gynecology under the supervision of the Obstetrics and Gynecology Department of Creighton University. First year residents may elect to take the In-Service Exam in January.
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"After patient care, the faculty's number one priority is the education of residents and students." Brad Oldemeyer, MD |
Second Year Categorical Residents The second year resident spends two months as supervisory resident on the University Medicine services at Saint Joseph Hospital, three months as supervisory resident at the Omaha VAMC and one month may be spent in the Intensive Care Unit, if it was not completed the first year. One month may be spent on an ambulatory block rotation and the remainder of the year is spent on the subspecialty services. Throughout the second year, all residents rotate supervisory night call at Saint Joseph Hospital and the Omaha VAMC. On average, residents are on call once a week. During their period of on call duty, second year residents are also in charge of the Code 99 teams at Saint Joseph Hospital and the Omaha VAMC. Starting in the second year, each resident spends two half-days in continuity clinics, one at the Omaha VAMC and one at Saint Joseph Hospital. In January, the second year residents take the In-Service Exam administered by the American College of Physicians. This helps the residents evaluate their level of knowledge relative to other residents nationwide and also helps the Graduate Medical Education Committee of the department update the resident curriculum as needed.
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"The attendings are truly committed to developing compassionate, skilled clinicians." Amy Curran, MD |
The third year residents are required to spend one month in the Emergency Department as an internal medicine supervisor, one month on the Allergy/Gyn/ENT Ambulatory Block rotation and one month on Geriatrics. In addition, most will spend one month as a supervisor in the Intensive Care Unit at the Omaha VAMC. The remainder of the year is comprised of subspecialty and elective rotations. Residents may choose two electives from dermatology, ambulatory cardiology, and ILAC (Institute for Latin American Concern in the Dominican Republic). There is no "in house" call during the third year, however, residents do take call from home for the various subspecialty services to which they are assigned. Each third year resident is expected to prepare and present a seminar to the department of medicine faculty, residents, and students which will focus on some area of clinical investigation or extensive literature review. Residents may also retake the In-Service Exam if they wish.
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Welcome | Letter from Director and Chair | About Creighton | Training Sites CU School of Medicine | CU Dept. of Medicine | CU Med School Admissions email questions or comments to: maryann@creighton.educopyright 1997, Creighton University  |
