The core internal medicine curriculum is governed by the Accreditation Council for Graduate Medical Education (ACGME) mandates.  The curriculum for the UHT differs from the categorical programs in that it prioritizes ambulatory experiences, minimizes intensive care unit rotations, and shifts as many subspecialty care experiences to the outpatient setting as possible.  The curriculum features the urban health rotations.
        

Sample Schedule 

Each rotation is 28 days long.

*Baltimore Medical System Primary Care Urban Health Clinic/Health Care for the Homeless

• At least 1/3 of the residency training must occur in the ambulatory setting and at least 1/3 must occur in the inpatient setting.  Emergency medicine may count for no more than two weeks toward the required 1/3 ambulatory time.
          
• Required critical care rotations (e.g., medical or respiratory intensive care units, cardiac care units) which cannot be fewer than three months and more than six months over the 36 months or training (5 months)
         
• Exposure to each of the internal medicine subspecialties and neurology
         
• An assignment in geriatric medicine
         
• Opportunities for experience in psychiatry, allergy/immunology, dermatology, medical ophthalmology, office gynecology, otorhinolaryngology, non-operative orthopedics, palliative medicine, sleep medicine, and rehabilitation medicine
         
• Opportunities to demonstrate competence in the performance of procedures listed by the ABIM as requiring only knowledge and interpretation
         
• A clinical experience in outpatient chronic disease management, preventive health, patient counseling, and common acute ambulatory problems.  Overall this experience must include an appropriate distribution of patients of both genders and a diversity of ages
         
• A longitudinal continuity experience
  • Should not be interrupted by more than a month, not inclusive of vacation
                
  • Must include a minimum of 130 distinct half-day outpatient sessions, extending at least over a 30-month period, devoted to longitudinal care of the residents' panel of patients
                
  • Must include evaluation of performance data for each residents' continuity panel of patients relating to both chronic disease management and preventive health care.  Residents must receive faculty guidance for developing a databased action plan and evaluate this plan at least twice a year
            
• Internal medicine resident must be assigned to emergency medicine for at least four weeks of direct experience in blocks of not less than two weeks (no more than 2 months)

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