We are proud of our unique clinical and educational curricula that build the necessary skills to provide care to patients with complex medical conditions within the context of social and structural drivers of inequities. Our Med-Peds curriculum aims to provide residents with the knowledge necessary to care for patients of all ages across the continuum of care delivery environments.
Since our residency program aims to train Med-Peds physicians who will work in primary care our trainees will care for a panel of pediatric and adult patients in a combined continuity practice, and provide care in the office, in the community and in patients’ homes. Highlights of the continuity care structure include:
- A 6+2 system (6 weeks of categorical rotations + 2 weeks of Primary Care)
- Additional half or full days in clinic on all rotations other than inpatient medicine and ICU rotations
- Dedicated time for panel management and population health
- Dedicated time for home visits and street medicine
- Active management of resident panels to ensure an even distribution of pediatric and adult patients and visits
This innovative ambulatory clinical experience is supplemented by a robust primary care educational curriculum, wherein Med-Peds residents will participate in:
- Academic half days with ambulatory medicine residents while on primary care blocks
- Academic half days with medicine primary care and categorical pediatric residents while on elective blocks
- Longitudinal Med-Peds Conferences
- Weekly Grand Rounds in Homeless Medicine while on primary care blocks
Med-Peds residents will have additional educational sessions providing advanced knowledge and skills in domains specific to our program’s objectives. This includes a home visits panel in which all residents carry and manage a panel of adult and pediatric patients for whom they provide care at home. Supported by our Adult Visiting Doctors Program, our Pediatric Visiting Doctors and Complex Care Program and an ACGME Back To Bedside Grant, residents will care for a unique panel of patients including homebound elderly patients and patients with complex neuromuscular, genetic, metabolic and cardiopulmonary conditions. By bringing care to these patients residents will learn how to reduce inequities in patients with extreme medical complexity through patient-centered, team-based care, and by addressing the systems of oppression which often produce and perpetuate these inequities.
Innovative Curricula
Transgender Medicine: We provide a transgender medicine curriculum and clinical rotations in which residents will learn the fundamentals of care for transgender and gender diverse patients through a longitudinal curriculum and a rotation at Mount Sinai’s Center for Transgender Medicine and Surgery. Residents will have opportunities for additional clinical training in caring for adolescent TGNB patients through the Adolescent Health Center.
Homeless Medicine: Residents will learn the approach to providing effective care for adult and pediatric homeless patients through a longitudinal curriculum and dedicated clinical experiences. Residents will each have care for a panel of homeless patients, delivering care in the clinic, by partnering with a local shelter and school-based health program as well as through street outreach.
Mass Incarceration and Abolition: Through a longitudinal curriculum, including clinical and educational partnerships with Riker’s Island, Sheltering Arms and Fortune residents will learn the impact of mass incarceration on individuals, families and communities, and will learn about the unique challenges and opportunities to improve health by providing care to individuals living in and transitioning out of prisons, jails and other forms of detention. Residents partner with families and communities impacted by mass incarceration and participate in advocacy efforts to abolish mass incarceration and related forms of state surveillance or racialized communities.
Caring for People Who Use Drugs: Via training in the longitudinal substance use curriculum and clinical work, residents will have the opportunity to learn the fundamentals of caring for persons who use drugs, including those with opioid use disorder. This includes didactics and supervised patient care experiences in how to provide primary care-based buprenorphine treatment and strategies to help patients optimize safety and mitigate risk within a harm reduction model.
Refugee Health: Through a refugee health curriculum and clinical work residents become trained in medical evaluations of adults and children seeking asylum, participate in evaluations, and become effective in identifying and meeting the ongoing physical and mental health needs of refugees, asylum seekers and their families.
Population Health: Residents work alongside Internal Medicine Primary Care physicians to learn the fundamentals of population health work on the individual, local and national level and apply these skills to direct patient care and advocacy.
Dismantling Racism in Medicine: Through a longitudinal, Anti-Racist Clinical Skills curriculum residents learn to identify and challenge racism and other forms of bias at the individual and structural levels. These includes deconstructing scientific racism, mitigating the impact of racism and bias on patient outcomes and navigating biased patient behavior.
Advancing Idealism in Medicine: Finally, Med-Peds residents will participate in the same Advancing Idealism in Medicine, Quality Improvement and Evidence-Based Medicine curricula in which the residents in the Internal Medicine Residency Program at The Mount Sinai Hospital engage.
Attached are typical schedules for our residents for all four years of training.