Saint Michael's Medical Center is a major teaching hospital affiliated
with New York Medical College, offering an ACGME and AOA Dual Accredited
Internal Medicine residency. Currently, the program has 58 residents with
19 residents recruited each academic year. The hospital also offers residencies
in anesthesiolgy and podiatry, as well as fellowships in cardiology, interventional
cardiology, gastroenterology, oncology, infectious disease, pulmonary
and critical care.
Over the course of three years our residents will receive comprehensive
education in internal medicine through a combination of clinical work
and didactic lectures. Our residents will rotate mainly in our primary
site at Saint Michael’s in both the inpatient and outpatient centers
and participate directly in patient care. Our program features a teaching-attending-based
model which allows residents to form a strong relationship with the teaching
attendings and various members of the healthcare team, including nurses,
social workers, and case managers, to discuss the management of patients
in the interdisciplinary rounds. In addition to the core rotations residents
can also rotate in various subspecialties including:
- Infectious Disease
- Emergency Medicine
In addition we have various outpatient private clinics in which residents
in their second and third year can participate in order to develop a comprehensive
view of urban and suburban outpatient medicine. Residents are also able
to participate in electives at hospitals outside Saint Michael’s
under the approval of the Program Director.
The teaching component is a complement to the daily activities of the resident
and they are offered in various departments under the leadership of several
The residents all participate in Morning Report in which cases admitted
in the previous 24 hours are discussed.
Every day there is a noon lecture that is either given by a teaching faculty
member or is done by a resident under the supervision of a teaching faculty member.
Residents on the floors and night float are assigned a faculty member who
discusses medical management on patient cases.
Residents in the ICU participate in daily teaching rounds under the supervision
of the critical care attending to discuss medical management of the patients
in the unit.
Board Review is provided for the residents at all levels and is done under
the supervision of the chief and associate chief residents.
Monthly Mortality and Morbidity discussions are held to identify and analyze
adverse outcomes associated with medical error to modify behavior and
jugement based on previous experiences and to prevent repetition of errors
leading to complications.
Monthly Tumor Board reviews are held to discuss complex patients with a
diagnosis of cancer. Using a treatment planning approach, a number of
doctors who are experts in different medical specialites review and discuss
the medical condition and treatment options of a patient.
Monthly Journal Clubs are held to discuss new advances in medicine and
to build the skills necessary to dissect and interpret medical literature.
A sample of our lecture series can be found
While the majority of the residents' time is spent in an inpatient
setting at least one third of your clinical work will be spent in the
outpatient setting. Outpatient medicine is a different discipline in which
chronic issues become a bigger focus as well as addressing long term medical
and social issues of our patients. It is here where residents learn to
develop long-term relationships with their patients. Our clinic is a weekly
clinic and is under the supervision of our primary care physicians Dr.
Jayasingam, Dr. Sison and Dr. Seigel.