North Florida Regional Medical Center is a community-based, academic internal medicine residency training program dedicated to training physicians for careers in hospital medicine, outpatient medicine, traditional internal medicine or fellowship training. The program has developed some unique curricular learning models that emphasize developing a clear understanding and appreciation for the natural history of disease, appropriate and cost-effective use of diagnostic tests and knowledge of “best practice” and evidence-based treatment.
Our program supports independent learning and research. Residents will benefit from protected research time, monthly resident research project review meetings with peers and advisors and ample support from faculty and staff. The Research Requirement provides both experienced and less experienced learners with the opportunity to engage in clinical research. Residents will acquire knowledge of research performance and develop skills required to accurately assess, critically analyze and fluently discuss the medical literature.
The program has adopted a 4+1 teaching block model design. Residents will spend four weeks of each block rotating on an inpatient, emergency medicine, or elective service. During one week of the five week block the resident will rotate in the continuity clinic.
- Ability to carry out the duties as required by the internal medicine residency program.
- Proficiency in the English language.
- Meet one of the following qualifications:
- Graduate of a medical school in the US or Canada accredited by the Liaison Committee on Medical Education (LCME), or
- Graduate of a college of osteopathic medicine in the US or Canada accredited by the American Osteopathic Association (AOA).
- A currently valid certificate from the Educational Committee for Foreign Medical Graduates (ECFMG) prior to appointment or full, unrestricted licensure to practice medicine in the US Licensing jurisdiction of training.
- Eligible for temporary resident licensure in the state of Florida. Eligibility requirements are listed at http://flboardofmedicine.gov/licensing/resident-physicians-interns-fellows- and-house-physicians.
- Medical school graduation within three years of potential start date. Applicants who have been out of medical school longer than three years must have had a period of formal training in an accredited program within three years.
The 18-month curriculum emphasizes the medical, pathologic, radiologic and in some cases the preoperative and surgical management of disease. We believe that it is important for our learners to have an in-depth appreciation and understanding of the natural history and pathophysiology of disease and to learn the skill of clinical reasoning. Our inpatient and outpatient curriculum focuses intensively on one subspecialty organ system at a time for 4 to 8 weeks before moving to the next system, allowing residents to progress fluidly in improving their scope of knowledge. Residents will be exposed to each topic twice during their training, reinforcing key concepts and recall of information.
The purpose of this conference is for residents to develop the skills necessary to practice evidence-based medicine. One week prior to conference, three residents will receive a case description. The resident presenters will be expected to describe evidence from the literature supporting their recommendations. Residents will be expected to provide source of information, quality of information and the potential impact that a recommendation has on his/her patient. Residents will have up to 15 minutes to present the evidence. This conference represents the skills to be able to perform an in-depth review of current medical literature and translate new information into a succinct format. The topics will cover and will follow the curriculum.
In addition to simulation training, focused aspects of the physical examination will occur as part of the core didactic session based on the organ or organ system being studied. For example, residents will receive training on the musculoskeletal examination during the Rheumatology and Sports Medicine cores.
Every week a cardiologist or radiologist provides advanced training on electrocardiogram interpretation, x-rays, computed tomography and other imaging techniques. The radiology series follows the core curriculum based on organ or organ system.
Up to 15 positions are available annually.
Yes, residents have access to an educational stipend for approved educational expenses. Residents receive a stipend budget of $3,000 per academic year (July 1st to June 30th).
Examples of allowable educational costs include scientific meetings, journal subscriptions, professional dues, books, and computer software in accordance with NFRMC policy governing physician educational funds.