Elective Rotations

Internal Medicine Residency at Monmouth Medical Center

Our residency program offers multiple elective opportunities during the PGY-2 and PGY-3 years to give sufficient exposure to the various medical subspecialties. Each resident may tailor their elective choices to prepare for future career paths after residency adequately.

Tasks during the elective rotations will encompass clinical care, bedside rounds, and daily case discussions. The objectives of mandatory and elective in-patient rotations are to provide the residents with ample experience in the subspeciality fields, to diagnose and manage consulted cases, and to observe procedures such as elective and non-elective PCIs, bronchoscopy, endoscopy, colonoscopy, etc., and to collaborate with subspeciality attendings to conduct research.

As a part of the core training, residents are tasked with leading code strokes, code STEMIs, and Rapid response teams to acquire proficiency in managing acute clinical cases and provide leadership skills and team-building experiences. Responsibilities during codes include leading a multidisciplinary team, supervising code blues, administering TPAs during code stroke, and coordinating care with specialists during RRTs and STEMIs. Residents are facilitated to become well-versed in the core intensive care unit curriculum that serves as a cardiac and neurosurgery intensive care unit and provides post-cardiac arrest care and post STEMI care.

In-patient Electives

Duration: 2 – 4 weeks

Residents work one-on-one with the subspecialist in each of these electives to develop and gain knowledge in the pathophysiology, diagnostic investigations, and management of all facets of these sub-specialties. Residents become more familiar with the intricacies of various procedures in these subspecialties. These experiences also emphasize consultation skills and patient interactions.

Mandatory Rotations

  • Geriatrics
  • Neurology
  • Palliative Care
  • Emergency Medicine

Inpatient Elective Rotations

  • Pulmonary Medicine
  • Nephrology
  • Gastroenterology
  • Hematology/Oncology
  • Hospitalist Medicine
  • Infectious disease

Ambulatory Electives

An ACGME requirement is that training must be in ambulatory experience 1/3 of the time. Outpatient practice skills are developed primarily at the Monmouth Family Health Center's continuity medical clinic. In addition, residents may also rotate at various outpatient subspecialty clinics. Ambulatory elective choices include:

  • Allergy and Immunology
  • Endocrinology
  • Rheumatology
  • Otorhinolaryngology (ENT)
  • Ambulatory Hematology -Oncology
  • Ambulatory Pulmonary Medicine
  • Primary Care
  • ED Urgent Care
  • Orthopedics
  • Outpatient Stress Testing

Heart's Desire Elective Rotations

Residents can do a 1 or 2 -week free choice elective in a non-patient care rotation. Elective Choices include:

  • Procedures
  • Radiology

Off-Site Elective Rotations

Once the corresponding in-patient equivalent is completed, a resident can take an off-site elective in the same specialty for up to 4 weeks. The residents must complete the application to the off-site program and state permit requirements before approving the elective.