Curriculum

Rotations

 

Bingham Internal Medicine Residency follows the curriculum standards set by the ACGME. 

Within their 36 months of training, residents will complete rotations in:

  • General Internal Medicine in both an Inpatient and Outpatient setting, including a longitudinal Continuity Clinic experience

  • Cardiology

  • Critical Care

  • Emergency Medicine

  • Endocrinology

  • Hematology

  • Gastroenterology

  • Geriatrics

  • Infectious Disease

  • Nephrology

  • Neurology

  • Oncology

  • Pulmonology

  • Rheumatology

Bingham Internal Medicine Residency also provides residents with a higher than average number of elective rotations which allows them to truly customize their education.  Residents in good standing will have 8 elective rotations throughout their 36 months of training and with the Idaho Physicians Clinic’s broad range of subspecialty representation as well as being an unopposed program, residents have great options for where they can spend that time. 

 

Available elective rotations include, but are not limited to:

  • Allergy and Immunology

  • Bariatrics

  • Behavioral Health

  • Dermatology

  • ENT

  • Family Medicine

  • Functional Medicine

  • Hyperbaric and Wound Care

  • Interventional Radiology

  • Orthopedics

  • Osteopathic Manipulation (Must be a DO)

  • Ophthalmology

  • Pain Management/Anesthesia

  • Palliative Medicine

  • Pathology

  • Radiology

  • Research

  • Sleep Medicine

  • Sports Medicine

  • Women’s Health

  • Urology

In addition, Bingham Internal Medicine Residency reserves a spot with the JRM Foundation for Humanity (https://jrmfoundation.org/) to send one resident per academic year on a Global Health rotation in Nepal with Dr.’s Fahim Rahim and Naeem Rahim.  This resident works in small clinics throughout the most remote areas of Nepal giving greatly needed medical attention to the villagers.  It is a life changing experience for all who have participated.

 

A typical rotational schedule by PGY:

Bingham Internal Medicine residents only provide Call coverage for the Inpatient service at Bingham Memorial Hospital; this coverage is maintained through a Night Float system.  When the designated Night Float resident is on their required two days off a week, the remaining residents (excluding those on the Inpatient service at Bingham Memorial Hospital and any out rotations) fill in with Call coverage support.  During the times when a resident is participating in Call coverage support, they will usually only have Call 2-3 nights per month.

 

As previously mentioned, Bingham Internal Medicine Residency is an unopposed program.   This gives our residents first opportunity to complete procedures.  Physicians throughout the system enjoy giving residents opportunities for more procedures and will call residents to come join them when they have something “cool” happening with a patient.  Residents are also the head of the Code Team and run all codes called in Bingham Memorial Hospital and the Idaho Physicians Clinis.  Additional advantages of being a small, unopposed program are: ample one-on-one time with Attending Physicians, making real, tangible differences in the local healthcare system and lives of patients, and being able to maintain an appropriate work/life balance.

 

Bingham Internal Medicine Residency believes well rounded physicians are developed through more than just clinical rotations and didactics.  Our curriculum is bolstered by an assortment of educational activities designed to create graduates who are comfortable in all aspects of the healthcare system.  Examples of this include:

               CME Presentations

Residents participate in Bingham Memorial Hospital’s ACCME accredited Continuing Medical Education program.  Residents will present to an audience of med staff, nursing, peers, administration, medical students and other ancillary staff.  PGY1 residents create, with the oversight of a physician mentor, and present a Primary Care Update comprising of the most current guidelines and treatment options for common clinical diagnosis.  PGY2 residents create, with the oversight of a physician mentor, and present a Grand Rounds comprising of an interesting, rare, or complex case they were personally involved in.  PGY3 residents create, with the oversight of a physician mentor, and present a Morbidity and Mortality (M&M) Conference comprising of a case they were involved in with a near miss or negative outcome.

 

              

               Scholarly Activity and Research

Residents are required to complete at least one scholarly activity during their three years of training.  Scholarly activities can be poster presentations, an academic conference presentation, publications (peer and non-peer reviewed), textbook chapters, etc. and must be completed with the assistance of a mentoring physician with relevance to the topic in focus.  Residents who are interested in completing original research to satisfy their scholarly activity requirement will work under the guidance of Bingham Memorial Hospital’s Research Director who will help them to navigate through developing study protocols, applying for Grant funding, IRB approval, peer reviewing, and other processes as outlined in the Research Policy.  Bingham Memorial Hospital is a participating site in many clinical trials and encourages residents to become involved.

 

               Quality Improvement

Residents are required to complete at least one Quality Improvement project throughout their three years of training.  In just the few years that QI participation has been part of our curriculum, Resident participation has led to safer, more effective patient care, as well as improvements in the quality of their education environment.  When a Resident at Bingham Internal Medicine Residency, you have a chance to truly effect positive change in the life’s of your patients.

 

               Community Outreach

Community Outreach has become a favorite activity among residents – it can be extremely rewarding to give back to the community that supports this Program. Examples of events Residents have been involved in include: health fairs, junior high and high school presentations, marathon first aid booths, Foundation fundraisers, and local foodbanks.  The focus this year is to branch out to more organizations and give back to the community in new ways.

 

               Teaching Opportunities

Dr. Stutts has said that “medicine is built on the knowledge of those who came before” and believes that teaching the next generation is a responsibility all physicians have.  Residents should have an opportunity to mentor and teach and we are happy to achieve that with the help of 3rd and 4th year medical students from Pacific Northwest University and Rocky Vista University who are at Bingham Memorial Hospital as their regional site.  Students will rotate as part of the Inpatient team on the Bingham Memorial Hospital Inpatient service as well as attend didactics with residents.  There is a wonderful comradery that is developed between residents and students.

Didactics

 

Bingham Internal Medicine Residency strives to maintain a high standard for Resident Didactic participation.  Internal Medicine subspecialty topics are studied in detail over a three year schedule and are based on the MKSAP Board Review guide and supplemented with our program subscription to TrueLearn question bank and Yale Outpatient curriculum. Here is a two month sample of our didactic topic breakdown:

Week 1 – Heart Failure

Week 2 – A-Fib/Flutter

Week 3 – Coronary Heart Disease

Week 4 – Ventricular Arrhythmias

Week 5 – Pericarditis

Week 6 – Aortic Valve Disease

Week 7 – Mitral Valve Disease

Week 8 – Seasonal Allergies

Week 9 – Common Rashes

Week 10 – GI Bleed

 

Each Wednesday afternoon is set aside as the weekly Academic Half Day and typically starts with lunch during a Continuing Medical Education lecture or a monthly Program Meeting, followed by a subspecialty topic lecture from an Attending Physician, and then an ancillary lecture which can vary in topic from a Pharmacy lecture related to the week's subspecialty topic, to a presentation on Physician Laws or an activity on Professionalism.  The remainder of the afternoon is given as protected time for the residents and is to be used for Board Review, senior resident lectures, student mentoring, Resident Council Committee, etc. 

 

Each quarter, Mock Codes and Skills Training replace the traditional Wednesday afternoon lectures. 

 

Residents are also involved in:

-        ​Journal Club

-        Morning Report

-        Grand Rounds

-        M&M Conference

-        Tumor Board

-        Yale Curriculum

-        Board Review

-        Skills Training

-        Mock Code Training

-        Hospital Sponsored CME Events

-        Committees

 

Continuity Clinic

Residents are required to participate in a longitudinal continuity experience in which they develop a continuous, long-term therapeutic relationship with a panel of general internal medicine patients.  The Residents are responsible to achieve a minimum of 130 distinct half-day outpatient sessions that are devoted to them acting as the primary physician and managing chronic disease, acute health problems and preventative care for their patients.

We currently have three Continuity Clinics set up for our Residents at The Idaho Physicians Clinic.  The Blackfoot Clinics are overseen by Dr.'s Lance Wehrle and Gary Ullery, while Dr. Angelo Capricchione maintains a clinic in Blackfoot and in Pocatello.
 


Blackfoot
Bingham Memorial Internal Medicine

at the Idaho Physicians Clinic


98 Poplar Street

Medical Office Building, 3rd Floor

Blackfoot, ID 83221


Tel: (208) 785-3838

Fax: (208) 782-9511

Open Monday-Thursday 8:00 AM-5:00 PM

 


Pocatello
Bingham Memorial Internal Medicine

at Diabetes & Internal Medicine Associates 


2302 E. Terry Street

Ste. A

Pocatello, ID 83204 


Tel: (208) 235-5910

Fax: (208) 782-9510

Open Tuesdays 1:00 PM - 5:00 PM

© 2018 Bingham Internal Medicine Residency

98 Poplar Street, Blackfoot ID, 83221

Tel: 208-782-2950

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