School of Health and Medical Sciences
Rotation

Integrated Program of Saint Michael's Medical Center and Trinitas Regional Medical Center

In the Seton Hall University School of Health & Medical Sciences integrated Internal Medicine Residency Program residents rotate at Saint Michael's Medical Center and Trinitas Regional Medical Center.

Rotations are unique to each facility reflecting the best educational experience at each site.

Our residents will have their Continuity Clinic at either Saint Michael's Medical Center (where we have 52 trainees) or Trinitas Regional Medical Center (where we have 33 trainees).  The location of the PGY-1 residents Continuity Clinic is the facility where rotations begin.

All clinical rotations can be done at either Saint Michael's Medical Center or Trinitas Regional Medical Center.  Rotations include:

  • Ambulatory Care, which includes primary non-internal medicine areas such as women’s health, ENT, Opthamology, Orthopaedics and Allergy;
  • Intensive Care Unit;
  • Intermediate Care Unit;
  • Emergency Room;
  • Ambulatory Care, which emphasizes office-based internal medicine;
  • Geriatric; and
  • Electives
    • Allergy/Immunology
    • Cardiovascular Disease
    • Critical Care
    • Endrocrinology and Metabolism
    • Gastroenterology
    • Hematology and Medical Oncology
    • Infectious Diseases
    • Nephrology
    • Pulmonary Disease
    • Radiology
    • Rheumatology.

Allergy/Immunology
The Allergy/Immunology division provides medical residents with outpatient experience in the evaluation and treatment of allergies and diseases of the immune system. Residents consult with patients, apply and interpret skin tests and laboratory examinations, and treat patients with desensitization therapy.

Cardiovascular Disease
The division of Cardiovascular Disease conducts research and provides clinical services. On elective rotation, residents improve their diagnostic skills through consulting, interpreting test results, and participating in a comprehensive non-invasive laboratory. Residents also gain insight into modern cardiac treatments by caring for patients who are undergoing cardiac catherization, angioplasty, and cardiac surgery.

Critical Care
The critical care block provides residents with training in the Medical and Surgical Intensive Care units. Residents work alongside full-time intensivists to care for patients who are critically ill. They become proficient in ventilator management, interpretation of invasive monitoring data, and insertion of various lines.

Endocrinology/Metabolism
The Division of Endocrinology conducts an active clinical inpatient and outpatient service. On elective rotation, the resident gains experience in the field through consultations, and by managing cases over time on an outpatient setting.

Gastroenterology
The Gastroenterology division is one of the most active clinical and laboratory services. This rotation provides the resident with first-hand knowledge of acute and chronic gastrointestinal and liver diseases. Topics covered include fiberoptic sigmoidoscopy, liver biopsy interpretation of histopathology and biochemical analysis. The interested resident has the opportunity to become proficient in flexible sigmoidoscopy.

Hematology
In the division of Hematology, sophisticated laboratories, clinical services and research activities provide an ideal setting for the resident to incorporate basic science and pathophysiology into the everyday care of patients with hematologic disease. The resident learns how to perform bone marrow aspiration, interpret the results, and become familiar with the care and treatment of hematologic malignancies.

Infectious Diseases
The Infectious Diseases division conducts extensive clinical, laboratory and research activities. Through supervised consultation, residents diagnose and treat patients with infectious diseases. There is a wealth of material, including patients with common community acquired infections, HIV, and nosocomial and travel-associated infections. The resident also learns the proper techniques required for collecting and examining body fluids, and for isolating and identifying bacteria, viruses, fungi, and parasites in the laboratory. Public health issues are highlighted.

Nephrology
The Nephrology division has a comprehensive program ranging from clinical management of acute and chronic renal disease to an active research laboratory with a busy dialysis program. Residents learn about the complexities of metabolic management, interpret renal biopsies, direct peritoneal dialysis and participate in hemodialysis and the care of renal transplantation patients.

Neurology
The Neurology elective offers residents the opportunity to strengthen their knowledge of neuroanatomy, neurophysiology and neuroradiology. The rotation emphasizes diagnosis and management of a wide variety of neurologic disabilities from cerebral vascular disease to epilepsy, demyelinating disease and central nervous system malignancy. Residents may also choose to do their elective at JFK Medical Center where the Seton Hall Neurology Residency Program offers an extensive inpatient and outpatient training.

Oncology
The Oncology division has active programs in screening, diagnosis and treatment of cancer. Residents care for patients, become familiar with various treatments, including chemotherapy, and take part in research.

Pulmonary Disease
The Pulmonary Disease division has an active inpatient and ambulatory care service, and includes a specialized pulmonary function lab and respiratory research program. Residents consult on cases involving respiratory diseases, perform pulmonary function studies, assist with bronchoscopy, and learn to interpret lung and pleural biopsies. Residents also care for outpatients with chronic pulmonary disease, and conduct public health programs and industrial screenings.

St. Francis Medical Center

PGY-1: 13, four-week rotations
Ambulatory Continuity Clinic

Each resident follows a panel of patients as the primary care physician for three years. Clinic is one-half day per week.

 Inpatient Services  
 8 rotations  General inpatient services
 1 rotation  Intensive Care Unit (ICU)
 1 rotation  Critical Care Unit (CCU)
 1 rotation  Private office ambulatory experience
 1 rotation  Ambulatory Selective
   Dermatology — 2 weeks
   Inpatient/Outpatient Psychiatry — 2 weeks
 1 rotation  Inpatient Selective
   Anesthesiology — 1week
   Gynecology— 1 week

PGY-2: 13, 4-week rotations
Ambulatory Continuity Clinic

Each second-year resident continues to follow a panel of patients as the primary care physician. Clinic is one-half day per week for the first half of the training and increased to two-and-a-half days a week with the seventh rotation.

 Inpatient Services  
 6 rotations  General inpatient services
 1 rotation  ICU
 1 rotation  CCU
 1 rotation  Inpatient consultation and subspecialty clinics
 1 rotation  Emergency Medicine
 1 rotation  Private office ambulatory experience (geriatric)
 1 rotation  Ambulatory Selective
   Ophthalmology — 2 weeks
   Orthopaedic and Rehabilitation Medicine — 2 weeks
 1 rotation  Subspecialty Elective

PGY-3: 13, 4-week rotations
Ambulatory Continuity Clinic

Each third-year resident continues to follow a panel of patients as the primary care physician. Clinics are two-and-a-half days per week.

 Inpatient Services  
 4 rotations  General inpatient services
 1 rotation  ICU
 1 rotation  CCU
 1 rotation  Inpatient consultation and subspecialty clinics
 1 rotation  Private office ambulatory experience
 4 rotations  Medical Subspecialty Electives
 1 rotation  Selective Electives
   ENT — minimum 1 week

The day begins at 6:30 a.m. with sign-in until 4:30 p.m. with sign-out. Rounds take place Monday through Friday.


Program Director:
Ernest Frederici, M.D.

(908) 994-5257
mmann@trinitas.org

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