Elective Rotations

Our residency program offers multiple elective opportunities during the PGY-2 and PGY-3 years to give sufficient exposure in the various medical subspecialties. Each resident may self-tailor his or her own elective choices, with the aim of achieving sufficient preparation for future career paths after residency.

INPATIENT ELECTIVES

CARDIOLOGY
Duration: 1 Block (4 weeks)
Description: In this rotation, residents gain experience in various aspects of clinical cardiology. Residents rotate at the Cardiology clinic and do inpatient Cardiology consultations. Residents participate in the acute management of acute myocardial infarction (Code STEMI). Residents also gain exposure to various cardiac procedures (elective and emergent cardiac cathetherizations, exercise and nuclear stress tests, transthoracic and transesophageal echocardiography, EKG interpretation).

GASTROENTEROLOGY
Duration: 1 Block (4 weeks)
Description: In this rotation, residents gain experience in various aspects of clinical gastroenterology. Residents rotate at the Gastroenterology clinic and do inpatient Gastroenterology consultations. Residents also are exposed to various procedures (EGD, colonoscopy, capsule endoscopy, endoscopic ultrasound, ERCP, esophageal manometry).

NEUROLOGY
Duration: 1 Block (4 weeks)
Description: In this rotation, residents gain experience in various aspects of clinical neurology. Residents are trained to do a reliable neurologic examination, to synthesize the findings so as to anatomically localize the disease process and to construct a reasonable differential diagnosis and plan of investigation. Residents rotate at the outpatient clinic of Neurology Specialists of Monmouth County and do inpatient Neurology consultations. Residents also participate in acute inpatient management of cerebrovascular accidents (Code STROKE). Residents gain exposure in interpretation of neuroimaging procedures (CT, MRI), electroencephalography, electromyography and lumbar puncture.

PULMONARY MEDICINE
Duration: 1 Block (4 weeks)
Description: In this rotation, residents gain experience in various aspects of pulmonary medicine. Residents do inpatient pulmonary medicine consultations and rotate at the Cystic Fibrosis and Lung Nodule Clinics. Residents also gain exposure to various pulmonary procedures (pulmonary function testing, bronchoscopy, endobronchial ultrasound and biopsy).

HEMATOLOGY-ONCOLOGY
Duration: 1 Block (4 weeks)
Description: In this rotation, residents gain experience in various aspects of hematology and oncology. Residents do inpatient hematology-oncology consultations and rotate at Breast Cancer center and outpatient Oncology clinic. Under the supervision of teaching hematologists-oncologists, residents also gain exposure in bone marrow aspiration and biopsy, microscopic interpretation of biopsy slides and initiation of appropriate chemotherapy regimens.

INFECTIOUS DISEASE
Duration: 1 Block (4 weeks)
Description: In this rotation, residents gain experience in various aspects of infectious disease. Residents do inpatient infectious disease consultations and rotate at the HIV clinic. Residents are trained to target suspect pathogens and design appropriate antibiotic regimens. Residents are also involved in the management of protocol-driven approaches to severe sepsis and septic shock (Code SMART).

NEPHROLOGY
Duration: 1 Block (4 weeks)
Description: In this rotation, residents gain experience in various aspects of clinical nephrology. Residents do inpatient nephrology consultations and rotate at the Dialysis center. Residents are trained in the management of fluid and electrolyte disorders, acute renal failure and chronic kidney disease. Residents learn the basics of hemodialysis and peritoneal dialysis.

*Cardiology, Gastroenterology, Pulmonary Medicine and Neurology are REQUIRED inpatient rotations.
*Each medical resident is expected to complete at least 6 blocks of inpatient electives.

AMBULATORY ELECTIVES

Ambulatory medicine is an integral part of internal medicine training at Monmouth Medical Center. 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
  • Ophthalmology
  • Otorhinolaryngology (ENT)
  • Breast Center
  • Primary Care
  • ED Urgent Care
  • Orthopedics
  • Sports Medicine
  • Outpatient Stress Testing
  • HIV Clinic

*Each medical resident is expected to complete at least 5 blocks of ambulatory electives.

NON-PATIENT CARE ELECTIVE ROTATIONS

Residents are given the option of doing one 2-week free choice elective in a non-patient care rotation. Elective Choices include:

  • Endotracheal intubation
  • Special Procedures (Interventional Radiology)
  • Radiology
  • Pathology
  • Palliative Care

OFF-SITE ELECTIVE ROTATIONS

Once the corresponding inpatient equivalent is completed, a resident is allowed to take an off-site elective in the same specialty. Our past graduates have done rotations at the following institutions/programs:

  • Newark Beth Israel Medical Center – Cardiology
  • Newark Beth Israel Medical Center – Infectious Disease
  • Newark Beth Israel Medical Center – Pulmonary and Critical Care Medicine
  • Rutgers-Robert Wood Johnson Hospital – Cardiology
  • Rutgers-Robert Wood Johnson Hospital – Gastroenterology
  • Rutgers-Robert Wood Johnson Hospital – Endocrinology
  • Rutgers-Robert Wood Johnson Hospital – Infectious Disease
  • Rutgers-Robert Wood Johnson Hospital – Nephrology
  • Georgetown University – Endocrinology

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