Interns have primary responsibility for the care of all patients admitted to the medical ward service and are considered their patient’s primary inpatient doctor for the duration of the hospitalization.
The internship year
emphasizes the care of patients in general inpatient medicine, intensive
care medicine, oncology, cardiology, liver/kidney service, emergency
medicine and ambulatory medicine utilizing both campuses and selected
outside sites such as the Dana Farber Cancer Institute and VA Medical
Working as part of a 2-4 physician team which includes an overseeing resident, attending staff, and often medical students, interns gain experience in the management of patients with a broad range of medical diseases. Throughout intern year, interns maintain a longitudinal continuity clinic
experience where they develop a panel of their own primary care patients.
During most of the year, with the exception of intensive care rotations,
interns will have clinic one half-day per week. Distributed throughout the
year are four “ambulatory blocks” of two weeks duration. During this time,
the interns are in their continuity clinic every afternoon and attend
outpatient specific didactic lectures during the morning hours.
As members of the Harvard faculty, interns play an important role in
teaching, both of their peers and of rotating medical students. While on
the medical wards, interns provide daily clinical guidance and teaching to
third and fourth year medical students. As part of the ambulatory care
curriculum, interns will also have the opportunity to lead pre-clinic
conferences. During the year, there are special intern-only educational
activities including the twice-weekly Intern Report, monthly intern forum
sessions and bi-annual 24-hour intern retreats.
One Year Preliminary Training in Internal Medicine
Each year several internship positions are reserved for applicants desiring
one year of rigorous internal medicine training (Preliminary year) prior to
postgraduate training in another discipline. Preliminary and Categorical
Interns share the same kind of
and are exposed to training in the same areas. Preliminary interns may
elect to have a continuity clinic experience but are not required to do so.
BIDMC’s Intern Year is organized as an innovative “4+2” schedule. This
means that 4 week inpatient rotations are sandwiched between 2 weeks of
non-call rotations such as ambulatory and elective. This format creates the
ideal balance of intensity through the year and guarantees you’re never too
far from a golden weekend. Our residents affectionately nicknamed our 4+2
system “AAWESOME” because it optimizes quality of life, education, and
flexibility, and also because it’s a perfectly descriptive acronym...
An example schedule is included below which includes 48 weeks of “4+2”. The
other 4 weeks of the year are encompassed by holidays and an intensive
orientation period where interns get accommodated to their continuity