Internal Medicine Residency Program at Norwalk Hospital

A message from the Program Director

Dear Residency Candidate:

Welcome to the Norwalk Hospital Internal Medicine Residency! We are dedicated to providing you with a world-class residency education in a setting that is friendly, warm and supportive. Affiliated with the Yale University School of Medicine, Norwalk Hospital has a long tradition of training excellent physicians who go on to achieve success and become leaders in a variety of careers within general internal medicine and its subspecialties. Let me share with you some of the unique aspects of Norwalk Hospital and our residency program.

Norwalk Hospital is ideally situated approximately one hour from New York City, in an area rich with cultural and recreational activities for adults and children of all ages. This setting allows us to attract top-notch faculty trained at some of the most prestigious academic institutions in the world. Our faculty is dedicated to the mission of teaching residents and medical students evidence-based, patient-centered care. We strongly believe that teaching the doctors of tomorrow is a special calling that must be approached with caring and dedication.

We provide all residents with individualized training and mentoring so that they can pursue their highest aspirations as physicians, whether in primary care, in hospital medicine, or through additional training in fellowship programs. As a result, over the last few years, our residents have been accepted to fellowships at Yale, Dartmouth, Mayo Clinic, Johns Hopkins and other top university institutions. They have also been recruited to excellent positions in primary care and hospital medicine all over the country.

In addition to an extraordinary faculty, the Norwalk Hospital Internal Medicine Residency offers our residents outstanding educational experiences within each of the three major areas of residency training. Our Hospitalist Clinician Educator Program has been developed as an innovative model for integrating hospitalists and residents in a way that dramatically improves both inpatient care and residents’ educational outcomes. In our Critical Care units, residents work with an award-winning, nationally recognized team, are exposed to cutting-edge medicine, and participate in multiple clinically relevant quality improvement projects. Finally, our Ambulatory Care rotations take place primarily in a free-standing, community-based health center created as a site which integrates resident education with care for the medically underserved. Care for adult medicine patients at the health center is provided largely by resident physicians closely supervised by dedicated attending faculty.

These core rotations are supplemented by an extensive choice of elective opportunities both at Norwalk Hospital and Yale-New Haven Hospital as well at as other institutions throughout the country. Novel educational opportunities also abound throughout the program. At the health center, residents participate in regular sessions on quality improvement, clinical examination skills and evidence-based medicine. At the hospital, training in simulation, a monthly interactive patient safety conference, and communication skills workshops enhance curricular learning.

Strong research opportunities supplement our residents’ educational experience. All trainees are encouraged to pursue scholarly activity, and faculty members involved in research are eager for resident participation. Residents and faculty at Norwalk Hospital regularly present at regional and national academic meetings. In addition, we have consistently been active in publishing articles and chapters in medical journals and textbooks. There are also numerous opportunities to become involved in research projects at the Yale University School of Medicine.

Finally, as a program, we feel strongly connected to the community we serve. Our residents reach out in many ways to serve beyond the walls of the hospital. They serve as leaders who provide meals at local soup kitchens, “ask the doctor” counseling at health fairs, and community health education at talks throughout the city.

Thank you for taking the time to look at the Norwalk Hospital Internal Medicine Residency. We feel that we offer a superb training experience and hope that you will consider us as the way to foster your love, passion and excitement for internal medicine.
Sincerely,

Eunice Kang, MD
Program Director

Overview

An outstanding graduate medical education requires fine teaching and state-of-the-art facilities, so that learning and patient care can take place in the hospital of tomorrow. Such an opportunity awaits residents in the Internal Medicine Residency at Norwalk Hospital, an education-oriented, non-profit, 328-bed acute-care hospital recognized as one of the finest hospitals in the nation.

Residents’ salaries are competitive, and we provide highly subsidized housing. Residents who choose not to live in hospital housing receive an additional stipend to help offset the cost of outside housing. Medical, dental, life and disability insurance are provided for house-staff and their families. The graduates of our Internal Medicine Residency go on to enter prestigious fellowships and rewarding jobs.

The Learning Environment

We are dedicated to providing you with a world-class residency education in a setting that is friendly, warm and supportive. Affiliated with the Yale University School of Medicine, Norwalk Hospital has a long tradition of training excellent physicians who go on to achieve success and become leaders in a variety of careers within general internal medicine and its subspecialties.

The Learning Environment

An essential feature of a residency program is the establishment of an enriching learning atmosphere. At Norwalk Hospital, both residents and faculty are committed to the teaching process in an environment of mutual understanding and support. The enthusiasm and meaningful involvement of our faculty allows for significant flexibility in meeting the individual needs of each resident.

Our training program in medicine has three major objectives:

  • To provide the atmosphere, education facilities and personalized training necessary to stimulate the growth of our residents in becoming knowledgeable and caring physicians
  • To create confident leaders through a well-balanced program of challenging inpatient care and ambulatory care
  • To provide the best possible healthcare for the Norwalk community, a Norwalk Hospital tradition for more than 100 years

The Department of Medicine has a well-structured conference schedule including daily teaching rounds in the various areas of the program, such as the Team Care general medical floors, Critical Care Unit, Ambulatory Medicine, and the subspecialty electives. Residents also take part in various department-wide conferences, Grand Rounds and Resident Presentations (Patient safety conferences and lectures given by the residents). House staff participate regularly in journal clubs and state-of-the-art medical simulation training is also offered on a regular basis.

Gastroenterology and Pulmonary Medicine Fellowships greatly enhance the educational resources available to the residents. Fellows act as additional clinical instructors, working closely with residents daily. The opportunity to supervise medical students from several different medical schools also helps develop residents’ teaching skills.

Thanks to good ancillary services, residents at Norwalk Hospital can concentrate on taking care of patients. The support networks include IV and blood-drawing teams, highly computerized laboratory services, and an advanced computer system for fully updated patient data.

Program Information

Three-Year Program

  • Opportunity
    The goal of the Categorical Internal Medicine Residency is to train superior internists able to care for inpatients and outpatients across a wide disease spectrum. By graduation, all of our residents have participated in leadership and scholarly activities. Our program is the right size to provide breadth and depth of experience with personalized mentoring and feedback. The three major areas of clinical exposure are Team Care, Critical Care and Ambulatory Medicine at the Norwalk Community Health Center. These areas are also further described within the Learning Environment page. We have a high Internal Medicine Board passage rate, with our residents pursuing excellent fellowship and practice opportunities upon graduation from our program.
  • Team Care
    Team Care (general medical floors) is vital to our residents’ education program and the delivery of quality healthcare at Norwalk Hospital. There are seven teams participating in Team Care as well as a night float system.

    The Team Care Service has full-time hospitalist clinician-educator faculty members and one Chief Resident responsible for much of the ongoing teaching, in addition to that provided by other members of the Department of Medicine. Our hospitalists are stellar teachers and clinicians who have published their unique approach to inpatient care and teaching in prominent medical journals. On Team Care, you are responsible for all patients admitted under your care under attending supervision and enter all orders. Team Care is an invaluable close-to-the-patient learning experience and includes daily resident reports, walk rounds, daily teaching conferences and journal club.
  • Critical Care Facility
    The Norwalk Hospital Critical Care Facility is nationally recognized for its work developing new technologies, including the use of computers in patient care. While on this rotation, our residents are closely involved with the care of patients in the Coronary Care Unit and Medical Intensive Care Unit. The house staff team has one PGY-3, two PGY-2s and four PGY-1s, as well as a critical care fellow and a full-time teaching attending.
  • Ambulatory Medicine
    Ambulatory training in a variety of sites is critical to the development of outstanding clinicians. Our Ambulatory Medicine Program is composed of two major parts: continuity care and the ambulatory rotations offered in each of the three years.
  • Continuity Care
    Participating in a unique academic practice model, residents follow their own group of patients in conjunction with a faculty member, at a state-of-the-art ambulatory care center located in Norwalk. Special emphasis is placed on the development of the patient-physician relationship, as well as establishing preventive medicine approaches to patient care. Teleconferencing equipment allows the residents to participate directly in conferences held at the hospital. Four dedicated faculty members and the Ambulatory Chief Resident work closely with the house staff in this setting, allowing for close one-on-one supervision and mentoring.
  • Ambulatory Rotations
    There are Ambulatory block rotations in each of the three years of residency. The time is divided between a variety of patient care opportunities and a significant number of educational conferences. An extensive Ambulatory Curriculum includes exposure for medicine residents to nursing home care and multiple practice sites.

    The patient care opportunities include continuity and acute medical visits (with particular emphasis on the approach to patients with undiagnosed symptom complexes), a general internal medicine private practice office experience, subspecialty office experiences, and geriatrics (including a four-week rotation at a teaching nursing home). The educational conferences include an ambulatory resident report, ambulatory care curriculum, evidence-based medicine, clinical skills curriculum and quality improvement.

    Residents are provided a personal business card upon joining the program with the Norwalk Community Health Center phone number. Senior residents and faculty provide phone coverage 24 hours a day, seven days a week, so our patients have ready access to physician advice and residents have experience with telephone medicine.
  • Subspecialty Rotations
    While at Norwalk Hospital, each resident is able to choose from many subspecialties electives including Hospitalist Medicine, Cardiology, Endocrinology, Gastroenterology and Nutrition, Hematology-Oncology, Neurology, Pulmonary Medicine, Nephrology, Wound Care, Allergy and Immunology, and Rheumatology. Residents also take electives at Yale where they draw upon the knowledge and skills of physicians doing pioneering work in the practice of medicine and in research. Residents who are highly interested in Hematology-Oncology will also be able to do a one-month rotation at MSKCC in New York City.
  • International Medicine/Global Health
    In addition to exposure to general medicine as practiced in another setting, this 6-week elective offers a chance to experience another culture and broaden one’s perspective in a structured way through a partnership with the University Of Vermont School Of Medicine.

The Medical Student Program

The Department of Medicine offers clerkships for third- and fourth-year students. The clerkships include General Internal Medicine inpatient clerkship, sub-internships in inpatient General Internal Medicine and Critical Care, and elective rotations in Hospitalist Medicine, Cardiology, Endocrinology, Gastroenterology, Neurology, and Pulmonary Medicine. The Department of Medicine has affiliations with the Yale University School of Medicine, The University of Vermont and Ross University. Occasionally, students come from other schools as well.

Health Center

Norwalk Community Health Center (NCHC) is an independent Federally Qualified Health Center funded through the Health Resources and Services Administration (HRSA).  Located in a 24,500-square-foot, state-of-the-art medical facility at 120 Connecticut Ave., Norwalk, NCHC offers a full range of primary care medical services to any Norwalk resident regardless of ability to pay.

Medical services include:

  • Adult internal medicine
  • Pediatrics
  • Obstetrics/gynecology
  • Endocrinology specialty clinic
  • Infectious diseases specialty clinic

NCHC’s medical staff consists of board-certified or board-eligible physicians, nurse practitioners, certified nurse midwives and internal medicine residents in training with the Norwalk Hospital Internal Medicine Residency. These residents work side-by-side with NCHC physicians. All clinical staff are supervised by NCHC’s chief medical officer, who is responsible for clinical quality.

NCHC uses state-of-the-art electronic medical records (EMR) throughout its departments to ensure high-quality care. Patients’ lab results are transmitted electronically from Norwalk Hospital directly to NCHC patients’ records, helping to ensure the accuracy and speed with which NCHC receives these results. Pharmacy services are provided onsite at NCHC. A new electronic prescribing system, in conjunction with Norwalk Hospital’s Pharmacy Services, provides enhanced quality of care and patient safety. Patients are seen by appointment, usually within one or two days of calling. Every effort is made to schedule same-day appointments for patients with urgent care needs. Patients can make an appointment by calling 203-899-1770.

Hours:

Monday – Thursday: 8:30 a.m. to 8:00 p.m.
Friday: 8:30 a.m. to 5:30 p.m.
Saturday: 8:30 a.m. to noon

Faculty & Staff

Clinical Sections

Cardiology

The Section of Cardiology has an active, well-structured program that includes both resident and medical student rotations. There are weekly educational conferences, journal clubs and cardiology clinics. The Section is active in Holter monitoring, nuclear medicine techniques, pacemaker insertions, catheterizations, and transesophageal echocardiography.

Chief: David Lomnitz, MD

Medical School: University of Pennsylvania

Residency: University of California, San Francisco

Fellowship: New York Presbyterian Hospital, Cornell Medical College

  • Boris Sheynberg, MD
  • Indraneil Ray, MD
  • Archad Yekta, MD
  • Donna Lentini, APRN
  • Ira Galin, MD
  • Michael Logue, MD

Dermatology

The Section of Dermatology has a resident elective that actively utilizes section members’ offices in the teaching of basic dermatologic principles.

Chief: Leon Luck, MD

Medical School: Albert Einstein College of Medicine of Yeshiva University

Residency: Albert Einstein College of Medicine

Fellowship: Montefiore Hospital

  • Cyrus Chess, MD
  • Kenneth Cutler, MD
  • Lloyd Godwin, MD
  • Charles Halasz, MD
  • Ronald Kahan, MD
  • Steven Kolenik, MD
  • Michael Noonan, MD
  • Debra Weissman, MD
  • Gail Whitman, MD
  • Jason Wilder, DO

Endocrinology

The Endocrinology Section runs a well-structured elective program for medical residents. The rotation includes inpatient consultations and an endocrinology clinic focusing on consultations in diabetes, thyroid disease, general endocrinology, and diabetes in pregnancy at the Norwalk Community Health Center. There is also a daily educational meeting with the attending and the resident on a one-to-one basis. Residents gain experience by working four half-days per week in the private-practice offices of physicians in the Section. There is exposure to diabetes management conferences with the certified nurse educators. The Section is responsible for an active diabetes nurse-clinician program, as well as for patient education courses in diabetes.

Chief:  Nancy Rennert, MD

Clinical Associate Professor of Medicine, Albert Einstein College of Medicine

Medical School: University of Pittsburgh

Residency: University of Pittsburgh

Fellowship: Yale University

  • Pamela Randolph, MD
  • Glenn Siegel, MD

Gastroenterology and Nutrition

The Section of Gastroenterology and Nutrition has an  active training program for students, residents and fellows. In its training program, the Section works with the Departments of Radiology and Pathology, as well as with the Section of Digestive Diseases at Yale. The Section  has a weekly educational conference, journal club,nutrition clinic, gastroenterology clinic as well as a weekly conference at Yale. The Section has an active nutritional support program and conducts research in the area of dietary fiber, opioid physiology and Helicobacter pylori.

Chief and Fellowship Program Director: William B. Hale, MD Clinical Instructor of Medicine, Yale School of Medicine

Medical School: University of Wisconsin Medical School

Residency: Boston Medical Center

Fellowship: Boston University Medical Center

  • Charles Adelmann, MD
  • Naveen Anand, MD
  • Claudia Gruss, MD
  • Reid Hopkins, MD
  • Joseph Lim, MD
  • Suma Magge, MD
  • Rakhee Mangla, MD
  • Dennis M. Meighan, DO
  • Harvey Riback, MD
  • Frank Sammarco, MD

General Internal Medicine

Norwalk Hospital is unique among community hospitals. Not only does the Department of Medicine provide superior clinical care, it has been able to provide faculty whose main purpose is to educate both residents and students. There is an active hospitalist clinician-educator program and a large number of full-time generalists involved in teaching. Norwalk Hospital offers the educational benefits of an academic center amidst excellent community-based clinical care. The objective of this approach is to give close supervision in the basic principles of internal medicine as the focal point around which the rest of medical education is centered.

Chief: James Samuel, MD

Medical School: Chicago Medical School

Residency: University of Connecticut

  • Robert Altbaum, MD
  • Golnaz Ashrafzadeh, MD
  • Sally Bergwerk, MD
  • Wesley Calvin, DO
  • Tony Chow, MD
  • Mark Dam, MD
  • Marvin Den, MD
  • Jill Denowitz, MD
  • Eric Einstein, MD
  • Cynthia Feher, MD
  • Nancy Gade, MD
  • Raman Gill-Meyer, MD
  • Vasiliki Harisis, MD
  • Peter Hasapis, MD
  • Arthur Heliotis, MD
  • Elizabeth Heuzey, MD
  • Jay A. Horn, MD
  • Richard G. Huntley, Jr., MD
  • Samarth Iyanalli, MD
  • Varshapriya A. Iyer, MD
  • Kelly Jarrett, MD
  • Eunice Kang, MD
  • Nina S. Karol, MD
  • Paul Kelly, DO
  • Anjum Khan, MD
  • Ellen Kulaga, MD
  • Mark Kulaga, MD
  • Denise Lautenbach, MD
  • Donald J. Leone, MD
  • James Lewis, MD
  • Eric Mazur, MD
  • James O’Connell, MD
  • Jason Orlinick, MD, PhD
  • Alan Radin, MD
  • Rahim Rahimyar, MD
  • Michael B. Schwartz, DO
  • Craig Serin, MD
  • Peter M. Shutkin, MD
  • Diana Sewell, MD
  • James A. Slater, MD
  • Christina Smina, MD
  • Warren Steinberg, MD
  • Seth Sullivan, MD
  • Julia Voytovich, MD
  • Richard Westfal, MD
  • Anna Zielinska, MD

Geriatric Medicine

Residents are involved in outpatient evaluations of geriatric patients through a nursing home experience. The focus is on the development of the broad-ranged knowledge and skills necessary to care for our growing elderly population and its complex and multidimensional problems. As PGY-2s, residents spend a three-week block rotation at the Jewish Home for the Elderly, the premier teaching nursing home of Fairfield County.

  • Robert Altbaum, MD
  • Eric Einstein, MD
  • Victoria Gassman, MD
  • Pamela Hoffman, MD
  • James O’Connell, MD
  • Alan Radin, MD

Hematology/Oncology

The Section of Hematology/Oncology coordinates a large program of cancer chemotherapy, both inpatient and  outpatient. The resident rotation on this service offers a combination of hematology and oncology consultation  experience, exposure to the treatment of cancer patients (chemotherapy protocols and support systems), review of pathology material and a significant amount of outpatient office involvement. The office aspect of this rotation gives the resident a perspective of cancer patients not possible in the acute hospital setting. There is the opportunity to become involved in research projects related to clinical  oncology, some of which were initiated by Norwalk Hospital, as well as hematology.

  • Daniel Boxer, MD
  • Richard C. Frank, MD
  • Sheena Sahota, MD
  • Linda Vahdat, MD
  • George Zahrah, MD

Hospital Medicine

Chief: Seth Sullivan, MD

Medical School: University of Kansas

Residency: University of Missouri

  • Golnaz Ashrafzadeh, MD
  • Wesley Calvin, DO
  • Tony Chow, MD
  • Raman Gill-Meyer, MD
  • Vasiliki Harisis, MD
  • Elizabeth Heuzey, MD
  • Samarth Iyanalli, MD
  • Eunice Kang, MD
  • Anjum Khan, MD
  • Mark Kulaga, MD
  • Jason Orlinick, MD, PhD
  • Rahim Rahimyar, MD
  • Emanuela Sangeorzan, MD
  • Diana Sewell, MD
  • Seth Sullivan, MD
  • Anna Zielinska, MD
  • Anjum Khan, MD
  • Mark Kulaga, MD
  • Jason Orlinick, MD, PhD
  • Rahim Rahimyar, MD
  • Sergii Rakhuba, MD
  • Emanuela Sangeorzan, MD
  • Diana Sewell, MD
  • Seth Sullivan, MD
  • Anna Zielinska, MD

Immunology/Allergy

Teaching primarily in the outpatient section, the Section of Immunology/Allergy provides a basic orientation to seasonal allergies, immune mechanisms and drug hypersensitivities. The Section provides clinical and educational activities.

Chief: Joseph Sproviero, MD

Medical School: Columbia University

Residency: Yale New Haven Hospital

Fellowship: Yale New Haven Hospital

  • Denis Bouboulis, MD
  • Philip Hemmers, DO
  • Mitchell Lester, MD
  • Mark Litchman, MD
  • Aymeric Louit, MD
  • Agnieszka Matczuk, MD
  • Rishon Stember, MD

Infectious Disease

The rotations in Infectious Disease for students and residents utilize a busy inpatient consultation service. In addition to covering the basic principles of its specialty, this rotation is noted at Norwalk Hospital for its emphasis on the complete evaluation of the patient, particularly through fundamental clinical means. In addition to stressing clinical skills, the student and the resident spend some of their time in the microbiology lab.

Chief: Paul Pino, DO

Medical School: University of New England

Residency: Norwalk Hospital

Fellowship: University of Connecticut

  • Nabeela Khan, MD
  • Sushma Ramprasad, MD
  • Booth Wainscoat, MD

Nephrology

The Nephrology Section operates a regional dialysis program for both hemodialysis and ambulatory peritoneal dialysis. The Section is also active in the use of hemofiltration and plasmapheresis. The Nephrology Section has been particularly prominent in recognizing the effect of phosphate binders on aluminum bone toxicity and in the management of metabolic bone disease. The resident and student rotations stress the clinical aspects of acute renal failure, hypertension, and fluid and electrolyte disorders.

Chief: Paul Wiener, MD

Medical School: SUNY Binghamton

Residency: Kings County Hospital

Fellowship: Mount Sinai Medical Center

  • Richard T. Gervasi, MD
  • Sarah Khan, MD

Neurology

The Neurology Section cares for a large inpatient and outpatient population and is responsible for a significant number of diagnostic studies including EEGs, EMGs and evoked potentials. The resident on the Neurology rotation will have his or her cases closely reviewed on a daily basis to relate clinical and laboratory findings.

Chief: Amy M. Knorr, MD

Medical School: Yale School of Medicine

Residency: Yale School of Medicine

Fellowship: Yale School of Medicine

  • Louis Cuzzone, MD
  • Daryl Story, MD
  • Irina Taraban, MD
  • James Thompson, MD

Pulmonary Medicine

The Section of Pulmonary Medicine operates a large and varied program. In addition to active inpatient and outpatient care, the Section is responsible for a clinical fellowship program, the Hinds Center for Respiratory Research, a school of respiratory technology, a hyperbaric medicine and wound care facility, a large pulmonary function laboratory, a sophisticated sleep disorders laboratory, a pulmonary rehabilitation program and a post-discharge respiratory care program. The Section has been active in outcome research, novel therapies for asthma, COPD and ARDS, the evaluation of occupational diseases of the lung, and in the development of the use of computers in medicine. An accredited Sleep Fellowship Program is affiliated with the Section.

Chief: Amy Ahasic, MD, MPH, FCCP

Medical School: Yale School of Medicine

Residency: Yale New Haven Hospital

Fellowship: Harvard Combined Program (MGH, BWH, BIOM)

Fellowship Program Director: Ian Weir, DO

Clinical Instructor, Yale School of Medicine

Medical School: Nova Southeastern College

Residency: Johns Hopkins Hospital

Fellowship: Norwalk Hospital

  • Charles Cochran, MD
  • Jonathan Fine, MD
  • Caroline Kurtz, MD
  • Christopher Manfredi, DO
  • Andrew Murphy, MD
  • Jonathan Rosen, MD
  • Robyn Scatena, MD

Rheumatology

The Section of Rheumatology offers an elective rotation that combines inpatient consultation, outpatient experience in the section chief’s office, and two weekly clinics at Yale. The Section has also been active in extending its educational program to the community, teaching about how rheumatic disease may influence work capacity. In addition, the Section has been active in various research protocols, especially in drug therapy of rheumatic diseases.

Chief: Stuart N. Novack, MD

Associate Clinical Professor of Medicine, Yale School of Medicine

Medical School: SUNY Upstate

Residency: UCLA Medical Center

Fellowship: UCLA Medical Center

  • Roberta Rose, MD
  • Jessica Stein, MD

FAQs

Our frequently asked questions page is the place to find the answers to your common questions regarding the Norwalk Hospital Internal Medicine Residency and Fellowship Programs affiliated with the Yale University School of Medicine.

What are the special aspects of the Norwalk Hospital Internal Medicine Residency?

How do you prepare residents for the Internal Medicine Boards?

Does Norwalk Hospital have a night float system?

Vacation!!! Vacation!!! Vacation!!! How much?

What is the conference schedule like for the medical residents?

How often am I on-call overnight?

Do I have to work every day during certain rotations?

Where have your recent graduates gone? Can I get a prestigious fellowship after completing this residency?

What is the role of residents in residency program decision-making?

Is there special attention to transitions from one year to the next?

When do residents rotate to Yale?

Is it possible to do outside electives at any other location than Yale?

What kind of research opportunities are available at Norwalk Hospital?

Q: What are the special aspects of the Norwalk Hospital Internal Medicine Residency?

A: Our faculty and residents have:

  • All the benefits of an individualized and personalized educational experience that comes from being in a community hospital setting, and the world-class opportunities that come from our affiliation with Yale.
  • Participated in the creation of the Norwalk Community Health Center, a Federally Qualified Health Center committed to medical education
  • Monthly resident-faculty meetings which facilitate increased resident participation in residency program development
  • Created and sustained multiple research projects on topics such as hypertension, diabetes, pulmonary embolism, syncope, viral hepatitis and anesthesia use for gastrointestinal procedures
  • Won awards for presentations at the regional and national American College of Physicians Annual Meeting as well as at other regional and national specialty meetings
  • Career mentoring including a structured mentorship program
  • An annual Leadership Skills Retreat for rising PGY-2 residents
  • Implemented multidisciplinary rounds on the medical inpatient service to facilitate medical care and residents’ systems-based learning
  • Involvement in community activities and health fairs to promote health education and wellness

Q: How to you prepare residents for the Internal Medicine Boards?

A: Our educational and clinical experience prepares residents well for the Internal Medicine Boards. The core conference schedule focuses each month on specific organ systems delivered by full-time faculty and speakers from Yale. The annual in-service exams are reviewed with the Program Director to aid studying. There are weekly board review sessions provided by attending physicians and chief residents.

Q: Does Norwalk Hospital have a night float system?

A: Yes. Norwalk Hospital’s Internal Medicine Residency has night float systems in place for the general inpatient service and in the ICU for interns. For Team Care (general medical floor), there is a night float intern handling cross coverage seven days a week for all teams from 7:30 p.m. to 7:30 a.m. Each intern has 1-2, two-week blocks on this rotation. A senior medical admitting resident night float has been in place for many years with the on-call Team Care resident returning home to sleep every night.

Q: Vacation!!! Vacation!!! Vacation!!! How much?

A: House staff get four weeks of vacation per year. Maternity and paternity leave are also available.

Q: What is the conference schedule like for the medical residents?

A: There are many different conferences each week for the residents to attend. Core conferences are attended on all rotations, and there are specific additional teaching conferences during Team Care and Ambulatory rotations. There are weekly Grand Rounds and four lunchtime resident-oriented conferences per week. Core conferences are teleconferenced between the hospital and NCHC with participation of residents and faculty at both sites at lunchtime with food provided. There are also subspecialty conferences.

On Team Care, resident report is an integral part of inpatient medical education. The first-year residents on Team Care attend a special intern report once a week. Second- and third-year residents attend resident report four times a week. Furthermore, on Team Care, there are daily Attending Rounds, except for Thursdays. In the Critical Care Facility, there are daily ICU and CCU rounds with the Team, which consists of four first-year residents, two second-year residents, one third-year resident, a Pulmonary/Critical Care fellow and an attending from Pulmonary/Critical Care Medicine or Cardiology.

Ambulatory conferences, as well as special courses on physical diagnosis skills, patient interviewing, quality improvement and evidence-based medicine are provided during the ambulatory block rotation.

Q: How often are you on-call overnight? 

 

A: On-call varies by residency year and the service that you are on. Our on-call schedule varies by rotation. 

  • First Year: No overnight call on the general medical service. On average, interns do four weeks of night float on the general medical wards. While in the ICU, interns do 2-4 weeks of nights over the course of intern year. 
  • Second Year: No overnight call on the general medical service. While in the ICU, overnight call is every third night. 
  • Third Year: No overnight call on the general medical service. While in the ICU, overnight call is every third night. 

Q: Do I have to work every day during certain rotations?

A: No. Even during the busiest rotations, you will get on average of at least one day off every week.

Q: Where have your recent graduates gone? Can we get a prestigious fellowship after completing this residency?

A: For the past several years, many of our graduates have entered fellowship programs, with other graduates entering practice or research positions at major institutions. Our track record for fellowship placement is outstanding.

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Q: What is the role of residents in residency program decision-making?

A: There is a longstanding monthly interactive Resident-Faculty Meeting, which provides a forum for input and review of changes planned for the residency.

Q: Is there special attention to transitions from one year to the next?

A: The Department of Medicine faculty and staff are devoted to the promotion and well-being of our residents. Besides mentoring, we have formalized a retreat for interns becoming PGY-2 residents and meetings for residents in each year to enhance leadership and cohesiveness.

Q: When do residents rotate to Yale?

A: PGY-2s and PGY-3s rotate to Yale for electives. Usually, this includes a month at the PGY-2 level and up to three months at the PGY-3 level.

Q: Is it possible to do outside electives at any other location than Yale?

A: Sometimes PGY-2 or PGY-3 residents make special arrangements to do electives in a different part of the country where they are planning to move for fellowship or private practice. In addition, residents who are interested in hematology-oncology may apply to do a month-long rotation on the leukemia service at MSKCC in New York City.

Q: What kinds of research opportunities are available at Norwalk Hospital?

A: As outlined in the previous section, Norwalk Hospital has a strong commitment to scholarly activity. Residents are currently active in studying the diagnosis and treatment of hypertension, diabetes, anemia evaluation, pneumonia, syncope and others. Many opportunities exist to join projects underway; however, there is more than enough help here at Norwalk to start your own!

For those interested in “bench” research, there are also numerous opportunities at Yale to work with cutting-edge physicians nationally known for their subspecialty work. Special research blocks are given to interested residents who wish to pursue these opportunities.