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The program consists of 36 months of training in internal medicine leading to ABIM board eligibility. The program is an integrated program with rotations at Sanford Health and Avera, as well as a variety of private practices. Ambulatory care accounts for approximately 33 percent of the overall training. Rotations are scheduled in a 4+2 model, in which residents alternate between four-week inpatient blocks and two-week ambulatory blocks. The four-week inpatient blocks include:

Required (four-week blocks)

  • Inpatient general internal medicine
  • Cardiology
  • Critical care
  • Neurology
  • Emergency Medicine

Elective (two-week blocks)

  • Endocrinology
  • Gastroenterology
  • Hematology/Oncology
  • Infectious Disease
  • Nephrology
  • Pulmonology

Selective (one-week blocks)

  • Genomic Medicine
  • Geriatrics (PGY2 or PGY3)
  • Palliative Care (Annually)
  • Physical Medicine and Rehabilitation
  • Research
  • Women's Health / Gynecology

The two-week ambulatory blocks include:

  • Continuity clinics (three half-day sessions per ambulatory week)
  • Longitudinal subspecialty clinics (12-month duration with approximately 16 half-day sessions)
    • Endocrinology
    • Gastroenterology
    • Hematology/Oncology
    • Infectious Disease
    • Nephrology
    • Pulmonology
    • Rheumatology

Six-month duration (approximately eight half-day sessions)

  • Allergy
  • Dermatology
  • Hepatology
  • Transplant Medicine

Four-week duration (two ambulatory blocks, or four half-day sessions)

  • ENT
  • Ophthalmology
  • Orthopedics (PGY3 only)
  • Psychiatry
  • Geriatrics (PGY2 or PGY3 only)
  • Urogynecology (PGY2 or PGY3 only)
  • Women’s Health
  • Patient safety and quality improvement
  • Research
  • Self-directed study

Sample Ambulatory Week

Monday Tuesday Wednesday Thursday Friday
AM: Continuity Clinic Oncology Clinic Pulm Clinic Continuity Clinic Research
PM: Self-Study Continuity Clinic Safety & QI GI Clinic Ophthalmology