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Clinical Rotations 


As required by ACGME, our rotation schedule provides equal exposure to both Internal Medicine and Pediatrics. At Geisinger, residents will switch between IM and Peds every three or four blocks throughout the first two years. During the third and fourth year, this may not be the case as we allow residents extreme flexibility when designing their schedules (more below!). We believe our model allows completion of core and subspecialty rotations that promotes learning and caters to the residents’ overall career goals.  

  • Intern Year: Our intern year is composed of 14 blocks consisting of the following requirements: 

  • Upper Levels: While intern year is fairly standard among programs, the flexibility we offer upper levels in designing their own schedule really sets Geisinger apart! Why should two residents who are pursuing completely different goals (for example primary care and fellowship) be forced to complete the same exact rotations? That doesn’t make sense to us!  At Geisinger, we truly allow you to customize your training to fit your goals. Aside from required ACGME rotations (Neuro, PICU, etc), residents are free to make their own schedules and choose their own electives. We even allow our residents the freedom to design their own rotation if one doesn’t exist to fit their needs.  


  • Ambulatory: Our ambulatory month is a unique feature of our curriculum. It is designed as a longitudinal educational experience with one block occurring every academic year. Residents work alongside experienced faculty within their own continuity clinic for an entire month. This allows them to grow their own panel of patients, increase knowledge and skills, complete common outpatient procedures, and gain experience with our advanced medical home and patient-centered quality initiatives. These months create the foundation for mastering primary care and population health. At the end of training, our residents have learned practice management principles and the necessary skill-set for independent practice. 

  • Longitudinal Experience: Our third and fourth year residents are able to schedule one half day a week when on an outpatient rotation to dedicate to an area of interest. Residents have use this allotted time to anything from volunteering at a local free clinic to diversity, equity and inclusion initiatives. It is also an opportunity to gain more clinical exposure for residents that are interested in pursuing adult or pediatric subspecialties, such as gastroenterology, cardiology, or rheumatology.

  • Clinical Electives: Residents have a variety of adult and pediatric based electives to choose from. These can range from subspecialties to procedural based specialties. Many residents will use this time to gain additional exposure in things like Point-Of- Care-Ultrasound and getting signed off on procedures such as paracenteses and thoracenteses. 

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Example Schedules:

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