The Duke Internal Medicine Residency Program rotation schedule is designed to promote graduated levels of responsibility as well as team-based learning in a variety of supportive but challenging patient care settings. We emphasize that, as a resident, you are the primary doctor for your patients.
We use a “4+2” model for our intern schedules and a “4+4 schedule for our JAR (PGY-2) and SAR (PGY-3) schedules. This means you will typically have 4 weeks of an inpatient rotation followed by either 2 weeks (intern) or 4 weeks (JAR/SAR) of ambulatory medicine, consultative medicine, elective time, or vacation.
Ambulatory medicine rotations include – Nephrology, Rheumatology, Endocrinology, Infectious Diseases, Geriatrics, Gastroenterology, Hematology, Oncology, Palliative Care, Cardiology, Pulmonology, Addiction Medicine, Sports Medicine, Women's Health, and Dermatology. During each week, you attend your continuity primary care clinic 3-4 half days, participate in academic half day, and have the opportunity to utilize flexible self care and reflection days for your well-being.
For inpatient rotations, there is no 28-hour call for interns and only 1-2 per year for JARs. SARs will do 1 month of 28 hour call every 4th night on DRH Gen Med. Interns will average 4 weeks, JARS 8-10 weeks, and SARS 4-6 weeks of ICU time.
| Block # | 1 | 1 | 1 | 1 | 1 | 2 | 2 | 2 | 2 | 3 | 3 | 3 | 3 | 3 | 4 | 4 | 4 | 4 | 5 | 5 | 5 | 5 | 6 | 6 | 6 | 7 | 7 | 7 | 8 | 8 | 8 | 8 | 9 | 9 | 9 | 9 | 10 | 10 | 10 | 10 | 10 | 11 | 11 | 11 | 11 | 12 | 12 | 12 | 12 | 12 | ||
| Thread | A | A | A | B | B | C | C | A | A | B | B | C | C | A | A | B | B | C | C | A | A | B | B | C | C | HOLIDAY | HOLIDAY | A | A | B | B | C | C | A | A | B | B | C | C | A | A | B | B | C | C | A | A | B | B | C | C | C |
| Dates | 6/29 | 7/6 | 7/13 | 7/20 | 7/27 | 8/3 | 8/10 | 8/17 | 8/24 | 8/31 | 9/7 | 9/14 | 9/21 | 9/28 | 10/5 | 10/12 | 10/19 | 10/26 | 11/2 | 11/9 | 11/16 | 11/23 | 11/30 | 12/7 | 12/14 | 12/21 | 12/28 | 1/4 | 1/11 | 1/18 | 1/25 | 2/1 | 2/8 | 2/15 | 2/22 | 3/1 | 3/8 | 3/15 | 3/22 | 3/29 | 4/5 | 4/12 | 4/19 | 4/26 | 5/3 | 5/10 | 5/17 | 5/24 | 5/31 | 6/7 | 6/14 | 6/21 |
| Intern | Duke GM | Duke GM | Duke GM | Renal CS | ID CS | AMB Endo | AMB Endo | VA GM | VA GM | VA GM | VA GM | Geriatrics CS | AMB Geri | Malig Hem | Malig Hem | Malig Hem | Malig Hem | POCUS | GI CS | Duke GM | Duke GM | Vacation | JEOPARDY | AMB Heme | AMB Heme | VACATION | VA GM | VA GM | VA GM | VA GM | VA GM | AMB GIM | VACATION | Duke GM | Duke GM | VA GM | VA GM | AMB Renal | AMB Renal | Cardiology | Cardiology | Cards Nights | Cards Nights | AMB GI | AMB GI | Duke CICU | Duke CICU | VACATION | DRH NIGHTS | AMB Rheum | AMB Rheum | AMB Rheum |
| START | A | A | A | A | B | B | B | B | A | A | A | A | B | B | B | B | A | 2 | A | A | B | B | B | B | HOLIDAY | HOLIDAY | A | A | A | A | B | B | B | B | A | A | A | A | B | B | B | B | A | A | A | A | B | B | B | B | END | |
| Dates | 6/29 | 7/6 | 7/13 | 7/20 | 7/27 | 8/3 | 8/10 | 8/17 | 8/24 | 8/31 | 9/7 | 9/14 | 9/21 | 9/28 | 10/5 | 10/12 | 10/19 | 10/26 | 11/2 | 11/9 | 11/16 | 11/23 | 11/30 | 12/7 | 12/14 | 12/21 | 12/28 | 1/4 | 1/11 | 1/18 | 1/25 | 2/1 | 2/8 | 2/15 | 2/22 | 3/1 | 3/8 | 3/15 | 3/22 | 3/29 | 4/5 | 4/12 | 4/19 | 4/26 | 5/3 | 5/10 | 5/17 | 5/24 | 5/31 | 6/7 | 6/14 | 6/21 |
| JAR | Pulm CS | Pulm CS | AMB Pulm | AMB Pulm | AMB Pulm | Duke ED | Duke ED | VA GM | VA GM | AMB Heme | CS Heme | VACATION | Pickett LEAD | VA NF | VA NF | JEOPARDY | JEOPARDY | AMB Cards | AMB Cards | AMB Cards | CS Pall | Duke NF | Duke NF | Duke MICU | Duke MICU | Duke MICU | VACATION | AMB Derm | AMB Derm | Hospitalist | AMB Sports | Duke CICU | Duke CICU | Duke NF | Duke NF | AMB Onc | CS Onc | AMB GIM | VACATION | VA GM | VA GM | VA GM | VA GM | Procedures | CS Geri | VACATION | CS Endo | Duke MICU | Duke MICU | Duke MICU | Duke MICU | CS Pall |
| SAR | DUH ACR | DUH ACR | DUH ACR | DUH ACR | VACATION | Duke GM | Duke GM | VA Swing SAR | VA Swing SAR | DUH ACR | DUH ACR | DUH ACR | DUH ACR | VA MICU | VA MICU | VA MICU | VA MICU | RRT Team | AMB Heme | AMB Heme | AMB Renal | VA CCU | VA CCU | VA CCU | VA CCU | VACATION | DRH GM | VA ED | VA ED | VA ED | VA ED | VACATION | JEOPARDY | VA CCU | VA CCU | AMB Cards | AMB Cards | JEOPARDY | Cards CS | Duke GM | Duke GM | Duke GM | Duke GM | CS Addiction | AMB Addication | AMB Women's Health | AMB Women's Health | DRH GM | DRH GM | DRH GM | DRH GM | VACATION |
| 8/10 | 8/10 | 8/11 | 8/11 | 8/12 | 8/12 | 8/13 | 8/13 | 8/14 | 8/14 | |
| Mon AM | Mon PM | Tues AM | Tues PM | Wed AM | Wed PM | Thurs AM | Thurs PM | Fri AM | Fri PM | |
| PGY1 | Alexandra Stefanovic Lymphoma | DOC | Ara Metjian Benign Heme | DOC | Danielle Brander CLL | Academic Half Day | VA Acute Care Clinic | DOC | Academic Half Day | Flexible Self Care |