Curriculum & Schedule
At Mount Carmel, our Internal Medicine Residency curriculum is designed to provide a balanced, immersive, and customizable training experience that prepares residents for any career path in internal medicine.
X+Y Scheduling Model
We follow an X+Y schedule—four weeks of inpatient or elective rotations (X) followed by one dedicated week of outpatient clinic (Y). This structure ensures:
- Uninterrupted focus in both inpatient and outpatient settings
- Consistent breaks to support wellness and continuity
- Protected time for ambulatory education, research, and personal needs
Sample X + Y Schedule
| X | Y | X | Y | X | |||||||
|---|---|---|---|---|---|---|---|---|---|---|---|
| Week 1 | Week 2 | Week 3 | Week 4 | Week 5 | Week 6 | Week 7 | Week 8 | Week 9 | Week 10 | Week 11 | Week 12 |
| Elective | Elective | Outpatient | Inpatient | Inpatient | Inpatient | Inpatient | Outpatient | ICU | ICU | ICU | ICU |
Week by Week Breakdown
First Year Residents
| Inpatient Medicine | 22–23 weeks |
| ICU | 4–6 weeks |
| Night Medicine | 3–4 weeks |
| Ambulatory Medicine | 10–11 weeks |
| Research | Half-day sessions each ambulatory week |
| Elective | 11 weeks (PTO to be utilized during elective time) |
Second & Third Year Residents
| Inpatient Medicine | 14–16 weeks |
| ICU | 6 weeks |
| Night Medicine | 4 weeks |
| Ambulatory Medicine | 10–11 weeks |
| Research | Half-day sessions each ambulatory week |
| Electives | 16-18 weeks (PTO to be utilized during elective time) |
Our curriculum offers significant flexibility, allowing residents to tailor their experience to match their career goals. Whether you're pursuing fellowship, hospitalist medicine, or primary care, you'll have access to:
- A wide range of elective rotations across inpatient and outpatient specialties
- Protected half-days during ambulatory weeks for research and wellness
- Opportunities to explore subspecialties, community medicine, and academic interests
Inpatient & Outpatient Electives
- Addiction Medicine
- Allergy & Immunology
- Cardiology
- Dermatology
- Emergency Medicine
- Endocrinology
- ENT
- Gastroenterology
- Geriatrics
- Hematology/Oncology
- Hospitalist
- Infectious Disease
- Neurology
- Neuropsychology
- Nephrology
- OB/Women’s Health
- Ophthalmology
- Orthopedic Surgery
- Palliative Care & Hospice
- Primary Care
- Pulmonary
- Radiation Oncology
- Rheumatology
Street Medicine
Our inpatient training spans multiple hospital sites, offering residents exposure to a wide range of clinical environments and patient populations. Each rotation is designed to promote progressive autonomy, teamwork, and strong clinical foundations.
Residents work in structured teams under faculty supervision, managing a variety of cases with a patient cap of 14 to support safe, effective learning. The rotation emphasizes continuity of care, communication, and collaborative decision-making.
Residents care for critically ill patients in a high-acuity setting, gaining experience in advanced clinical management, procedures, and interdisciplinary coordination.
This rotation focuses on coordinated inpatient care within a multidisciplinary framework. Residents refine their efficiency, communication, and systems-based practice.
Upper-level residents participate in a dedicated admitting service, focusing on triage, initial evaluation, and diagnostic reasoning in a fast-paced environment.
Residents rotate on a night team responsible for overnight admissions and cross-coverage. This experience promotes independent decision-making and supports balanced scheduling.
Our Internal Medicine residents participate in a robust outpatient experience based at our Grove City clinic, which serves a diverse and often underserved patient population. This setting offers residents the opportunity to make a meaningful impact on the community while developing strong skills in continuity care and outpatient medicine.
During ambulatory weeks, residents focus on:
- Building long-term doctor-patient relationships
- Managing a wide range of outpatient conditions across internal medicine and subspecialties
- Learning systems-based practice, including documentation, billing, and insurance navigation
This experience not only strengthens clinical skills but also reinforces our mission of compassionate, community-centered care.
Mount Carmel Internal Medicine participates in the American College of Lifestyle Medicine’s Lifestyle Medicine Residency Curriculum, an evidence-based educational pathway designed to prepare residents to prevent, treat, and help reverse chronic disease through sustainable lifestyle interventions.
The curriculum emphasizes the core pillars of lifestyle medicine, including whole-food plant-predominant nutrition, regular physical activity, restorative sleep, stress management, avoidance of risky substances, and meaningful social connection.
Through this program, residents gain structured didactic education, practical application experiences, patient-centered counseling skills, and exposure to lifestyle medicine principles within clinical care.
The curriculum is designed to be completed during residency over one to three years and includes interactive educational content, application activities, lifestyle medicine–related patient encounters, therapeutic lifestyle change experience, and group facilitation experience.
Upon successful completion of the required curriculum components, eligible residents may qualify to sit for the American Board of Lifestyle Medicine certification examination, creating a meaningful pathway for graduates who wish to further distinguish themselves in preventive care, chronic disease management, and whole-person medicine.