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THREE YEAR (CATEGORICAL) PROGRAM

Overview
Abington Memorial Hospital has a long and rich tradition of postgraduate training in Internal Medicine. We excel in our ability to provide a comprehensive, rigorous training experience while also maintaining a personal concern for each resident and their professional interests. The objective of the Internal Medicine Program at Abington is to provide quality training which will lead to a rewarding career as a General Internist certified by the American Board of Internal Medicine and, for those who choose, further subspecialty training in Medicine. This residency offers an effective scholarly approach to the provision of inpatient and outpatient adult medical care for twelve residents in each year of the three year categorical program and eight in the one year preliminary Internal Medicine Residency Program.

Ambulatory Medicine
Ambulatory Medicine constitutes over one third of the training in our Program. This ambulatory experience is provided both onsite at the AMH Ambulatory General Medicine and Multi-specialty clinic and offsite in over 10 affiliated facilities throughout our community. Supervision is provided at all times by a full time faculty member. First year residents have additional ambulatory experience in such disciplines as office Gynecology, Otolaryngology, and Ophthalmology. Third year residents receive additional experience in disciplines such as office Orthopedics, Cardiology, Gastroenterology, Dermatology, and Rheumatology. Each intern has one longitudinal office based session per week. Second and third year residents spend a minimum of two office sessions per week in their longitudinal practice precepted by an experienced General Internist or specialist. During the residency a minimum of three block months are dedicated to Ambulatory Medicine. For those interested in a career in Primary Care, the Program provides opportunities to take electives in Ambulatory Medicine, thus increasing total time spent in the outpatient setting to almost 50%. Complementing the clinical exposures is an Ambulatory Care Curriculum which was developed at this institution. Residents have small group sessions with faculty to review modules in the Curriculum, which focus on common outpatient problems. The variety of outpatient experiences and didactics provide each resident with comprehensive ambulatory training.

Inpatient Medicine
A general medicine service provides the basis for inpatient teaching and experience. A broad spectrum of disease is seen in our patients, and care is provided by teams consisting of medical students, interns, upper year residents, and an Attending Physician. All patient management is provided by the housestaff on these teaching services. The teaching service is arranged to provide each intern on the General Medicine service with eight to twelve patients. A nightfloat system handles patient care issues and admissions in the evening. The interns while working in the Intensive Care Unit follow Four to six patients. A nonteaching service is maintained to handle patient volume above these limits. Teaching Attendings meet with their resident/ student teams three times weekly for an hour and a half to have a bedside evaluation and case discussion. The key elements in Abington's successful education of the Internist are the broad range of clinical problems, the well prepared and dedicated medical staff and the progressive increments in patient management responsibility delegated to the housestaff.

Research
All residents in the three-year program participate in scholarly research activity. The research program of the Department is given significant resources to achieve its goals. A full time research coordinator oversees this activity and works closely with the housestaff and Attending Physicians. Statistical services are also available. Residents are encouraged to select a project advisor, who may be a member of the Abington Memorial Hospital faculty or from Temple University School of Medicine. Abstracts of the work are submitted to the Regional and National Associates Research Competitions of the American College of Physicians as well as other appropriate professional forums such as The American College of Gastroenterology, The American Federation for Clinical Research and the Society for Medical Decision Making. Abington Residents have frequently been invited to present their work at meetings, both regional and national, of these societies. Research project manuscripts and case reports are submitted to peer reviewed journals for consideration for publication. Since 1990, approximately two dozen resident manuscripts have been published or accepted for publication. Each year several Resident Abstracts are presented at regional and/or national meetings.

Electives
Exposure to subspecialty area training is available within the Program through a full range of electives that emphasize medical care, consultations, outpatient office practice, and procedural instruction. Off site electives at Temple University can be arranged. Electives at other facilities are possible with the approval of the Program Director.

Geriatrics
The Program provides a special emphasis on Geriatric Medicine given the changing demographics of our society and its impact on Internal Medicine. A block rotation is dedicated to this in the second year. This rotation, supervised by Internists with Certification in Geriatrics, involves life care communities, office practices and a long term care facility to provide a comprehensive, longitudinal experience in Geriatrics. A Geriatric Fellowship is also a part of the academic program.

Osteopathic Internship
We offer an AOA approved Osteopathic Internship, which allows the Osteopathic graduate to meet he requirements of AOA Board Certification. Interns accepted into this program are also participating in the three-year categorical track, which qualifies them for Board Certification with the ABIM.

Teaching Affiliation
Abington Memorial Hospital is a major clinical campus of the Temple University School of Medicine. A teaching atmosphere is present throughout the medical service, which incorporates second, third, and fourth year medical students from Temple University. Students receive instruction in Physical Diagnosis, General Medicine, subspecialty electives and subinternships. The student's presence fosters an inquiring and scholarly approach for both housestaff and faculty.

Special Needs
Our program accommodates the needs of couples given the special consideration concerning scheduling. As needed, we will give consideration to extending the residency to provide ample opportunity to fulfill domestic responsibilities in addition to professional requirements. The Program Director should be consulted about any special needs.

SCHEDULES
INTERN YEAR
General Medicine
Coronary Care Unit
Chiefs Service
Intensive Care Unit
Emergency Trauma
Outpatient Medicine
Outpatient Specialty
Electives
Conference Time
Vacation
Night Float
Night Call

SECOND YEAR
General Medicine
Coronary Care Unit
Admitting Officer
Intensive Care Unit
Ambulatory Care
Electives
Geriatric Medicine
Conference Time
Vacation
Night Call

THIRD YEAR
General Medicine
Intensive Care Unit
Coronary Care Unit
Ambulatory Care
Neurology
Electives
Conference Time
Vacation
Night Call

ONE YEAR PRELIMINARY MEDICINE PROGRAM

Overview
For candidates seeking further training in an area of sub-specialty, the Abington Memorial Hospital Internal Medicine Residency Training Program is pleased to offer a Preliminary year in Internal Medicine. Traditionally the AMH Preliminary year internship has been very popular, as it provides an excellent opportunity to learn core medicine skills in addition to the flexibility to create a program tailored to the interest of each individual Preliminary intern.

ROTATION SCHEDULE
The rotation schedule is often of key interest to applicants. The Preliminary intern rotation schedule includes:

GENERAL INTERNAL MEDICINE
Allows the provision of care in multiple types of General Internal Medicine patients in a busy community hospital setting.

INTENSIVE CARE UNIT
Gives interns opportunities to learn Intensive Care skills as well as the opportunity to provide procedures for patients.

CORONARY CARE UNIT
Provides opportunity to work closely with Cardiologists while learning and practicing basic Cardiac Care.

NIGHT FLOAT
Affords the opportunity to continue improving your skills while working more independently during evening hours. The added benefit of the Night Float rotation is felt all through the year through a greatly reduced On Call Schedule.

ELECTIVE
Several months of elective time allow Preliminary Residents to choose from a wide variety of Medical disciplines which they feel will benefit them in their sub-specialty program.

NIGHT CALL
GENERAL MEDICINE FLOORS
Night Call is a short call until 8PM every fifth day. In addition there will be one or two weekend over night calls during the course of the year.

INTENSIVE CARE AND CRITICAL CARE UNITS
Night Call is approximately every fourth night. Interns are relieved of their responsibilities by noon the following day and permitted to return home.

ELECTIVE
One or two overnight calls may be scheduled during elective months.

FACULTY AND ADMINISTRATION

TO FACULTY AND ADMINISTRATION

David Gary Smith, M.D., F.A.C.P. is Program Director of the Internal Medicine Residency and Chairman of the Bioethics Committee at Abington Memorial Hospital. Dr. Smith received his Medical Degree from Temple University Medical School. His residency in Internal Medicine was served at Barnes Hospital, Washington University in St. Louis. Dr. Smith completed the Robert Wood Johnson Clinical Scholar's Program at Yale University School of Medicine. He is Clinical Associate Professor of Medicine at the Temple University School of Medicine.

TO FACULTY AND ADMINISTRATION

Joseph A. Rigotti, D.O., F.A.C.P. is a general internist and a member of Internal Medicine Associates of Abington. He graduated from Philadelphia College of Osteopathic Medicine. Dr. Rigotti completed an internship at Metropolitan Hospital Central Division and subsequently trained in Internal Medicine at Abington Memorial Hospital. He is a member of the Institutional Review Board and the Ambulatory Training Committee at Abington. Special interests include clinical nutrition support.

TO FACULTY AND ADMINISTRATION

Doron Schneider, M.D. is Associate Program Director of the Internal Medicine Residency and Medical Director of the Ambulatory Services Unit. Following graduation from the New Jersey Medical School (UMDNJ), he completed a Primary Care Track Residency in Internal Medicine at New England Deaconess Hospital in Boston. Dr. Schneider is Founder of Community 2000, a community outreach and educational program in Newark, NJ sponsored by Robert Wood Johnson Foundation. He is Assistant Professor of Medicine at Temple University School of Medicine. Dr. Schneider is Medical Director of the Ambulatory Service Unit and Anticoagulation Clinic. In addition to his responsibilities at Abington, Dr. Schneider is the health reporter for WPVI TV (ABC).

TO FACULTY AND ADMINISTRATION

Margot I. Boigon, M.D. is Associate Program Director of the Internal Medicine Residency. Dr. Boigon received her Medical Degree from the Medical College of Pennsylvania. She was a Resident and Chief Resident at Temple University Hospital and did a Primary Care Faculty Development Fellowship at Michigan State University. Prior to coming to Abington Memorial Hospital, Dr. Boigon was an Associate Professor of Medicine at Temple University School of Medicine where she was the Director of the Internal Medicine Clerkship and Acting Chief of General Internal Medicine.

TO FACULTY AND ADMINISTRATION

Diane L. Dietzen, M.D., F.A.C.P. is Director of Palliative Care. She attended Temple University School of Medicine and completed her residency at Temple University Hospital. Since the completion of her training, Dr. Dietzen has worked in Ambulatory and Inpatient settings with residents at Temple Hospital, the Scranton-Temple Residency Program, and the Medical College of Pennsylvania Hospital. Her interests include ambulatory curriculum development, and faculty development for faculty interested in teaching residents and students. She is also developing a palliative care service for Abington Memorial Hospital.

TO FACULTY AND ADMINISTRATION

Ann B. Peff, M.D. is Director of the Medical Student Program. Following graduation from the University of Virginia School of Medicine, Dr. Peff began and completed two years of residency training in Internal Medicine at Georgetown University Hospital in Washington, DC. Later she completed 1 1/2 years of Residency in Anesthesia at the Hospital of the University of Pennsylvania. Her third year of Internal Medicine training was at Abington Memorial Hospital. Her clinical activities include resident supervision in the Ambulatory Clinic.

TO FACULTY AND ADMINISTRATION

Mary T. Hofmann, M.D., F.A.C.P. is Chief of the Division of Geriatric Medicine at Abington Memorial Hospital. Dr. Hofmann received her Medical Degree from Temple University Hospital. She did her residency in Internal Medicine and her Fellowship in Geriatric Medicine at the Medical College of PA. Prior to coming to Abington, Dr. Hofmann was Associate Professor of Medicine, Section Chief and Fellowship Director in the Division of Geriatric Medicine at Medical College of PA. Dr. Hofmann is a Certified Medical Director and her areas of interest in her publications include medications in the elderly and care of the patient in the nursing home.

TO FACULTY AND ADMINISTRATION

Richard W. Snyder, M.D., F.A.C.P., F.C.C.P. is Co-Director of the Hallowell Critical Care Units. Dr. Snyder received his Medical Degree from the Temple University Medical School and completed his Internal Medicine Residency training at Abington Memorial Hospital where he served as Chief Resident in his final year. Dr. Snyder subsequently completed a Pulmonary Fellowship at Einstein Medical Center in Philadelphia. He is Board Certified in Pulmonary Medicine, Internal Medicine, Critical Care Medicine and Geriatric Medicine. Dr. Snyder is the teaching coordinator in the Abington Memorial Intensive Care Unit. He is currently a member of the Disaster Committee, Trauma Committee, Cancer Committee and ICU Committee at Abington Memorial.

TO FACULTY AND ADMINISTRATION

Hal S. Hockfield, M.D., F.A.C.P. has a large private practice specializing in Internal Medicine. Dr. Hockfield is a Clinical Instructor at Temple University Hospital School of Medicine. He received his Medical Degree from Temple University School of Medicine and completed his residency training in Internal Medicine at Temple University Hospital. Dr. Hockfield serves on the Institutional Review Committee and the Ambulatory Training Committee at Abington Memorial Hospital.

TO FACULTY AND ADMINISTRATION

James Hopkins, Ph.D., L.S.W., Faculty, is a graduate of Marywood University School of Social Work and received his doctorate degree in clinical social work from Barry University, Miami, Florida. He is a behavioral science specialist and brings to the faculty an extensive background in the field of mental health as clinician, teacher and administrator. Dr. Hopkins has done post-graduate training at the Philadelphia Child Guidance Clinic and family therapy at the Nathan Ackerman Institute, New York City. He is also a member of the American Society of Clinical Hypnosis and a certified hypnotherapist. His special interests are the role of mind/body approaches and the doctor-patient relationship in healing and pain management.