Today is Wednesday, Oct. 21, 2020

Department of

Department of Internal Medicine

Residency Programs

Curriculum Philosophy

Ideally, you spend most of your training on the cusp of your learning curve when you are adequately challenged and supported, however not overwhelmed. When exercising you want the treadmill going fast enough to get a good workout, but not so much so that you get tired too quickly or fall off! We think of your residency experience in the same way!

What are unique features of our curriculum?

  • 13 4-week blocks – In July 2021 all of the University of Cincinnati Medical Center and Cincinnati Children’s Hospital Medical Center will be moving to a 13 4-week block schedule. This schedule will allow ALL residency programs to rotate together and become in sync with the medical students. Moving to this new format will allow all of our residents to have an additional block each year for an exciting learning opportunity.
  • Classes rotating together for the first two years of residency – All of our residency classes stay together on the same discipline for the first two years of training. All residents start together in internal medicine and rotate together on a 4-5-4 4-week block schedule for the first two years of residency. Why is this important?
    • It allows each class to forge close bonds early in residency because you are always on the same side together. Early bonding = Friends for life!
    • It makes switches easier and less stressful because you are never alone, especially with the first one from internal medicine to pediatrics.

Once our residents hit their 3rd year they have grown in clinical confidence and we allow them to rotate on a more frequent basis as the schedule allows. In fact, we believe that having every class stay together during those critical first two years is a very important part of why we have such a low drop-out rate and high residency satisfaction.

  • Switches after 4-5 blocks – During the first two years of residency we will (after July 2021!) switch on a 4-5-4 block schedule. We refer to this as the “Goldie Locks” approach. Why Goldie Locks? Because the four month switchers are "not too long, and not too short". We have found this frequency of switching in the first two years allows for:
    • Development of a sense mastery after 4-5 blocks (hard to achieve in a combined specialty!) where you can relax a bit by the final block.
    • Optimal learning the first two years of residency for you stay at the steep part of your learning curve and avoid becoming bored or overwhelmed.
    • Seasonal variation in pediatrics – Think bronchiolitis and flu here, you want two winters of exposure, but not four.
    • Evening out of your conference series attendance in internal medicine and pediatrics, both of which have a series of early conferences for the incoming residents.
  • Our interns always start in internal medicine – This cements the rigorous approach to differential diagnosis and independent decision making. The switch to pediatrics in late October is easier than the reverse would be. You still start team leading in both internal medicine and pediatrics in the second year, easily keeping pace with your categorical counterparts.
  • Electives – There are 9.5 blocks of elective time during residency during which our residents get to select from over 100 different electives across our academic health center, including 11 combined, Med-Peds electives.
  • Maintain parity with the categorical residents in team leading, supervisory experiences, and ICU time - Our residents are never “supervised” by categorical residents at the same training year during residency. We are able to structure the schedule so that rotations early in the second year are “second year only” rotations and our residents are team leading with their peers by the middle part of their second year. As a result, there are only a few months of call in the third and fourth years. This is due to the “front loaded” design of our curriculum, in order to keep you up to speed with the categorical residents.


So, what can this curriculum accomplish for you?

Your training will provide you with a foundation to pursue any subsequent career goal you have!

Curriculum starting in July 2021!

  • First two years - Maintain 4/5/4 schedule rotating through IM and peds with the rest of your class
  • Final two years - Can move between IM and peds in a block-to-block fashion as the schedule permits. 



More Information

For more information on the Medicine-Pediatrics Residency Program, please contact us at:

Medicine-Pediatrics Residency Program
UC Department of Internal Medicine
231 Albert Sabin Way
Mail Location 0535
Cincinnati, OH 45267-0535

Phone: 513-584-0397
Fax: 513-584-0369

Program Director:
Jennifer K. O’Toole, MD, MEd, SFHM
Associate Professor of Internal Medicine and Pediatrics

Follow our program on Twitter and Instagram! @CincyMedPeds