About Mercy


Internal Medicine Residency Program Curriculum

The clinical curriculum of the internal medicine residency program is divided in four week blocks for a total of 13 blocks. Internal medicine residents spend a half a day weekly in the outpatient continuity clinic on most rotations. 

Post-Graduate Year 1:

  • Internal Medicine (Inpatient): 20-24 weeks
  • Ambulatory Care/Geriatrics: 4 weeks
  • Cardiology: 4 weeks
  • Community Health/Women’s Health: 4 weeks
  • Emergency Medicine: 4 weeks
  • ICU/CCU: 8 weeks
  • Surgery: 4 weeks
  • Radiology: 2 weeks
  • Psychiatric Medicine: 2 weeks

Post-Graduate Year 2 and 3:

  • Internal Medicine (Inpatient): 40-44 weeks
  • Internal Medicine (Ambulatory): 4 weeks
  • ICU: 8 weeks
  • Pulmonology: 4 weeks
  • Cardiology: 4 weeks
  • Endocrinology: 4 weeks
  • Geriatrics: 4 weeks
  • GI: 4 weeks
  • Hematology/Oncology: 4 weeks
  • Infectious Diseases: 4 weeks
  • Nephrology: 4 weeks
  • Neurology: 4 weeks
  • Rheumatology: 4 weeks
  • Research: 4 weeks
  • Electives: 12 weeks

Internal Medicine Residency Didactic Program

Morning Report

Held on each weekday from 7-8 a.m. for residents on the inpatient teams.

Mortality & Morbidity

Mortality and Morbidity is a biweekly scheduled conference in which difficult medical problems and their complications are discussed by the residents and faculty. Each resident is required to document all cases in which they were involved in the prior month to include diagnosis, procedures, and complications (if any). Residents will be prepared to discuss each complication in detail with pertinent materials (x-rays, pathology, labs, etc). Cases to be selected from the updated M&M list by Program Director.


Internal Medicine residents have daily lectures over the lunch hour to meet the educational needs of the residents on a variety of topics.

The development of skills in critical appraisal of the medical literature is an important aspect of residency. All residents will be asked to participate in discussion of selected reports from the current literature. An important aspect of residency training and practice is to maintain an appreciation of contemporary knowledge and advances as they occur. This is achieved by attending meetings and conferences, review of the literature and daily discussion with colleagues. Every Friday afternoon there are lectures dedicated specifically for the Internal Medicine Residents.   Included in the Friday didactics are pre-read articles for discussion and lecture, a quiz, lecture and discussion, journal club, and a review of board questions.

Cardiology Conferences are coordinated with the Iowa Heart Center.

Residents on Surgery rotation will attend general surgery weekly Grand Rounds.

OMM Conferences occur with the faculty at Des Moines University.

Multidisciplinary Conferences

Mercy Medical Center offers a variety of conferences that are scheduled by the Medical Staff and Medical Education Offices and announced through the monthly calendar.

  • ACO Quality Conference
  • Cancer Conference
  • Gynecology Cancer Conference
  • Hematology Cancer Conference
  • Lung Cancer Conference
  • Neuroscience Conference
  • Neurology/Radiology/Neurosurgery (N/R/N)
  • Neurosurgery Grand Rounds
  • Trauma Conference
  • Urology Cancer Conference 

Des Moines University

Simulation Laboratory

Residents participate in SIM lab as part of the orientation process. This session includes debriefing by faculty.

Standardized Patient Assessment Lab (SPAL)

Residents have the opportunity to have their patient interviewing and communication skills tested. Feedback is provided by program faculty.

OPTI Resident Education Days

Held two times per year (April and September) to include SIM Lab, Skills Lab, OMM and other professional development.

ACOI In-Service Examination

This annual exam serves as an assessment tool and check point for residents in training. It provides Program Directors with data regarding each resident’s level of knowledge as compared to other osteopathic internal medicine residents across the U.S.

Scholarly & Quality Improvement Projects

Residents are required to develop a research project/paper according to specifics guidelines set forth by the Residency Evaluation and Standards Committee (RESC) of the American College of Osteopathic Internists. Second year residents are required to participate in a Quality improvement project with a poster presentation at the annual Mercy Hospital QI & Research Showcase.


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