Program Rotation Structure


First 6 blocks:

  • 1 block Emergency
  • 1 block Cardiology
  • 1 block Neurology
  • 3 one-block rotations on different CTUs

 Second 7 blocks:

  • 3 blocks as junior CTU ward resident
  • 3 blocks of an internal medicine selective* in one of the St. John’s hospitals
  • 1 block elective


  • 3 blocks as a junior CTU ward resident
  • 2 blocks CCU
  • 1 block elective in second 6 blocks
  • 1 block of night float (4 weeks) to be dispersed throughout the year
  • 1 block ambulatory general medicine clinics
  • 2 one-block medicine selectives* (subspecialty rotations)
  • 2 blocks of ICU
  • 1 block of mandatory community experience (to be done with a St. John’s internist doing community based practice or in Gander, Grand Falls or Corner Brook – resident will decide well in advance where he/she does the rotation)


  • 3 blocks as senior CTU ward resident
  • 1 block elective during first 6 blocks
  • 1 block night float (4 weeks) to be dispersed throughout the year
  • 8 blocks of a 1-2 block selective* rotation on the different subspecialty services


The resident will meet with the Assistant Program Director for the PGY IV year during the mid-portion of the PGY III year to discuss rotations that will satisfy the requirements of the Royal College and as well will meet the future academic practice needs of the resident. For those doing a clinical 4th year, the residents will spend two blocks of that year as a junior consultant on a CTU. The other eleven blocks are elective, as planned with the Coordinator for the R4 year.
Residents are required to complete at least 8 of 15 possible selectives as per the Specialty Training Requirements in Internal Medicine.

Residents cannot do more than six blocks (both selectives and electives) in any one area.