Rotation Schedule

Residents have required inpatient and outpatient rotations each year complimented by an array of elective opportunities in general internal medicine, all medical subspecialties, global health, and research. The rotation schedule consists of thirteen four-week blocks. The inpatient rotations are a mix of specialty teams (Oncology, Liver Disease, Renal Disease, HIV Disease) and general medicine including a Firm dedicated to care of the elderly hospitalized patient. Each resident has four weeks of vacation each year. In the first year this is scheduled as two 2-week blocks with one of these occurring in each half of the academic year. In the PGY-II and PGY-III years this is scheduled as one 2-week vacation and two 1-week vacations. There is a night float system at all inpatient training sites. Electives may be taken at any of our training sites and for PGY-II and PGY-III years, at one of our global health sites. Ambulatory medicine rotations include general internal medicine and medical subspecialty experiences and an extensive didactic curriculum as described in the Ambulatory Medicine section of our website. Over the course of training, forty to fifty percent of a trainees experiences will occur in the outpatient setting depending on an individual’s choice of electives.

First Post-M.D. Year (PGY-I)

During inpatient rotations, the PGY-I resident is considered to be the patient's primary physician. He or she develops a therapeutic plan, writes orders, and makes decisions about the patient's care. In these activities, there is careful supervision by a PGY-II or PGY-III resident and by the patient's attending physician.

Vacation4 weeks (two, 2-week vacations)
Ambulatory Medicine Blocks
10 weeks
Emergency Medicine
2 weeks
Coronary Care Unit
4 weeks
Medical Intensive Care Unit
4 weeks
Geriatrics*4 weeks
Inpatient Wards**
18 weeks
Elective***
2 weeks
Back-Up
2 weeks
Neuro Selective
2 weeks

* The majority of this rotation is outpatient (geriatric assessment clinic, home visits)

** Includes 2-4 weeks as night team intern

*** The two weeks of elective must be in the outpatient setting

Second and Third Post-M.D. Years (PGY-II and PGY-III)

During inpatient rotations, the PGY-II and PGY-III resident has both direct patient care and supervisory responsibilities for the interns and students on their team. The team attending physician provides supervision for patient care and team management issues. During outpatient rotations the PGY-II and PGY-III resident cares for patients in a variety of settings with direct supervision by an attending physician.

PGY-II

Vacation4 weeks (one, 2-week vacation and two, 1-week vacations)
Ambulatory Medicine Blocks
14 weeks
Neurology*2 weeks
Non-CCU Cardiology
2 weeks
Medical Intensive Care Unit
4 weeks
Inpatient Wards
14 weeks
Elective **
8 weeks
Backup Staffing/Urgent Visit
4 weeks

* This is primarily an outpatient rotation

** At least two weeks of elective must be in the outpatient setting

PGY-III

Vacation4 weeks (one, 2-week vacation and two, 1-week vacations)
Ambulatory Medicine Blocks
14 weeks
Emergency Medicine2 weeks
Consult Rotation*
4 weeks
Medical Intensive Care Unit
4 weeks
Inpatient Wards (incl. night float)
12 weeks
Elective **
8 weeks
Backup Staffing/Urgent Visit
4 weeks

* Includes outpatient preoperative assessment

** At least two weeks of elective must be in the outpatient setting