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. Residents have four weeks of vacation each year. The majority of the inpatient Firms are set up in a ‘Day Team – Night team’ model where housestaff admit and care for all patients admitted to the Firm in a true team model of care that fosters continuity of care, patient-centeredness, resident to intern teaching, interprofessional collaborations, and attention to quality of care, patient safety and transitions of care. 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
Ambulatory Medicine Blocks
16 weeks (includes 4 weeks focused on Geriatrics)
Emergency Medicine
2 weeks
Coronary Care Unit
4 weeks
Medical Intensive Care Unit
4 weeks
Inpatient Wards14 weeks
Elective*4 weeks
Back-Up
2 weeks
Neurology2 weeks

*  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
Ambulatory Medicine Blocks
16 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

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

PGY-III

Vacation4 weeks
Ambulatory Medicine Blocks
18 weeks
Emergency Medicine2 weeks
Medical Intensive Care Unit
4 weeks
Inpatient Wards12 weeks
Elective *8 weeks
Backup Staffing/Urgent Visit
4 weeks

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