The Categorical PGY - 1 Year
Internship is comprised of 5-6 floor blocks, 2 ICU blocks and 3 ambulatory/elective blocks. This front-loaded design maximizes early exposure to the numerous fields within medicine, helping interns make the transition from student to physician. Each intern also completes 2 weeks of night float, but this rotation is reserved for the latter half of the year, after interns gain more clinical experience.
By the end of the PGY - 1 year, residents should be able to identify a decompensating patient, complete daily patient care tasks with indirect supervision, and create care plans that anticipate future events. The comprehensive hands-on experience of the PGY - 1 year prepares interns to transition into the managerial role expected of upper year residents.
The PGY - 2 Year
The PGY - 2 year consists of significantly fewer floor rotations (3-4 blocks), 2 blocks of ICU and 4 blocks of ambulatory/elective. With more elective time, residents are able to further explore fields of interests, complete research projects and begin ABIM directed board reading. Residents are also given more autonomy with 3 half blocks (2 weeks each) of night rotations.
By the end of the PGY - 2 year, residents should be able to independently manage common illnesses in the inpatient and outpatient setting, supervise admissions by interns and provide daily teaching and mentoring to medical students.
The PGY - 3 Year
The final year of residency is made up of 3-4 blocks of floor rotations, 5 blocks of ambulatory/elective, 1 block of geriatrics/medicine consults and 2 half blocks of night rotations. Elective time can be dedicated to completing research, developing key career skills or improving upon areas of weakness. PGY - 3s also participate in a year-long formalized board curriculum, which is open to residents of all levels but is specifically geared to preparing third years for the board exam.
By the end of the PGY-3 year, residents should have mastered managing both common and complex illnesses, and be able to teach it to patients and learners as they move on to their role as attending or fellow.