Transitional Year Residency Program
For the medical graduate in need of post-graduate training to establish career goals or to qualify as an applicant to other residencies, a one-year experience in the general field of clinical medicine may be applicable.
This program has had a long tradition of emphasis in primary care disciplines with rotating-type internships and family practice residencies. Each of the categorical residencies allow for elective rotations in the other services. Therefore, the transitional year residency constitutes a continuation of an education philosophy that is fundamental to the training programs at this institution. It offers direct participation in the education experiences rather than an "outsider" experience that may characterize certain rotating residencies.
The transitional year residency consists of one-month rotations through the teaching services of various departments. The required rotations include three months of general medicine, one month of medical ICU, and one month of emergency room service. In addition, residents select three rotations from other core services (pediatrics, family practice, surgery, obstetrics and gynecology) to fulfill transitional requirements. Requirements may vary slightly due to overall resident numbers and needs. The remaining months are available for electives in areas such as anesthesiology, family medicine, obstetrics and gynecology, pediatrics and surgery. In addition to these broad clinical categories, opportunities are available for training in subspecialties within each department.
The transitional year residency emphasizes direct patient responsibility. An effort is made to stress the complete continuum of clinical medicine by providing the resident with a simultaneous assignment to an outpatient continuity clinic for one half-day per week while conducting inpatient service assignments. The resident is placed in assignments identical to those of categorical residents under the supervision of junior and senior residents in the respective specialty fields. Emphasis is placed on bedside teaching and development of basic clinical skills such as history taking, physical examination, proper utilization and interpretation of laboratory tests and special procedures, and properly planning and implementing courses of therapy. Work rounds are conducted daily with additional teaching rounds and conferences conducted on a day-to-day basis.
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