Training and Education

Required Rotations

Transitional Year (TY)
  • Internal Medicine - Days (3 Blocks)
  • Internal Medicine - Nights (1 Block)
  • Medical ICU - Days (1 Block)
  • Medical ICU - Nights (1 Block)
  • Pediatrics, Internal Medicine, or Cardiology (1 Block)
  • Emergency Medicine (1 Block)
  • Family Medicine or Internal Medicine Outpatient Clinic (1 Block)
  • Electives (4 Blocks)
We operate on a 13 four-week block schedule for the academic year. 
Elective Rotations
Transitional Year residents may choose from the same clinical electives as are available to the internal medicine categorical residents, including Global Health. They also assume the same degree of clinical responsibility as every other first-year resident.

Our program offers over 40 electives and include the option to create/design your own elective based upon your educational needs or interests. While most of our electives offer outstanding clinical experience, we also offer some non-clinical electives including Administrative Medicine, Medical Education, Research, and Procedures (limited to a total of 8 weeks).  We are also very fortunate to offer a Global Health elective for residents interested in spending up to one month in an underserved, international location.

Two special features of our electives are worth noting:
1) Many of the medical and surgical specialties can be in Pediatrics; and
2) Most can be shortened into 2-week mini-electives.

Below is a full list of the Elective Rotations for the Class of 2024-2025:

  • Acute Pain/Chronic Pain
  • Addiction Medicine
  • Advanced Heart Failure
  • Anesthesiology
  • Cardiology
  • Dermatology
  • Dermatopathology
  • Hospice/Palliative Care
  • Infectious Disease
  • Interventional Radiology
  • LTACH
  • Neurology
  • Neurosurgery Cranial Service
  • Neurosurgery Spine Service
  • Outpatient Internal Medicine
  • Physical Medicine and Rehabilitation (PM&R)
 
  • Pre-Operative Medicine
  • Pulmonology
  • Radiation Oncology
  • Integrated Radiology
  • Sports Medicine
  • Surgical Subspecialties
    -Cardiothoracic
    -Otolaryngology (ENT)
    -General
    -Neurosurgery
    -Orthopedics
    -Plastics
  • TY Procedures
  • Transfusion Medicine
  • Wound Care

    The following electives require special approval:
  • Global Health
  • Research
  • Administrative Medicine
  • Medical Education
  • Other/Create-your-own
  • Also: Elective experiences through IM subspecialties are also available (e.g. rheumatology)
 

Educational Opportunities

With Internal Medicine:

  • Resident-led, faculty-supported Clinical Reasoning Conference four times per week with the IM program while on inpatient wards or electives

  • Wednesday Academic Conferences - including Grand Rounds (with national speakers, local specialists, IM Faculty, or Specialty Faculty), Journal Club, Morbidity and Mortality, and resident-presented Case Conferences

  • Wednesday Academic Half-Day: protected learning time with longitudinal curriculum tailored to the level of the learner (intern or senior resident) focused on the practice of general IM

Unique to our Transitional Year Experience we offer quarterly TY Academic Half Days.  These half-days are protected time for all TY interns to learn specific competencies.

Sample Quarterly Academic Half-Day (each 30 min-1 hour):

  • Resident Business Meeting (lunch included)
  • Financial planning
  • Wellbeing activity (e.g. mindfulness)
  • Quality Improvement and Patient Safety
  • Simulations
    • Healthcare disparities
    • Advanced airway management
    • Thoracentesis and Paracentesis
    • Cadaveric skin procedures
    • Patient Safety “Horror Room”
    • Bullying and Discrimination
    • Sepsis management

Research & Scholarly Activity

Research by Transitional Year residents is encouraged and many opportunities exist for these activities. In past years, Transitional Year residents have participated in clinical research projects and presented and published their work. Grant money is available by application through the St. Vincent Foundation. All TY interns will participate in a QI project - led by peer-elected TY chief residents. Further details on research opportunities and activity are available from the Program Director.