Yearly Schedule
Four week / Y week
Residents receive extensive training in hospital medicine, as well as medicine provided in an ambulatory setting. The internal medicine experience is both concentrated and enhanced by our 4+1 schedule format.
Residents spend four weeks on inpatient/ward rotations and the fifth week (aka Y Week) in ambulatory clinics. Residents will not have ward responsibilities during their Y week, which we believe facilitates a focused experience in ambulatory medicine and allows for "recharging".
1st year of internship
- 16 weeks inpatient medicine (telemetry/ general medicine)
- Eight weeks ICU
- Four weeks Night Float
- Four weeks electives
- 10 Y weeks with 50 sessions (1 session = half day) Continuity Clinic. Preliminary interns will have elective time during their Y weeks.
- Four weeks vacation
- Two weeks of emergency medicine
- Two weeks of palliative care
- One week of cardiology
- One week of pulmonary
This core curriculum prepares the categorical intern to advance to resident level, and the preliminary intern to get a well-rounded approach prior to their next step in training. At the end of the first year, residents have the tools to effectively manage patients and transition to a team leader.
2nd year of residency
- One week Junior Hospitalist
- Five weeks inpatient medicine (telemetry/ general medicine)
- Seven weeks ICU
- Three weeks Night Float
- One week cardiology
- Four weeks neurology (MGH rotation)
- 12 weeks elective
- 10 Y weeks with 50 sessions (1 session = half day) Continuity Clinic
- Four weeks vacation
- Two weeks ID
- One week geriatric acute care
- Two weeks rheumatology
Our Neurology rotation is done at Massachusetts General Hospital and consists of acute stroke and general neurology consultations. At the end of the second year, residents become effective managers of complex patients (both in the ICU and outpatient setting) and are able to synthesize an efficient diagnosis and treatment plan.
3rd year of residency
- Six weeks inpatient medicine (Telemetry/General Medicine)
- One week Junior Hospitalist
- Eight weeks ICU
- Four weeks of Night Float
- Two weeks of Cardiology
- Six weeks of Elective
- 10 Y weeks with 50 sessions (1 session = half day) Continuity Clinic
- Two weeks of Geriatrics
- Three weeks of Medicine Consult (MGH rotation)
- One week of Urgent Care/Addiction Medicine
- Two weeks of Inpatient Oncology
- Two weeks of Outpatient Oncology
- One week of Board Prep
- Four weeks of Vacation
During the last year of training emphasis is placed on mastering management skills. At the end of the third year residents are master clinicians and teachers, ready to take their next career step.