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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
  • Eight 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
  • One week of emergency medicine
  • One week 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

  • Eight weeks inpatient medicine (telemetry/ general medicine) 
  • Seven weeks ICU
  • Four weeks Night Float
  • One week cardiology
  • Four weeks neurology (MGH rotation)
  • Nine weeks elective
  • 10 Y weeks with 50 sessions (1 session = half day) Continuity Clinic
  • Four weeks vacation
  • Two weeks ID
  • One week hospice
  • 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

  • Sixteen weeks inpatient medicine (Telemetry/General Medicine)
  • Eight weeks ICU
  • Four weeks of Night Float
  • One week of Cardiology
  • One week of Pulmonary
  • Two weeks of Palliative Care
  • Two weeks of Emergency Medicine
  • Four weeks of Elective
  • Ten weeks of Ambulatory
  • 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. During the three years each categorical resident completes a research project in an area of interest.