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".

Sample preliminary Y week schedule

1st year of internship

  • 18 weeks inpatient medicine (telemetry/ general medicine)
  • Six weeks ICU
  • Six week Night Float
  • Eight weeks electives
  • Ten Y weeks with 50 sessions (1 session = half day) Continuity Clinic
  • Four weeks vacation
  • Preliminary interns will have 4 weeks of Emergency Medicine based on their specialty requirements

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

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

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

  • Four weeks inpatient medicine (telemetry/ general medicine) 
  • Ten weeks ICU
  • Four weeks Night Float
  • Four weeks Geriatric
  • Four weeks Emergency Medicine
  • Two weeks Medicine Consult (MGH rotation)
  • Two weeks Outpatient Oncology
  • Eight week elective
  • Ten Y weeks with 50 sessions (1 session = half day) Continuity Clinic
  • Four weeks 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.