The Transitional Residency Program at John Peter Smith Hospital accepts twelve residents each year. The program is based at John Peter Smith Hospital, the 459 bed public hospital in Fort Worth, Texas. This is a 12-month program designed to provide the resident with a broad internship prior to entering specialties such as Anesthesia, Radiology, Ophthalmology, Emergency Medicine, Physical Medicine/Rehabilitation, Dermatology, Neurology or Pathology.
Rotations include:
- 2 Months Surgery
- 2 Months ER
- 1 Month Selective (OB, Orthopedics, or Family Practice)
- 2 Months Electives
- 3 Months Internal Medicine
- 2 Months Pediatrics
Transitional residents have a broad exposure on all services and interact with senior residents and faculty. They are the first to see the patient and participate in the management and procedures for all patients. Our training program is a hands-on type of program. Call averages every 5th day and there is quality supervision and teaching on all services.
A resident who matches in this program can arrange subsequent years of training either individually outside the match or by listing our PGY-1 program under the supplement list for year one and the career choice PGY-2 year under the Primary Rank Order List. The NRMP program number for transitional is 1711999P1.
PROGRAM DIRECTOR
RESIDENTS
CURRICULUM OVERVIEW
General Surgery Rotation
The PGY-1 Transitional Resident rotation is an eight (8) week rotation on the General Surgery rotation divided into two four-week blocks. There are four General Surgery teams with one General Surgery staff attending. There are two or three General Surgery supervising residents per team. There are four PGY-1 Residents per team. PGY-1 Transitional Residents and Family Medicine Residents are equally assigned the General Surgery Service.
Pediatrics Rotation
The PGY-1 Transitional Resident's rotation in the Department of Pediatrics is for a period of two (2) months under the direction of Donald Nelms, MD. Dr. Robert Coles is the contact supervising physician for curriculum. The Pediatric rotation is an eight (8) week rotation that includes both in and out patient experiences. The PGY-1 Transitional Resident rotates in the Pediatric Clinic, Newborn Nursery, NICU and Labor & Delivery for stabilization of the newborn.
All PGY-1 Transitional Residents complete their NAlS Certification during the Pediatric rotation. All PGY-1 Transitional Residents take a written examination at the end of their rotation. A passing grade of 80 or higher is required for successful completion of the rotation.
Internal Medicine Rotation
The PGY-1 Transitional Resident's Internal Medicine rotation is for a twelve (12) week period. This curriculum will be a basis for teaching internal medicine precepts to the PGY-1 Transitional Residents. It is written to comply with the requirements of the R.R.C. under the guidance of educators with the advice and consent of the residents.
Having completed this curriculum, the resident will have developed skills in managing in-patients with a myriad of common and uncommon medical conditions which are found on this service. They will be proficient for their level of training in evaluating, managing and follow-up of these diseases.
Emergency Medicine Rotation
The PGY-1 Transitional Resident rotation is an eight (8) week rotation in the Emergency Medicine areas of surgery and medicine (Emergency Medicine). The PGY-1 Transitional Resident will see patients in all areas of the Emergency Department. This includes trauma, major and minor medicine, suture, etc. for evaluation and initial management. The PGY-1 Transitional Resident should expect to be included in the entire patient's cycle through the ED whenever possible. Each Wednesday there is a one (1) hour session for all residents that will cover common problems and guidelines in core practices. Each morning at 7:00 am except Wednesday there will be a 30 minute conference on common Emergency Room clinical conditions. A written examination is held at the end of each eight (8) week rotation. A passing score plus a satisfactory evaluation is required for successful completion of the Emergency Medicine rotation. The Transitional Program Director will be notified of any resident not successfully completing this rotation.
Family Medicine Selective Rotation
This curriculum is designed to cover a wide variety of knowledge and skills that are crucial to the PGY-1 Transitional Resident taking the Family Medicine Selective. This curriculum emphasizes aspects of patient care that are often overlooked on traditional specialty-based block rotations. Many of the inherent strengths of family medicine are highlighted in this curriculum, including behavioral medicine and psychiatry, sports medicine, endoscopy, commonly performed procedures, inpatient medicine, evidence-based medicine and community medicine.
The Family Medicine Service Selective is a four (4) week rotation. Didactics and small group sessions will be provided in addition to the standard didactic exposure during clinical care of Family Medicine patients. Evidence-based medicine and literature are required when discussing clinical care of Family Medicine patients.
OB/GYN Selective/Elective Rotation
The PGY-1 Transitional Resident's selective or elective rotation in OB/GYN is completed in the Department of OB/GYN under the overall direction of David Moreland, MD, the Chair. The rotation is four (4) weeks in length and includes both inpatient and outpatient experiences and responsibilities. The PGY-1 Transitional Resident is expected to function as a member of the team in the delivery of service to women patients of the department.
Orthopedics Selective Rotation
This curriculum is designed to cover a wide variety of knowledge and skills that are crucial to the PGY-1 Transitional Resident taking the Orthopedic Selective. This curriculum emphasizes surgical and consultative aspects of patient care specific to Orthopedics.
The Orthopedic Selective is a four (4) week rotation. Didactics and small group sessions will be provided in addition to the standard didactic exposure during clinical care of Orthopedic patients in the Emergency Room, clinics, inpatient services and operating room. Evidence-based medicine and literature are required when discussing clinical care of Orthopedic patients.
The Orthopedic service will provide you with a wide range of learning experiences in a variety of settings. These experiences will include the care of inpatients, outpatient clinic work, Emergency patients and operating room experience. Splinting, immobilization, and casting are important aspects to be learned.
ICU Rotation
The PGY-1 rotation in the ICU is completed in the Department of Medicine under the direction of Dr. Hess and Dr. Scott Loss. This elective rotation is four (4) weeks in duration and occurs in the ICU and in the ED when patients are assessed for admission to the ICU. The rotation focuses on the management of critically ill medical patients and the management of their families through the crises of their illnesses.
For more information about the JPS Health Network residency programs, please contact:
Ruth Cress
817-927-1255
rcress@jpshealth.org