Transitional Year

Internal Medicine Rotation
On the general adult inpatient rotation, interns and residents work as part of a team to manage the medical and social complexities of acutely ill patients throughout the hospitalization. Interns should expect autonomy to determine initial and follow up treatment plans, under the supervision of upper-level residents and attending physicians. Call cycle is every sixth day, with no 24 hour call for interns. Morning report occurs every Tuesday and Thursday, hosted by the pre-call team that day.

General Surgery Rotation
Residents will work as part of a general surgery team, evaluating acute surgical complaints, perioperative care, and postoperative management. Call cycle is every fifth day. Interns are also integrated into trauma responses, including the primary evaluation of acute traumas.

Emergency Medicine Rotation
Residents will see patients in all areas of our Emergency Department, which is a designated Level 1 Trauma Center. This includes trauma and all levels of medical acuity for evaluation and initial management. Residents should expect to be included in the entire patient's cycle through the ED whenever possible.

Pediatrics Rotation
Residents rotate in the Pediatric Clinic, Newborn Nursery, and Labor & Delivery for stabilization of the newborn. All PGY-1 Transitional Residents complete their NRP Certification during the Pediatric rotation. The rotation is alongside FM interns and second year residents.

Research Rotation
Residents will review concepts of developing and formulating searchable questions, search the literature, and summarize information. Residents will incorporate principles of research and quality improvement into their professional activities. Residents will identify a problem along with the type of data necessary to measure performance improvement. Residents will also present at didactics and journal club meetings throughout the year.

Ambulatory Clinics
Throughout the TY intern year, residents participate in a longitudinal continuity clinic at one of three clinical sites. Rather than a continuous ambulatory block where many appointments are simple acute visits and medication refills, residents will host their own personal clinic one half day per week, with their own designated patient panel. This allows for a more meaningful primary care ambulatory experience, as well as increased elective rotations.

Elective Rotation
Electives could be in an area offering fundamental clinical skills or in subspecialty areas. One elective may be taken at a teaching facility outside JPS Helath Network, but within the State of Texas with approval of the program director. If a resident wishes an elective that is not listed, every effort will be made to accommodate the request. Electives are offered in the following: