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Internal Medicine Residency > The Housestaff Experience

The Housestaff Experience

Categorical Internship (PGY-I)
Assignments include on average, approximately five months on general inpatient units, one month in the Emergency Department, two months in the intensive care unit, two months in the ambulatory setting, two weeks on the telemetry service, one month at Memorial Sloan Kettering Cancer Center, and two weeks on elective. On the general inpatient units, a team, usually consisting of four interns and two resident are responsible for the evaluation and management of approximately 40 acute care patients. The interns write all orders related to the management of the patient's clinical problems, under the supervision of their more experienced housestaff colleagues and in coordination with our faculty and members of the attending staff. The intern may work with and supervise a PA student, thereby playing an essential role in the student's education. Each intern assigned to a general inpatient unit is on long-call every fourth night and is supported by the night float system, which eliminates the need for overnight call.

Preliminary Internship (PGY-I)
Downtown Hospital offers the best preliminary year in the island of Manhattan. Our one year curriculum is designed to provide depth and breadth of clinical training in general internal medicine. We believe this is essential not only for those individuals who will pursue a career in general internal medicine, but also for those residents who are pursuing training in other fields. Preliminary residents receive a similar schedule assignment as categorical with the exception that preliminary residents are offered two electives months and are not require to attend a continuity clinic. Electives months are flexible and residents are allowed to pursue educational or research experiences at outside institutions.

Junior Residency (PGY-II)
The PGY-II assignments include the general inpatient units for three months, two months in the intensive care unit, one month in the Emergency Department, one month at Memorial Sloan Kettering Cancer Center, one month on subspecialty rotation, one month of night float, two months in the ambulatory setting, and an elective month. PGY-II residents take long call every fourth night while on general inpatient units and every fourth night while in the intensive care units.

Senior Residency (PGY-III)
Senior residents generally spend three months on ambulatory care Senior residents generally spend one month on ambulatory care rotations, two months in the intensive care unit, one month on the telemetry service, one month on the general inpatient units, two months on subspecialty rotation including the general medical consult rotation, one month geriatric rotation, and the balance on electives of their choosing. In the role as "Night Chief", the senior resident, under the supervision of the Chief of Medicine, or his designee, has overall responsibility for all clinical areas of the Department.

Chief Residency (PGY-IV)
Two PGY-IV residents serve as academic and administrative Chief Residents. Upon successful completion of the ABIM exam they are credentialed to the attending and faculty staffs of the Hospital. The Chief Residents have been selected from both within the program and from other programs.

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