During PGYII appropriate balance is achieved between the overall inpatient and ambulatory experience, the time spent on ward versus intensive care rotation, general medicine and subspecialty education, and the emergency room and ambulatory clinic.
During 6 of the PGYII months there are no post-6 pm on-call responsibilities, and the inpatient ward rotations are covered by night floats who assume responsibility after 11 pm.
Rotations
- General Medicine Wards and Hepatology (Montefiore and Weiler): 2 months
During general medicine and ward rotations, residents supervise all aspects of interns' patient care. They are also responsible for teaching medical students serving as clerks and sub-interns.
- Geriatrics: 1 month
- Neurology: .5 month
- CCU/Cardiology: 1 month
- ICU: 1 month
- Subspecialty Electives: 3 months
- Ambulatory Care Rotation (ACR): 1 month
- Emergency Medicine/Clinic: 1 month
- Night Float: 0-.5 month
- Vacation: 1 month
Ambulatory Care
The PGYII and PGYIII ACRs add new themes in clinical epidemiology and ambulatory subspecialty medicine, and expand the themes of behavioral medicine and office clinical skills.
PGYII and PGYIII residents have an enriched curriculum in ambulatory general medicine during 1 ACR month, and 4–6 weeks of an OPD rotation emphasizing clinic experience and emergency medicine.
A core curriculum topic is offered in the morning and becomes the intellectual focus of the month.
In addition, there are 3 hours of clinical conferences in ambulatory medicine (at the resident level) per week. Residents participate in 3 subspecialty clinics per week and in a quality improvement project.
Core Curriculum Topics
- clinical epidemiology
- screening
- prevention
- women's health
- complementary and alternative medicine
- physical diagnosis
Typical PGYII ACR Week
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Monday
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Tuesday
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Wednesday
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Thursday
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Friday
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8–9:30 am
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Core Curriculum
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Core Curriculum
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Core Curriculum
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Core Curriculum
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Core Curriculum
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9:30–12 noon
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Clinic
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Clinic
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Subspecialty Clinic
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Clinic
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Clinic
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1:30 pm–5 pm
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Subspecialty Clinic
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Clinical Conferences
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Clinic
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Clinical Conferences & Q1 Project
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Subspecialty Clinic
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See Ambulatory Care for more information.