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Transitional Year Residency at MedStar Harbor Hospital

Our Transitional Year Residency is fully accredited with commendation, with the longest possible accreditation cycle, by the Accreditation Council for Graduate Medical Education. The Transitional Year Residency offers a solid foundation for subsequent training in ophthalmology, radiology, radiation oncology, dermatology, anesthesiology, emergency medicine, neurology, physical medicine and rehabilitation, psychiatry, or public health. For students unsure of their subsequent pathways for training, it offers a well balanced PGY-1 experience.

The Transitional Year Residency includes seven inpatient four-week blocks - four general medicine, one night float, and two ICU/CCUs. All in-hospital rotations have a night float/short call/long call system. In addition, the residents spend four weeks in emergency medicine, four weeks in ambulatory medicine divided between internal medicine and pediatrics, and four weeks in surgery. Three four-week blocks are elective. Choices include several popular rotations at MedStar Harbor, as well as rotations off campus at Johns Hopkins University, the University of Maryland, and Georgetown University. Many residents have also done electives outside the region.

Internal Medicine

Our Internal Medicine Program is fully accredited for five years with commendation by the Accreditation Council for Graduate Medical Education. We emphasize refining patient care skills, learning to work as a member of the healthcare team, and building medical knowledge. The ability to focus on pertinent issues, prioritize, and work efficiently and economically are emphasized at very interactive conferences, directors' rounds and hospitalist rounds. Conferences include our internal medicine lecture series and case-based learning presentations, daily, Monday through Friday. All residents receive a subscription to UpToDate and an educational stipend.

Residents are sponsored to join the American College of Physicians as Associate Members, fostering the concept of lifelong learning. Weekly quizzes, as well as EKG, dermatology, and radiology cases of the week are sent out to all trainees over the Internet. Each learning enrichment exercise is discussed with expert faculty in our case based learning conferences, and subsequently the key teaching points are sent to all learners via their e-mail. Grand Rounds each Friday are presented by Johns Hopkins faculty. Transitional Year Residents supervise two core internal medicine students. With the assistance of a faculty mentor, the Transitional Year Residents choose a particularly interesting patient and develop a clinical vignette for presentation and publication at the annual Maryland ACP Associates meeting. MedStar Harbor Hospital Residents are well known in Baltimore for their academic achievements and the quality of their leadership and teaching.

Bedside teaching is stressed. In the ICU, room-to-room multidisciplinary rounds with our Board Certified intensivists occur daily. The work week averages 60 to 65 hours on the general medical floor and in the ICU. Night float work hours are 50 to 55 hours per week.

Emergency Department

We have a very busy Emergency Department with a faculty that enjoys teaching and learning with our residents. The resident sees patients from all specialties. Wound management and suturing are stressed. There are 16 ten-hour shifts in the four-week block.



Ambulatory

There are four weeks split between our pediatric and adult medicine clinics adjacent to MedStar Harbor Hospital under the supervision of our ambulatory faculty, Monday through Friday.



Electives

The sky is the limit, from excellent electives at MedStar Harbor Hospital and other MedStar hospitals, as well as at our affiliates, Johns Hopkins Hospital and the University of Maryland. Our Transitional Year Residents often do electives outside the region.



Surgery

Harbor TY Resident in the OR

The surgical block is done at MedStar Harbor Hospital under the direct supervision of our Chief of Surgery. The Transitional Year Resident has great opportunity to scrub on a wide variety of cases, including oncologic, orthopaedic, eye, and vascular cases. Two afternoons a week are spent seeing patients in office with the Chief of Surgery.



Bottom Line

You have the opportunity to grow in a program with a strong academic atmosphere and high expectations with great opportunities for learning in a warm, supportive environment by the Chesapeake Bay.