The first year of training is similar for residents in both the categorical and preliminary pathways. All interns spend approximately the same amount of time in hospital rotations, usually divided as follows: two months of Medical Intensive Care Unit service; two months of Cardiology service; four months of General Medicine service (including subspecialties of medicine); two months of combined afternoon back up and overnight float; one month of Emergency Medicine; and one month of elective.
The inpatient services are a major focus during PGY-1. The general structures of these services are teams consisting of a resident, two interns, and associated medical students. For the MICU and Cardiology services, the long admitting shift is every fourth night. For the General Medicine service, we employ a system that has the team covering a panel of patients with some discharges and admissions to the team every day, and no overnight call. Admissions are capped according to ACGME guidelines. Our longstanding float system allows interns a chance to finish their daily work and leave at a reasonable hour.