SDN Members don't see this ad. (About Ads) I finished my PGY-1 IM in 2008-2009. An attempt to transfer to an academic setting was mishandled by all parties and left myself without a residency position. I have letters of recommendation from attendings during my PGY-1 year and I recently completed my Step 3 exam. I truly miss taking care of patients and cannot wait to resume residency.