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So there are always questions after the match about intern year. What electives to take, what's required, etc.
In terms of transitional year. Here's how the current ACGME requirement reads (effective July 2006):
One year of the four years of training is to develop fundamental clinical
skills. This year of training in fundamental clinical skills must consist of an accredited Transitional Year or include at least six months in accredited
training in family medicine, internal medicine, emergency medicine,
obstetrics-gynecology, pediatrics, or surgery, or any combination of these
patient care experiences. The remaining months of this year may include
any combination of accredited specialties or subspecialties.
Accredited training in any of the specialties or subspecialties selected must be for a period of at least four weeks. No more than eight weeks may be
in non-direct patient care experiences, such as pathology, radiology and
research. Training in fundamental clinical skills must be completed within
the first two years of the four year training program.
There's no specific requirement about doing inpatient medicine months but I did hear from several PDs that they would recommend doing at least 6 months of inpatient medicine. In addition, I would recommend rheumatology, ER (to get procedures and see kids), cardiology or ICU ( to learn how to run codes), Neurology/PM&R - maybe get some exposure to EMGs.
The point of your intern year is to get all the basics of how to handle emergencies in PM&R. So learning what to do with acute chest pain, resp distress, codes are great. Also should learn basics of insulin management, HTN management, infections (pneumonia, c diff) and current standard of care for many of the more common diagnoses in rehab (stroke, SCI, TBI, Ortho, Cancer, MS, etc.)
Any other current or past residents want to add?
In terms of transitional year. Here's how the current ACGME requirement reads (effective July 2006):
One year of the four years of training is to develop fundamental clinical
skills. This year of training in fundamental clinical skills must consist of an accredited Transitional Year or include at least six months in accredited
training in family medicine, internal medicine, emergency medicine,
obstetrics-gynecology, pediatrics, or surgery, or any combination of these
patient care experiences. The remaining months of this year may include
any combination of accredited specialties or subspecialties.
Accredited training in any of the specialties or subspecialties selected must be for a period of at least four weeks. No more than eight weeks may be
in non-direct patient care experiences, such as pathology, radiology and
research. Training in fundamental clinical skills must be completed within
the first two years of the four year training program.
There's no specific requirement about doing inpatient medicine months but I did hear from several PDs that they would recommend doing at least 6 months of inpatient medicine. In addition, I would recommend rheumatology, ER (to get procedures and see kids), cardiology or ICU ( to learn how to run codes), Neurology/PM&R - maybe get some exposure to EMGs.
The point of your intern year is to get all the basics of how to handle emergencies in PM&R. So learning what to do with acute chest pain, resp distress, codes are great. Also should learn basics of insulin management, HTN management, infections (pneumonia, c diff) and current standard of care for many of the more common diagnoses in rehab (stroke, SCI, TBI, Ortho, Cancer, MS, etc.)
Any other current or past residents want to add?
