•••quote:•••Originally posted by Firebird:
•What's the difference between a categorical, preliminary, and transitional slot?•••••Hi there,
Categorical programs are usually found in Internal Medicine and General Surgery. If you match in a categorical slot, you are expected to finish your training (barring incompetence) in that residency program. Even if you are a categorical resident, appointments are made on a yearly basis and you can be fired so getting a categorical slot is no guarantee that will finish in that program if you slack off.
Preliminary programs again exist in Internal Medicine and General Surgery. These positions are usually occupied by people who are going into residencies that require a preliminary year. In my program, there are designated preliminary residents who are going into Orthopedics, ENT, Urology or Neurosurgery. Most but not all folks who are going into Ophthamology, Dermatology, radiology and anesthesia elect to do a preliminary year in internal medicine or a transitional year as opposed to a preliminary surgery year. Some Emergency Medicine residents do a transitional year as opposed to a preliminary medicine year.
Transitional Year is a PGY-1 year that is the modern equivalent of the old rotating internship. This programs are usually very competitive and offer rotations in peds and medicine. There are usually one-month electives that allow you to rotate in any other specialty that interests you like Tropical Medicine, Psychiatry or ICU. The transitional year programs are usually more lifestyle friendly than either preliminary medicine or surgery. :wink: