the transition from pgy1 to pgy2 in im

[absolutjag9]

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Hello I am currently a PGY1 at a community hospital in the NYC area. I would like to know how best to gauge if I am at the level where I can go onto be a PGY2. I am aware of the responsibilities that the current PGY2s in my IM program must hold, but I ask the SDN community if they have any tips or feedback. Thank you kindly.

 

[mcl]

Hello I am currently a PGY1 at a community hospital in the NYC area. I would like to know how best to gauge if I am at the level where I can go onto be a PGY2. I am aware of the responsibilities that the current PGY2s in my IM program must hold, but I ask the SDN community if they have any tips or feedback. Thank you kindly.

Have you not had your first semi-annual performance review? It's part of the ACGME Common Program Requirements, so you should at the very least have a sense of whether your program believes are on track. We schedule a 1/2 hr sit-down for the PD and each resident to review conference attendance, research progress, strengths and weaknesses mentioned in end-of-rotation evaluations, Milestones scores assigned by the Clinical Competency Committee, trajectory of those scores, and expectations for the next 6 months.

 

[absolutjag9]

Have you not had your first semi-annual performance review? It's part of the ACGME Common Program Requirements, so you should at the very least have a sense of whether your program believes are on track. We schedule a 1/2 hr sit-down for the PD and each resident to review conference attendance, research progress, strengths and weaknesses mentioned in end-of-rotation evaluations, Milestones scores assigned by the Clinical Competency Committee, trajectory of those scores, and expectations for the next 6 months.

I did and it consisted of me being told I did well. That's it I asked for more feedback and they said great job on practice test and milestones.

 

[hamstergang]

I did and it consisted of me being told I did well. That's it I asked for more feedback and they said great job on practice test and milestones.

Is there a reason for you to think this isn't true and you aren't on track to start competently as a PGY-2?

 

[gutonc]

I did and it consisted of me being told I did well. That's it I asked for more feedback and they said great job on practice test and milestones.

Well then you're probably good to go. If it makes you feel better, ask your current/next/next senior, fellow and/or attending(s) what they think and whether there's anything else you need to work on.

 

[Doctor4Life1769]

Usually if that's all they say, you're doing fine.
Don't get self-conscious

 

[NotAProgDirector]

How about this:

If your supervising resident was ill tomorrow, could you run the team comfortably all by yourself?

Also consider asking your upper level to let you run the team for a few days, and see how it goes.

 

[caffeinemia]

Hello I am currently a PGY1 at a community hospital in the NYC area. I would like to know how best to gauge if I am at the level where I can go onto be a PGY2. I am aware of the responsibilities that the current PGY2s in my IM program must hold, but I ask the SDN community if they have any tips or feedback. Thank you kindly.

This is hilarious. It's essentially doing the same damn thing everyday, but having a minion do it for you. Granted, some internships are little more than glorified secretarial positions, but a proper training program would have given you enough "practice" throughout intern year to run your own show by now.

 

[J ROD]

If I told you that you sucked and needed to do better, would that make you feel better?

 

[HooliganSnail]

I did and it consisted of me being told I did well. That's it I asked for more feedback and they said great job on practice test and milestones.

Generally, little feedback is a good thing. PD's tend to focus their time and energy into the poorly performing half.

If you are a competent resident, you get less support because you do not need it.

Not perfect, but just the way it is.

 

[HooliganSnail]

This is hilarious. It's essentially doing the same damn thing everyday, but having a minion do it for you. Granted, some internships are little more than glorified secretarial positions, but a proper training program would have given you enough "practice" throughout intern year to run your own show by now.

Becoming a second year is a little weird, because it seems overnight that no one is looking over your shoulder anymore.

Mostly it's just awesome, intern year is hard.

 

[Doctor4Life1769]

Generally, little feedback is a good thing. PD's tend to focus their time and energy into the poorly performing half.

If you are a competent resident, you get less support because you do not need it.

Not perfect, but just the way it is.

It's not about support, it's about who they'll nitpick less or more. I'm sure there's some solid PDs, but more of them just don't know how to properly provide support to those struggling.

 

[Raryn]

Becoming a second year is a little weird, because it seems overnight that no one is looking over your shoulder anymore.

Mostly it's just awesome, intern year is hard.

Might seem that way, but if my program is typical, the first few months of second year the attendings are keeping pretty close eyes on the chart... and will let you know it if you miss something. It's still supervision, just they trust you enough that it gets progressively less direct.