why is it called categorical?

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categorical: being without exception or qualification; absolute

"I'm going for Internal Medicine categorically, not as a preliminary internship to Neurology residency"

I guess
 
I'm pretty sure because PGY1 is 1st year of residency, meaning that every year is towards residency, as opposed to residencies that start after internship.

My history may be off, but as I understand it until the 70's everyone did a taditional rotating internship (like just about every other medical system in the world currently) and then had to apply to residency following. But in the 70's there was something of a physician shortage and the goal was to get more docs out sooner. It was recognized: "Why make an intern do three months surgery, three months peds, three months ob/gyn, three months medicine, when they will never do those specialties nor need in depth knowledge of those specialties in residency and following?" So it was decided that some specialties could make the intern year a whole year of pediatrics, or a whole year of ob/gyn and that this would also count as the first year of residency because a whole year was spent with that feild of medicine and that field of medicine alone.

Clear as mud? 😳
 
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