Clinical Triennium - PGY 1
PGY-1 residents rotate through a traditional mixture of inpatient services maintaining a fixed half-day (always on the same afternoon each week) of ambulatory clinic.
Inpatient Experience
The focus of the first year of residency is learning inpatient acute care and consultative medicine on the wards at the University of Cincinnati Medical Center and the Cincinnati Department of Veterans Affairs (VA) Medical Center. Wards consist of our patient-centered general medicine teams, and our subspecialty teams (cardiology, nephrology, gastroenterology and hematology/oncology).
This year we have added several new ward and hospitalists teams at University Hospital in order to meet the demand of a thriving and growing hospital and to right-size the teams to improve care and education. Starting in September 2012, general medical teams will have no more than 10 patients per team, and subspecialty teams will generally have 12 patients. We have redesigned the call cycle to prioritize primary resident work-ups from start to finish (less hand-offs), and create geographically-based teams (less walking, more stable team dynamics). In October of 2012, University Hospital will transition to EPIC electronic medical record.
PGY-1 residents develop progressive autonomy under the supervision of senior residents, fellows and attendings. PGY-1 residents also gain skills in teaching and evaluation.
A typical schedule for a PGY-1 resident includes:
| Inpatient Experience – PGY-1 | Months |
| General Medical Wards/Hospitalist | 2-4 |
| Subspecialty Wards (nephrology,
gastroenterology, oncology, cardiology, neurology) | 3-5 |
| Intensive Care Unit | 1-2 |
| Electives | 1.5 |
| Night Medicine Team | 1.5 |
| Vacation | 1 |
Ambulatory Experience
PGY-1 residents are assigned smaller ambulatory patient panel than in the past (15-30 patients, as opposed to 50-75) and partner with long-block PGY-2/3 residents who cover their ambulatory patients when they are not in the practice.
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