Resident Assignments

PGY-­1 Residents ­Categorical Program

Typical Schedule for PGY-1 Intern:
Inpatient: The PGY-1 year consists of 12 blocks which provide the intern with an introduction to sound principles of patient management in the inpatient setting. Each PGY-1 is assigned six to seven months of general medicine inpatient wards. PGY-1 ward assignments may be made at Grady Memorial Hospital or the Atlanta VA Hospital. During this time each intern is responsible for eight to 10 patients. Two months of Intensive Care Unit (ICU) is also included with a maximum number of new patients set at five. The year is completed with one month of Ambulatory Care and two sub-specialty rotations.

Outpatient: To develop and improve the ambulatory care skills of our interns, a one-half day per week continuity clinic is assigned.
 
Rotations at the VA: Intern residents have 2 overnight shifts at the VA. 

Rotations Number of Rotations
Wards 7
Sub-specialty rotation 1
Ambulatory 1
ICU (Shifts) 2
Night Float 1

PGY-1 ­Preliminary Program

Residents in the PGY -1 Preliminary Program are assigned six months of general medical inpatient wards. The other six months may include elective experiences in individual medical sub-specialties and medical ICU. Residents are also assigned to a continuity clinic for half a day each week. 

Typical Schedule for PGY-2 Residents

Inpatient: The PGY-2 year is designed to further increase the resident's exposure to inpatient care as well as sub-specialty medicine. Each PGY­-2 resident is assigned three months of general medicine inpatient wards at Grady Memorial Hospital with no more than one month at DeKalb Medical Center. During this time, each trainee is responsible for supervising two PGY-­1 residents, one to two third-year MSM medical students and a patient load of 16 to 20. Long call is scheduled Q5. 

PGY­-2s also are assigned one block of Night Float. Sub-specialty rotations in one of five specialties are also assigned.

Outpatient: The PGY-2 year outpatient experience is an expansion of first year activities. PGY-2s have two or three blocks of Ambulatory Medicine. The rotation includes first contact patient experience in the Same Day Sick Clinic or the East Point Community Based Outpatient Clinic (CBOC). During these rotations, residents have outpatient exposure to ear, nose and throat (ENT), office orthopedics, gynecology, ophthalmology and medicine sub-specialties. Residents are also assigned a one block emergency medicine rotation. The one-half day per week continuity clinic continues with the exception of the ICU and ECC rotations. 

Blocks

Rotations No. of Rotations
Wards 4
Sub-specialty Rotation 2
Ambulatory 2
East Point (CBOC) 1
ICU 1
Emergency Medicine 1
Night Float 1

Typical Schedule for PGY-­3 Resident

Inpatient: The PGY-3 year broadens the resident's exposure to inpatient care as well as sub-specialty medicine. The four-week, 13 block rotations continue.  Each PGY-3 resident is assigned three blocks of general medicine inpatient wards at Grady Memorial Hospital or the Atlanta VA Medical Center.  During their ward rotations, each resident is responsible for supervising one to two interns, one to two third-year medical students and 16 to 20 patients.  Call is assigned every third night at the Atlanta VA Medical Center.  One block of ICU/CCU and a PGY-3 Night Float rotation are also assigned.

Outpatient: PGY-3s have two or three blocks of Ambulatory Medicine Block rotation includes first contact patient experience in the Same Day Sick Clinic or the Stockbridge CBOC. During these rotations, residents have outpatient exposure to ENT, office orthopedics, gynecology, ophthalmology and medicine sub-specialties. In addition, PGY-3s have a dedicated one block Geriatric experience. Sub-specialty rotations in hematology/oncology are also assigned. Other sub-specialty electives are also available.

Blocks

Rotations Number of Rotations
Wards 3
Sub-specialty Rotation 2
Ambulatory 2
Stockbridge (CBOC) 1
ICU 1
Night Float 1
Geriatrics  1
Hematology/Oncology 1