Graduate Medical Education

Transitional Year Residency Curriculum

The patient care curriculum of the Transitional Year Residency Program at IU School of Medicine is well-rounded with exposure to a wide variety of patients, conditions and practice settings. Residents benefit from the guidance of IU School of Medicine’s outstanding clinical faculty, who are practicing physicians at IU Health. While this Transitional Year Residency Program is primarily based at IU Health Methodist Hospital, any rotation offered by IU School of Medicine faculty and its partner teaching hospitals, including research and international rotations, is available for residents in this program.

Clinical Curriculum

The clinical curriculum consists of 13 four-week blocks, including a core of seven foundational clinical skills (FCS) rotations and six clinical electives. Five clinical rotations are required for all Transitional Year residents: Adult Critical Care, Adult Hospitalist Medicine, Internal Medicine Clinic, Family Medicine and Emergency Medicine. Residents participate in forming the educational curriculum for the remaining clinical blocks that best meet their educational needs, including two additional foundational clinical skills rotations (known as selectives) and six electives.


Selectives available to round out the seven FCS rotations include rotations in General Surgery, Obstetrics/Gynecology, and Pediatric Hospitalist Medicine as well as additional rotations in Emergency Medicine, Adult Critical Care or Adult Hospitalist Medicine. Residents help choose six clinical electives to complete the 13-block Transitional Year curriculum.

Specialty-Specific Clinical Rotations

  • For anesthesiology-bound physicians are outstanding critical care and cardiology experiences.
  • For dermatology-bound physicians are rheumatology, allergy and immunology, plastic surgery, and dermatopathology experiences.
  • For diagnostic radiology-bound physicians are anatomic pathology sports medicine/ orthopaedics and numerous radiology subspecialty experiences, including neuroradiology, body imaging, musculoskeletal imaging, interventional radiology and more.
  • For ophthalmology-bound physicians is a unique orbital dissection elective with education in skull base anatomy and orbital imaging, microvascular surgery animal lab, and both ophthalmology and oculoplastics experiences.
  • For physical medicine and rehabilitation-bound physicians are neurology, neurosurgery, sports medicine/ orthopaedics, and physical medicine and rehabilitation experiences.
  • For radiation oncology-bound physicians are medical oncology, radiology, palliative care and radiation oncology experiences.

Didactic Curriculum

The professional obligations of physicians are demanding, and health care environments often provide challenging practice conditions. Career longevity in medicine takes reflection, planning and healthy self-care habits. This Transitional Year Residency Program invests a significant amount of didactic time to teaching critical skills for professional sustainability in the Transitional Year Professional Development Series. The residency also hosts a Journal Club series. Focused on evidence-based medicine, the Transitional Year Journal Club centers on resident-peer presentations of literature with accompanying mini lessons about related EBM topics. Learning skills in quality improvement is essential for all subspecialties of medicine. All residents in the Transitional Year Residency Program at IU School of Medicine are required to participate in the Transitional Program quality improvement curriculum. Residents are also invited to attend a wide array of didactics from all related clinical service lines, including Internal Medicine, Emergency Medicine, Surgery and Pediatrics, as well as from just about every IU School of Medicine academic department.