Transitional Year Residency Curriculum
ACGME Transitional Year program requirements governing the clinical curriculum include a minimum of 48 weeks of training, which includes 28 weeks of fundamental clinical skills experiences in Emergency Medicine, Family Medicine, Internal Medicine, General Surgery, Pediatrics, or Obstetrics & Gynecology plus 140 hours of ambulatory experience in Family Medicine or in primary Internal Medicine, General Surgery, Pediatrics, or Obstetrics & Gynecology. Continuous four weeks of training in Emergency Medicine and a minimum of eight weeks of electives. The program accommodates a maximum of eight weeks of non-clinical experience.
The Transitional Year Residency Program at IU School of Medicine requires all residents to rotate through the ICU service at Methodist Hospital and meet requirements by the various destination residencies as well. While the Transitional Year Residency Program at IU School of Medicine 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. The program curriculum offers the flexibility of inpatient or outpatient academic or private-practice settings, bench or clinical research experiences and out-of-state or out-of-country rotations.
The academic year consists of 13 four-week blocks. Required rotations for all Transitional Year residents include: Critical Care Medicine, Hopitalist Wards, Ambulatory Medicine and Emergency Medicine. Seven blocks (28 weeks) are dedicated to fundamental clinical skills which include Emergency Medicine, Ambulatory Medicine, Critical Care Medicine, General Internal Medicine, General Pediatrics, General Surgery, Family Medicine and Obstretrics/Gynecology. The remaining six blocks are dedicated to resident-chosen electives in a very wide variety of specialties whose learning environments range from a classic inpatient academic model to private practice models of one-on-one mentoring. Research and international electives are also encouraged.
Residents choose six clinical electives to round out the 13 clinical blocks of the Transitional Year curriculum with personal training preferences. Special electives are available in Orbital Dissection/Skull Base Anatomy and Microvascular Surgery for all ophthalmology-bound trainees. The Orbital Dissection/Skull Base Anatomy is a two-week multidisciplinary course, utilizing cadaveric human heads, taught by faculty in Oculoplastics, Neurosurgery, ENT, Neuroradiology and Plastic Surgery. The Microvascular Surgery elective is taught one-on-one and requires the resident to perform vascular anastomoses under an operating microscope.
For radiology-bound residents, this program offers up to eight weeks of specialty diagnostic and interventional radiology electives. Exceptional ICU, Cardiology, perioperative medicine and pain management rotations are available for anesthesia-bound residents.
Other special electives are available in Ophthalmology, Sports Medicine, Trauma Surgery, Research, Pediatric Anesthesiology, Forensic Pathology, Radiology, Emergency Medicine, Toxicology, Neurology, Neurosurgery, Dermatology, Radiation, and Medical or Surgical Oncology. International electives are also available.
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 residency program invests a significant amount of didactic time to teaching critical foundational skills for professional sustainability in the Transitional Year Professional Development Series.
The residency also hosts a Journal Club throughout the year. 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. Residents also have opportunity to present a journal article at the Hospitalist Journal Club during the Internal Medicine wards block.
Application of continuing quality improvement (CQI) skills via participation in a CQI project is required for each resident. Residents present their projects and related findings to peers as a CQI presentation. Those residents choosing to complete a research elective share their work in a resident-peer research presentation.
Finally, residents are invited to attend a wide array of didactics from all related clinical service lines (EM, IM, Surgery, Peds and more) and from just about every IU School of Medicine academic department.
Presentation requirements: TY journal club (1) Hospitalist journal club (1), TY continuous quality improvement project (1), research summary (research elective only).