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The Categorical Program in Massachusetts General Hospital’s Internal Medicine Residency Program trains residents to provide comprehensive health care in a wide variety of rotations and leadership roles.
Interns (PGY-1) in the Categorical Program learn the basics of patient evaluation and management during time in ambulatory training and inpatient general medical services. Interns also rotate through the Emergency Department and the Medical Intensive Care Unit (MICU). Ambulatory patient care is emphasized through three months of time divided between the ambulatory care rotation (ACR) and ambulatory subspecialty rotations (ASR) as well as a weekly continuity primary care clinic. These provide a balance between inpatient and outpatient training. Elective blocks allow interns the opportunity to pursue experiences in a medical subspecialty, research or another specialty area. Elective rotations in the Coronary Care Unit (CCU) are available for those interested in exposure to cardiology. In addition, Categorical and Primary Care residents spend one month at Newton-Wellesley Hospital for a community hospital experience.
During the junior (PGY-2) year, residents lead inpatient teams on the Bigelow Service, where they supervise patient care as well as provide education for interns and medical students. Junior residents also provide care for patients in the Coronary Care Unit (CCU), the Medical Intensive Care Unit (MICU) and the cardiac Step-Down Unit (SDU). More elective time during the PGY-2 year affords junior residents the opportunity to explore clinical subspecialties and research interests, as well as possible international experiences. The ambulatory care rotation, the ambulatory subspecialty rotations and responsibilities in the Continuity Clinic comprise three-month block rotations.
The senior year (PGY-3) of residency is weighted toward leadership roles in the Emergency Department, the Coronary Care Unit, Step-Down Unit, the Medical Intensive Care Unit and on inpatient teams. Considerable time is spent providing education for junior residents, interns and medical students. Senior residents are the primary providers responsible for in-hospital triage decisions, as well as for responding to emergency situations with leadership of the Code Team and the Rapid Response Team. Seniors also spend several weeks as medical consultants for the surgical and other non-medical services. Ambulatory rotations and ambulatory subspecialty rotations are maintained for three months for the year. Substantial elective time during the senior year is available to allow the pursuit of research opportunities and other independent studies as well as international experiences.
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