Rotation Schedule by Year - Internal Medicine Residency

This academic year we have transitioned to 2-week or 4-week block schedules. All residents change on Thurdays. We have also instituted set days off and coverage days so that residents will know far ahead what days off they have, and what coverage obligations they should anticipate.

R1 Categorical

• One 4 week block (generally) in the ICU, CCU, and Shattuck wards
• 2 or 4 week blocks for a total of approximately 16 weeks on Lahey wards, including the general medicine, liver and oncology services
• Two 2-week blocks of night float (coverage of housestaff ward inpatients)
• Two 2-week blocks of vacation
• The rest of the time are 2-week blocks of General Internal Medicine (twice a year), ambulatory subspecialty rotations and elective/research

R1 Preliminary

• One or two 4 week block (generally) in the ICU and CCU
• One 4 week block in the Emergency Department
• 2 or 4 week blocks for a total of approximately 16 weeks on Lahey wards, including the general medicine, liver and oncology services
• Two 2-week blocks of night float
• Two 2-week blocks of vacation
• The rest of the time (approximately 12 weeks) is spent in 2-week blocks of elective time. These should ideally be rotations that will prepare the preliminary intern for his or her specialty (eg, transfusion medicine for a future anesthesia resident; palliative care for a future neurology resident) or is of particular clinical or intellectual interest to the intern.

R2 Categorical

• One 4 week block (generally) in the ICU and CCU
• 2 or 4 week blocks for a total of approximately 12 weeks on Lahey wards, including the general medicine, liver and oncology services. The first 4 weeks will be spent as a “junior internist”. The PGY2 resident works one-on-one with a hospital medicine or GIM attending, consolidating clinical skills learned in the PGY1 year. This foundation serves the resident once he or she then transitions to leading interns on a ward team
• Two 2-week blocks of night float (overnight admissions and night float intern supervision)
• Two 2-week blocks of vacation
• One 2-week block in the ED
• Four weeks in a geriatrics rotation that includes time at VA, palliative care, and neurology relevant to the geriatric patient
• Two weeks as inpatient general medicine consult
• The rest of the time is spent on a 2-week block of General Internal Medicine, ambulatory subspecialty rotations and elective/research

R3 Categorical

• One 4 week block (generally) in the ICU and CCU
• 2 or 4 week blocks for a total of approximately 8 weeks on Lahey wards, including the general medicine, liver and oncology services. The initial two-three 2-week blocks will be spent working one-on-one with a new intern, helping the intern rapidly build knowledge of the hospital and its computer systems, efficiency of work flow, and initial clinical skills required to care for ward patients.
• Two 2-week blocks of night float (overnight admissions and night float intern supervision)
• Two 2-week blocks of vacation
• One 2-week block in the ED
• One 2-week block in neurology
• Two weeks as inpatient general medicine consult
• The rest of the time is spent on a 2-week block of General Internal Medicine, ambulatory subspecialty rotations and elective/research