Rotations


4+1 schedule:
  We utilize a 4+1 schedule to emphasize residents’ experience in primary care. This allows for dedicated focus on each particular rotation without needing to leave service for a clinic session each week.  It also improves the continuity aspect of outpatient clinic in that residents can easily schedule their patient panel for follow up visits during their clinic weeks. 

Sample intern schedules:

 

Week 1

Week 2

Week 3

Week 4

Week 5

Intern A

Clinic

Service 1

Service 1

Service 1

Service 1

Intern B

Night Float

Clinic

Service 2

Service 2

Service 2

Intern C

ID

ID

Clinic

ICU

ICU

Intern D

ICU

ICU

ICU

Clinic

Service 3

Intern E

Service 3

Service 3

Service 3

Service 3

Clinic

 

Inpatient Wards:

  • Our residents rotate at all three of our partner hospitals. 
  • Residents take the lead role in the evaluation and management of complex medicine patients. The interns work up and manage patients under the guidance of both the supervising resident and the attending physicians.
  • At Boca Raton Regional Hospital, there are three general medical teams consisting of one PGY3 resident, one PGY2 resident, and two interns.  At Bethesda Health East, there are two teams, each consisting of a PGY3 resident overseeing two interns.  At Delray Medical Center, the one general medicine team has a PGY3 resident leading a team of one medicine intern and two psychiatry interns. 
  • Each inpatient team has a teaching attending that works with the team for at least one week at a time.  

Medical ICU:

  • ICU rotations occur at Boca Raton Regional Hospital and Bethesda Health East. 
  • Both sites are overseen by intensivist physicians 24 hours per day. 
  • Our residents provide direct care for these critically ill patients including performing procedures under the guidance and instruction of the intensivist physicians.

Medicine Sub-specialties:

  • During the three years of residency, residents have the opportunity to rotate through subspecialties of internal medicine to help gain the knowledge and experience needed in those fields. 
  • For residents focused on fellowship application, there may be opportunities to do away rotations (pending availability).

Other Electives:

  • These rotations can be chosen to suit the resident’s individual interest.
  • Rotations include Allergy & Immunology, Dermatology, Radiology, Physical Medicine and Rehab, Women's Health, and Sports Medicine.
  • Other specific rotations may be available upon request and based on availability. 
  • During the second half of the PGY2, residents may schedule away rotations, either as part of preparation for fellowship applications or post-residency career goals.

Night Medicine:

  • None of our rotations have overnight call; instead we use a night medicine rotation (consisting of either a single senior resident or a team consisting of an intern and a PGY3). 
  • Night medicine includes both cross-coverage duties as well as admissions under the guidance of nocturnist attending physicians. 

 

Rotations

PGY-1

PGY-2

PGY-3

In-patient Wards

5 months

2-3 months

3 months

Night Medicine

1 month

4-6 weeks

4-6 weeks

Medical ICU

2 months

4-6 weeks

4-6 weeks

Emergency Medicine

2 weeks

 

2 weeks

Geriatrics

 

1 month

 

Electives

1-2 months

3-4 months

4 months

 

Daily Schedule:

A sample day on an inpatient floor service:

Transfer of Care

6:30 a.m. to 7:00 a.m.

Pre-rounding

7:00 a.m. to 10:00 a.m.

Teaching Rounds

10:00 a.m. to 11:45 a.m.

Noon Report

12:00 p.m. to 1:00 p.m.

Admissions

11:00 a.m. to 5:00 p.m.

Transfer of Care

6:00 p.m.

 

Preliminary Interns:

  • Our preliminary interns follow similar schedules to our categorical interns other than not having the continuity clinic week. 
  • Additionally, our preliminary interns get more elective time (approximately 3 months) to help them prepare for their advanced training. 
  • Preliminary interns who do not require ICU may get an additional month of floor service. 


Last Modified 9/16/20