Internal Medicine Residency
University of Pittsburgh
Year Two
- In the second year, residents take on progressively more responsibility and begin supervising interns.
- The individual resident chooses his or her subspecialty electives.
Here is a sample second-year schedule:
| Rotation | Location |
|---|---|
| MICU (M) | UPMC Shadyside |
| Subspecialty Elective (M) | UPMC Montefiore |
| Med-Peds Ambulatory Care (M) | Ambulatory Rotation |
| Cardiology (P) | Children's Hospital of Pittsburgh of UPMC |
| Limited Stay Unit (P) | Children's Hospital of Pittsburgh of UPMC |
| Emergency Department (P) | Children's Hospital of Pittsburgh of UPMC |
| Inpatient Medicine (M) | UPMC Montefiore |
| Subspecialty Elective (M) | UPMC Montefiore |
| Emergency Department (M) | UPMC Presbyterian |
| Delivery Room (P) | Magee-Womens Hospital of UPMC |
| Adolescent Medicine (P) | Children's Hospital of Pittsburgh of UPMC |
| Child Development Unit (P) | Children's Hospital of Pittsburgh of UPMC |
| Vacation 3 Weeks |
- Med-Peds Ambulatory Care—During this block, residents have the opportunity to see both adult and pediatric patients. This is a valuable month, as it allows residents to start integrating both aspects of their training (internal medicine and pediatrics). The block is flexible in design, with residents choosing to work in a variety of sites within the UPMC Health System.
- Pediatric Cardiology—On this rotation, residents will work in the inpatient setting for 2 weeks, treating children who have congenital heart disease or heart failure and children who have undergone cardiac procedures. Residents will spend 2 weeks working in the outpatient setting at the Children's Hospital of Pittsburgh cardiology clinic.
- Pediatric Limited Stay Unit—During this block, residents will serve as the senior resident for the general pediatric ward service that cares for children admitted with self-limited illness with anticipated quick resolution (e.g., acute asthma exacerbations, gastroenteritis, etc.).
- Inpatient Medicine—Responsibilities include supervising and teaching the first-year residents in the evaluation and management of each patient from the time of admission to discharge. You will also present cases in morning report, teach medical students, and conduct daily work rounds.
- Subspecialty Elective—Examples of subspecialty electives are cardiology, pulmonology, gastroenterology, hematology, oncology, neurology, endocrinology, allergy and immunology, and rheumatology. Residents have also created their own electives, such as sports medicine.
- Delivery Room—During this month at Magee-Womens Hospital of UPMC, residents are responsible for going to deliveries in one of the country's busiest and best women's hospitals. Residents become comfortable with newborn resuscitation skills, umbilical line placement, and stabilization of infants.
- Child Development Unit (CDU)—On this outpatient rotation in a multidisciplinary clinic, residents are exposed to children with a variety of developmental issues, including Down syndrome, autism, Fragile X syndrome, school problems, and behavior difficulties.
- Adolescent Medicine—During this month, residents work in the adolescent clinic and see patients for acute illnesses as well as health maintenance. Residents also participate in the health clinic of incarcerated youth in the Pittsburgh area.