Year Two

In year two, residents take on progressively more responsibility and begin supervising interns. The first Medicine block in the second year two includes an elective in one of the medical subspecialties, the MICU and an ambulatory Med/Peds block. All of our residents will complete a supervisory role in the MICU prior to team leading on the general medical wards. The MICU rotation involves the care of complex, critically ill patients with a variety of medical conditions. The ICU team rounds with the critical care attendings and fellows each day. Fellows provide overnight supervision of the ICU residents on call.

The individual resident chooses their subspecialty electives. While on medicine electives, residents are responsible for the initial evaluation of consults. At least five half days are spent in the office of a subspecialist attending, in keeping with the emphasis on ambulatory medicine. Residents are given a syllabus of reading materials to be reviewed and attend subspecialty conferences in conjunction with the rotation.

*Resident functions as PGY1.

The final rotation in the first block is the med/peds ambulatory block. This rotation combines two weeks of experience in the Children's Hospital Primary Care Center with two weeks of community ambulatory internal medicine. The goal of this rotation is to become more familiar with office-based medical practice, telephone medicine, and ambulatory pediatrics and internal medicine.

The second-year Pediatric rotations are designed to complete the intern experience early in the year. Our Med/Peds residents do only 8 weeks of intern-level rotations in the second year before advancing to more supervisory roles. These intern blocks include the inpatient oncology ward and the cardio-pulmonary service. In the Children's Hospital of Pittsburgh Emergency Department, the Med/Peds residents will function at the level of a PGY-2.

The second medicine block begins with inpatient medicine, during which the PGY 2 resident becomes the team leader. Residents can choose between UPMC Presbyterian and the VA Hospital for this rotation. Responsibilities include supervising and teaching the PGY 1s in the evaluation and management of each patient from the time of admission to discharge. The PGY 2s present cases in morning report, back up the PGY 1s in regard to floor problems, and conduct work rounds each day. The second medicine block continues with another subspecialty elective of the resident's choosing and this may take place at UPMC Shadyside or UPMC Presbyterian. The final rotation in the block is Adult Emergency Medicine where the residents will work under the supervision of the Emergency Department physicians at UPMC Presbyterian.

The second pediatric block includes a NICU rotation where second-year residents will assist in the delivery and resuscitation of newborn infants, as well as the initial stabilization of NICU admits at Magee-Womens Hospital. The next month of this block rotation is adolescent health. This includes experiences with school health and normal adolescent development, sexually transmitted diseases, incarcerated youth, and an adolescent/adult clinic jointly staffed by pediatric adolescent specialists and internists. The last pediatric rotation is the Child Development Unit. Residents on this rotation are exposed to children with a variety of developmental disabilities (including Down syndrome, school problems, and behavior difficulties). Residents participate in the multi-disciplinary clinic as well as consultations on the inpatient units.

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