Post-Graduate Year 1 (PGY1)
The majority of the PGY1 curriculum is comprised of inpatient hospital rotations with an introduction to ambulatory medicine. First year residents spend one half day per week in continuity clinic during all rotations. While on obstetrics and inpatient pediatrics, residents are on call twice per week. On all other rotations, call averages one per four/five nights. When first year residents are on rotation at Baylor Garland Medical Center, they take call with the inpatient medicine team.
During the orientation month, all PGY1 will be offered ACLS, PALS, NRP and ALSO courses.
| Inpatient medicine |
12 weeks |
| Family and Community Medicine |
4 weeks |
| Obstetrics at Baylor Medical Center at Garland |
8 weeks |
| Inpatient Pediatrics at Children’s Hospital |
4 weeks |
| Pediatric Emergency Medicine at Children’s Hospital |
4 weeks |
| General Surgery |
4 weeks |
| Orthopedics |
4 weeks |
| Behavioral Medicine/Elective |
4 weeks |
| Neonatology at Baylor University Medical Center |
2 weeks |
| NICU at Baylor Garland Medical Center |
2 weeks |
| Emergency Medicine at Baylor Garland Medical Center |
4 weeks |
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Post-Graduate Year 2 (PGY2)
The PGY2 curriculum is designed to enhance inpatient learning while devoting more time to outpatient skills. Residents are in continuity clinic 2 to 3 half days per week. Second year residents spend two 2-week blocks on night float, which is an extension of the inpatient medicine service (see below). In addition to night float, second year residents take approximately one call per month.
| Inpatient medicine |
8 weeks |
| Rural Medicine |
4 weeks |
| ICU |
4 weeks |
| Cardiology |
4 weeks |
| Geriatrics |
4 weeks |
| Neurology |
2 weeks |
| Gastroenterology |
4 weeks |
| Elective |
4 weeks |
| Gynecology |
4 weeks |
| Geriatrics |
4 weeks |
| Private Pediatrics |
8 weeks |
| General/Vascular Surgery |
2 weeks |
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Post-Graduate Year 3 (PGY 3)
The primary focus of the PGY3 curriculum is outpatient medicine. Residents are in continuity clinic 3 to 4 half days per week. In addition to two 2-week blocks of night float, third year residents take four in-hospital calls during the year. Third year residents are also given the opportunity to rotate at the wound care clinic for half a day in a 6 week period. ACLS, PALS, NRP renewal is offered during the third year
| Inpatient Medicine |
8 weeks |
| Urology |
4 weeks |
| Night Float |
4 weeks |
| Dermatology |
4 weeks |
| Radiology |
2 weeks |
| Orthopedics |
2 weeks |
| Rheumatology |
2 weeks |
| Sports Medicine |
2 weeks |
| Elective |
12 weeks |
| Family Medicine Private Practice |
4 weeks |
| Family Medicine Residency Clinic |
4 weeks |
| Pediatric Cardiology |
2 weeks |
| Private Pediatrics |
2 weeks |
| ENT |
2 weeks |
| Ophthalmology |
2 weeks |
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Longitudinal Curricula
The resident on night float works Friday through Tuesday. They are scheduled in the continuity clinic Thursday morning and attend Thursday afternoon conferences.
Many of our curricula are longitudinal, meaning that their content is presented throughout the 3 years of residency and intertwined into didactics and throughout the clinic and hospital settings.
Behavioral Medicine: Residents receive monthly behavioral medicine lectures, see patients with the director of behavioral medicine, and access the behaviorist in real time when seeing patients in the clinic and in hospital.
Procedures: Ample opportunities are presented to perform procedures, which are then logged in a web-based residency management system (New Innovations). Required procedures include but are not limited to central lines, circumcisions, intubations, laceration repair and skin biopsy.
Pharmacotherapy: Residents receive didactic pharmacotherapy instruction as well as real-time instruction in the hospital and clinic settings. The residency provides a subscription to the Prescriber’s Newsletter for each resident.
Practice Management: Instruction in practice management is presented through didactics (including one-on-one and monthly coding didactics), resident-led quality improvement projects, participation on the Clinic Leadership Committee and through direct clinic exposure.
Wound Care: Two PGY2 residents are given the opportunity to attend the National Wound Healing Course in Columbus, Ohio. Residents that complete the course receive 48.5 hours of AMA PRA Category 1 CME credits and are certified by the Undersea & Hyperbaric Medicine Society after their attendance
In addition, all residents have the opportunity to rotate at the Wound Care Clinic during their elective blocks. Here they are exposed to a multi-modality approach to wound care management with a variety of specialists collaborating to speed healing and providing comprehensive and advanced treatments for chronic, non-healing wounds. Residents work side-by-side with Faculty performing a variety of procedures, including bedside debridement and application of biological tissue treatments.
Research: Residents are required to complete one scholarly activity during residency. They attend monthly research committee meetings and receive didactic instruction on research design and methodology, statistics and manuscript/presentation preparation. Residents receive guidance from faculty throughout the course of their project. Residents also present and participate in journal club on a monthly basis.
Night Float
The resident on night float works Friday through Tuesday. They are scheduled in the continuity clinic Thursday morning and attend Thursday afternoon conferences.
On-Call Duties/Responsibilities
• Admit clinic patients through the emergency department
• Admit patients without primary care physicians at Baylor Garland through the emergency department
• Manage patients in labor and delivery
• First-assist on c-sections with private practice obstetricians
• Admit newborns without assigned pediatricians
• Respond to codes throughout the hospital
• Perform needed procedures for patients on inpatient service
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