Rotation Schedules
PGY-1:
The internship year provides general medicine ward experiences divided among Stanford University Hospital, the VA, Palo Alto Health Care System, and Santa Clara Valley Medical Center. Other inpatient rotations at Stanford and the VA include Cardiology, Hematology, Oncology, Hepatology, and ER. Interns gain critical care experience in the VA ICU and the CCU, and they have the opportunity to work one-on-one with a senior resident during the night-float rotation at Stanford. In addition to a weekly continuity clinic for all interns and residents, the intern will spend approximately 2-4 months on outpatient or consult blocks drawn from all of the subspecialties of Internal Medicine.
PGY-2:
The junior residency provides increased supervisory responsibility on the wards, the outpatient clinics, and subspecialty rotations. Junior residents spend approximately 6 months on inpatient rotations. Juniors gain more autonomy as team leaders on wards teams and in the VA ICU, as solo residents on night float, and as members of the Stanford ICU critical care team. Because of their increased teaching responsibility, all junior residents participate in the Stanford Teaching Improvement Seminars led by internationally recognized teaching expert and Program Director, Kelley Skeff. In addition to the internal medicine subspecialties, junior and senior residents may rotate on the Bone Marrow Transplant unit, in the HIV clinics, on Psychiatry, and on Neurology. The section on outpatient experience under “Clinical Education” lists the many available ambulatory block rotations overseen by the Division of General Internal Medicine.
PGY-3:
The senior resident spends approximately 5 months on inpatient rotations, commonly as the leader of a wards team. The remaining months in the senior year consist of subspecialty and elective rotations, with an emphasis on balanced outpatient and inpatient care. The program is committed to provide each resident with a wide variety of subspecialty rotations by completion of the third year, reflecting the program's emphasis on a broadly-based education. Several special interest rotations, such as Student Health and community clinic rotations, are available only to third-year residents. In addition, junior and senior residents have the opportunity to craft an elective or research month tailored to their specific interests in medicine. This elective month often provides the basis for the senior talk that all residents give to their colleagues.