PGY-1 Rotations

Internal Medicine Residency at Monmouth Medical Center

PGY 1 rotations

  • General Medicine Faculty Service
    • Duration: Four blocks
    • Call Frequency: Every 4th day
    • Overnight Shifts: None
  • General Medicine Hospitalist Service
    • Duration: Four blocks
    • Call Frequency: Every 4th day
    • Overnight Shifts: None
  • Intensive Care Unit
    • Duration: Two blocks
    • Call Frequency: Every 3rd day
    • Overnight Shifts: None
  • Ambulatory Medicine/ Continuity Care Clinic
    • Duration: 8 x 0.2 blocks
    • Call Frequency: No call
    • Overnight Shifts: None
  • Vacation
    • Duration: One block
    • Call Frequency: No call
    • Overnight Shifts: None

General Medicine Faculty Service

Duration: 4 Blocks (4 weeks/block)

There are two general medicine ward teams. Each team consists of a teaching internist, 1 PGY-2/PGY-3 resident, 2 PGY-1 residents, and 1-2 medical students. Morning bedside rounds are held daily. Each team takes complete charge of its patients. Subspecialty consultations may be requested as appropriate. Upon discharge, patients admitted under the Faculty service will eventually be followed by the medical residents in their weekly continuity clinic.

General Medicine Hospitalist Service

Duration: 4 Blocks (4 weeks/block)

There are two general medicine hospitalist teams, each comprising one PGY-2 resident, two PGY-1 residents, and 1-2 medical students. These teams are organized by geographical location and engage in multidisciplinary rounds on weekdays. The residents and interns acquire valuable insights into the practice of hospitalist medicine through this structured experience.

Intensive Care Unit

Duration: 2 Blocks (4 weeks/block)

Each ICU team consists of up to 2 PGY-3 residents, 1 PGY-2 resident, and 2 PGY-1 residents. Residents gain experience in critical care, ventilator management, and vasopressor support. Multidisciplinary rounds with a teaching intensivist, respiratory therapists, critical care nurses, pharmacists, clergy, case managers, and auxiliary staff are held daily.

Ambulatory Medicine/ Continuity Care Clinic

Duration: 8 Blocks (1 week/block)

Description: Each PGY-1 goes to the Federally Qualified Health Center every 5th week to provide acute and preventive care for their panel of patients. They also rotate through various medical outpatient clinics, which include Otorhinolaryngology, Orthopedics, ED-Urgent care, and wound care. Residents gain experience performing outpatient procedures like fundoscopy, otoscopy, arthrocentesis, etc.