R2 General Internal Medicine Training Goals
The second year marks the beginning of supervision of interns and medical students and increased responsibilities as a senior resident. Med-Peds PGY2s are expected to supervise interns and medical students on all medicine services through which they rotate, even though they have had half as many rotations compared to the categorical internal medicine residents. Med-Peds PGY2s supervise on the inpatient medicine wards as well as the CCU. In addition to the supervision responsibilities, Med-Peds PGY2s are also expected to have a significant teaching role, both at the bedside as well as at formal conferences. On these two rotations, Med-Peds PGY2s have increased responsibility for the management of patients and are expected to have broader differential diagnoses and more thorough plans of care than interns. Med-Peds PGY2s also have a mandatory procedures rotation, which was implemented this year due to the difficulty past residents have had fulfilling the required procedures to sit for the ABIM exam. Med-Peds PGY2s also continue the Primary Care Medicine curriculum, with the second-year PCM II rotation focusing on Quality Improvement and the care of patients from vulnerable populations with chronic illnesses.
R2 General Pediatrics Training Goals
Med-Peds PGY2s in Pediatrics also have increased responsibility for supervision of interns and medical students on the pediatric services. In addition to the general pediatric inpatient wards and the NICU, Med-Peds PGY2s also rotate in the PICU to care for the management of critically ill infants and children who are not newborns. Although med-peds residents do not rotate in the PICU in the intern year, their combined ICU experiences in both internal medicine and pediatrics provide an adequate foundation for them to focus on the PICU-specific cases. Med-Peds PGY2s also rotate through Developmental-Behavioral Pediatrics and the Community Health and Advocacy Training (CHAT) rotations in Advanced Nutrition and Mental Health/School Function. These pediatric-specific rotations give the Med-Peds PGY2 residents essential knowledge of human development and the role that the family and community plays in both risk and resilience of children.