The PGY-1 (first or internship year) is designed to provide comprehensive experience in general internal medicine on the ward, ICU, ER, and the clinic. Upper level residents, the chief resident, and attending faculty, supervise PGY-1 residents. On general internal medicine services, the PGY-1 resident has primary responsibility for patients and is expected to actively participate as a teacher of junior and senior medical students assigned to the resident/faculty team. The PGY-1 schedule includes a three week vacation.
The PGY-2 is designed to provide the resident with increasing responsibility, which includes leading the health care team, supervising the inpatient care of acutely and chronically ill patients, and making decisions regarding a patient's need for hospital admission. The PGY-2 includes general internal medicine inpatient as well as subspecialty electives. In addition, second year residents have a primary teaching role for assigned medical students and first year residents. PGY-2 residents have a three week vacation.
The PGY-3 resident is given maximum house staff responsibility in the care of general internal medicine and subspecialty patients. The year is designed to increase the resident's total patient management skills. The resident leads the team in the ICU and serves as a first-line consultant for junior house staff and medical students during subspecialty electives. The resident serves periodically as a general internal medicine consultant for other services and supervises the admission of patients to the internal medicine. PGY-3 residents also have the opportunity to rotate on non-medicine electives such as dermatology, ENT, and ophthalmology. In addition, third year residents have major bedside and didactic teaching responsibilities for medical students and are assigned junior house staff. PGY-3's may also rotate on electives at William Beaumont Army Medical Center, a large teaching hospital 10 minutes from the campus. The PGY-3 schedule includes a four week vacation.
TTUHSC El Paso's residency program also provides primary continuity-of-care experience in the ambulatory internal medicine clinics. PGY-1's, PGY-2's, and PGY-3's all spend one half-day per week seeing their own patients in the general internal medicine clinic. This system allows the resident to follow the evolution of disorders typically seen by the internist, to observe the response to outpatient therapy, and to understand the unique comprehensive health care needs of ambulatory patients. The ambulatory training is supervised by experienced full-time attending faculty who provide on-site consultation and patient care discussions. The resident's clinic responsibility increases during each year of training. Residents who successfully complete the training program are prepared for a career in internal medicine or for fellowship training and are qualified to take the certifying examination of the American Board of Internal Medicine.