Clinical Rotations | Texas Tech University Health Sciences Center

Residency Rotations and Scheduling

The PGY1 (first or internship year) is designed to provide a comprehensive experience in general internal medicine. PGY1 residents are supervised by upper level residents, the chief resident, and attending faculty. On general internal medicine services, the PGY1 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 PGY1 schedule includes 30 working days of leave.

FLOOR 4 BLOCKS
MICU 3 BLOCKS
CICU 1 BLOCK
ER 1 BLOCK
ELECTIVES 2 BLOCKS
SELECTIVES (NEPHROLOGY, ID, CARDIOLOGY) 3 BLOCKS

The PGY2 year 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. It includes general internal medicine inpatient rotations plus subspecialty rotations of the resident's choosing. The PGY2 resident has a primary teaching role for assigned medical students and first-year residents. PGY2 residents have 30 working days of leave.

FLOOR 2 BLOCKS
MICU 1 BLOCK
CICU 1 BLOCK
ONCOLOGY CONSULTS 1 BLOCK
GENERAL MEDICINE CONSULTS 2 BLOCKS
VA CLINIC 1 BLOCK
AMBULATORY ROTATION 2 BLOCKS
ELECTIVES 3 BLOCKS
JEOPARDY 1 BLOCK

The PGY3 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 serves as a first-line consultant for the junior house staff and medical students. The resident serves periodically as a general internal medicine consultant for other services in the hospital and supervises the admission of patients to the internal medicine services. The third year resident has major bedside and didactic teaching responsibilities for medical students and assigned junior house staff. The PGY3 schedule includes 30 working days of leave.

FLOOR 2 BLOCKS
MICU 1 BLOCK
NEUROLOGY 1 BLOCK
VA CLINIC 1 BLOCK
GENERAL MEDICINE AMBULATORY 1 BLOCK
GERIATRICS 1 BLOCK
HOSPITAL MEDICINE 1 BLOCK
ELECTIVES 6 BLOCKS