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Preliminary Year in Internal Medicine (PGY-1)

  • The PGY-1 year is focused on the individual patient encounter. Residents interview and examine patients in a wide variety of clinical settings, define each patient's clinical problems and health care needs, and develop plans for diagnosis and management.  Each of these encounters is mentored by at least one faculty member and by a PGY-2 or PGY-3 Internal Medicine resident as well.
  • Much of the teaching happens one-on-one, as faculty member, resident, and patient work together toward the complementary goals of patient health and resident education.  Constant attention is paid not only to the patient's illness, but also to the psychological and social context in which the illness occurs.
  • In their discussions after seeing their patients, residents and faculty members define gaps in their knowledge and take responsibility for filling those gaps by seeking out the best available evidence from basic or clinical research.  Subsequent decisions are scientifically based and, equally important, a pattern of lifelong, patient-centered learning is established.
  • The core curriculum for Preliminary Medicine/Neurology Residents is identical to that of the First Year Categorical Medicine residents except that additional inpatient neurology experiences replace other inpatient experiences
  • All core experiences take place at SMH.
  • Each PGY-1 resident spends a half day each week in the General Neurology longitudinal clinic


  • Inpatient general medicine (14 weeks)
  • Inpatient neurology (8 weeks)
  • MICU (6 weeks)
  • CCU (4 weeks)
  • General Medicine Urgent Care Clinic (6 weeks) 
  • Afternoon Clinic/Evening Float (4 weeks)
  • Electives (6 weeks)
  • Vacation (4 weeks)