Residency Life | bronxcare-medicine

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The First Year (R1/ Intern Year)

Even during the first year of residency you are "the doctor" to BronxCare patients. Perhaps more than at any other hospital, you gain essential experience with many kinds of medical patients by taking responsibility for them in the hospital and by recruiting them for your office practice, where you follow them throughout your residency. During the first year, you will rotate through a range of sub-specialty oriented and general medicine floors. A typical day for the first year resident during these months combines experience and didactic learning.

The Second Year (R2/ Junior Year)

As a matter of scheduling, the second year resident's typical day is similar to the first year. Your role in inpatient care is, however, a very different one. As the team leader you supervise a team of interns and serve as a role model to the junior residents. Also, as a second year resident you will rotate through the emergency room, the intensive care and coronary care units. As in the first year, you will continue to follow your regular patient panel in the general medicine setting twice a week. Greater independence and a larger patient panel in the second year begin to resemble the conditions of an internist's role. A typical day for a second year resident combines learning with leadership.

The Third Year (R3/ Senior Year)

As a senior year resident you will take further responsibility for patient care and sharpen your sub-specialty skills in preparation for the internal medicine boards. During this year you will serve as a medical consultant providing consults to surgical and obstetrical services. Much of the third year is elective. You will choose in-depth sub-specialty experiences based on your interest and availability. As in the first two years, you will continue to expand your primary care practice, gaining speed and accuracy in the management of patients with multiple medical problems and practicing with still greater independence. A typical day for a third year resident stresses leadership and in-depth study of specific areas of medical practice.

Our graduates are well equipped to handle the diversity and complexity of primary care internal medical practices.

In fact, a majority of our graduates go into practice upon leaving the program. Many in the area surrounding the hospital or in hospital based practices. Hospital admitting privileges are offered to program graduates planning to practice in the area. A significant number go on to sub-specialty fellowship training in Cardiology, Gastroenterology, Pulmonary medicine, infectious Diseases, Critical Care, Nephrology, Hematology, Oncology, Endocrinology, Neurology & Geriatrics.

The Curriculum of the Internal Medicine Residency Program was developed based on the principles and recommendations of the Accreditation Council on Graduate Medical Education (ACGME) on the Internal Medicine Residency Program Requirements. Revisions to the curriculum have been accomplished with participation from faculty and residents. It is designed to reflect the shift from process-based evaluation to outcomes-based evaluation.

There is a core curriculum in internal medicine and its sub-specialties, which is given by all members of the Department throughout the year. Regularly scheduled conferences include Medical Grand Rounds, Sub-specialty Rounds, Journal Club, Bedside Teaching Rounds, and Monthly Scientific Seminars with leading scientists, Clinico-Pathologic Conferences,Autopsy conferences with the Departments of Pathology and Radiology. There is a separate review course to prepare residents for the American Board of Internal Medicine certifying examinations.

We offer a wide array of educational and learning activities throughout the week. These activities are designed to supplement bedside care and learning that occur every day on the medical floors.

Board Review
Core Curriculum
Evening Report
Grand Rounds
Journal Club
Morbidity and Mortality (M&M) Conference
Morning Report
Root Cause Analysis (RCA) Meetings
Performance Improvement and Quality Improvement Projects (PI & QI)
Medical Student Teaching

Residents are part of the Committee of Interns and Residents (CIR) union. Representatives are chosen from the department and serve as delegates for the residents. The CIR has been very successful in negotiating a competitive compensation package, including medical, dental and vision benefits, as well as life insurance. In addition, residents receive four weeks of paid vacation, malpractice insurance paid by the hospital, disability insurance and reimbursement for travel to academic conferences.

THE EXCITEMENT OF NEW YORK CITY

The Bronx, this borough at the northernmost tip of the city is the only one attached to the North American mainland. The Bronx also has more parkland than any of the other boroughs, a renowned botanical garden, a world-renowned zoo, its own Little Italy, beaches and even an island reminiscent of a New England fishing village. The Bronx is named for Swedish commercial sea captain Jonas Bronck, who in 1639 became the first European settler to establish himself in this area. During its golden age in the 1920s, the building of the elevated subway line increased the borough's population, Yankee Stadium was built and the mile-long Grand Concourse was fashioned as New York’s Champs-Elysees, lined with elaborate art deco buildings.

"People all around the world know the Bronx as the home of the New York Yankees, the Bronx Zoo and the New York Botanical Garden—not to mention as the birthplace of hip-hop. Look deeper and you’ll discover the quaint maritime village of City Island, the cultural attractions of Fordham and Belmont, aka the “real Little Italy,” centered on the restaurants and cafés of Arthur Avenue. Grand Concourse, in the South Bronx, is full of art deco marvels. " For more click here for the the NYC - Official Guide for the Bronx.

Only a short ride from the Concourse pavilion is Manhattan, the cultural heart of New York. World famous attractions, museums and cultural institutions. New Yorkers cheer for the best of almost every American sport: baseball's Yankees and Mets, football's Giants and Jets, basketball's Knicks and Nets, three professional hockey teams, and boxing at Madison Square Garden. Soccer fans root for New York Red Bulls. Historically, New York has welcomed new arrivals from all over the globe. In medicine, as in other fields, New York is a city of rich diversity.

Approximately 9,000 international medical school graduates practice or teach in New York, and nearly 2,000 are currently in residency at New York City hospitals. Almost every country is represented by a medical society, which offers friendship and support to residents far from home.

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