A- A A+ Text Size

The Transitional Year program at Kettering Medical Center provides a broad clinical base for specialty training, or an opportunity to finalize a career decision while developing a clinical base.

Our very flexible TY program is tailored to your individual goals and needs! The Transitional Year Residency program at KMC has been developed for:

• Medical school graduates who need a broad-based clinical year, before entering a specific specialty training program such as anesthesiology, dermatology, neurology, ophthalmology, physical medicine and rehabilitation, radiology, or radiation oncology.
• Medical school graduates who are interested in a career in primary care, but have not yet made a decision whether to pursue Internal Medicine or Family Practice as a specialty. The TY program at KMC can provide a broad base of clinical experience in primary care, thus assisting the individual in choosing a primary care specialty.
• Medical school graduates who need a year of broad-based clinical training prior to serving in the Public Health Service, in the military as a general medical officer (GMO), or as a primary flight/undersea medicine physician.
• Medical school graduates who need at least one year of a broad-based clinical education prior to going on to administrative medicine or research.

Our residents are from LCME-accredited schools in the U.S. and Canada, or from qualified international medical schools.

After completion of the Transitional Year, most residents from KMC pursue careers in specialties that require a well-rounded clinical year prior to beginning their specialty training - such fields include anesthesiology, dermatology, neurology, ophthalmology, PM&R, preventive medicine, radiology, radiation oncology, etc.

Occasionally one of our graduates enter primary care specialties such as IM or FP, or serve their pay-back time in the military (we've had residents who owe time to the Air Force, the Army, and the Navy, and who have gone into positions such as Flight Surgeon, or even the Navy Seals!)

Ten residents are accepted each year. Applicants may apply through the Electronic Residency Application Service (ERAS)

Residents are chosen through the National Resident Matching Program (NRMP)

Fundamental Clinical Skills (FCS)
(required by ACGME TY Review Committee) - 7 Blocks
(5 Blocks) General Internal Medicine
(1 Block) Pulmonary / ICU
(1 Block) Night Hospitalist Medicine (3 weeks required) / 1 week Quality & Safety Rotation

Each service consists of 2 interns, a supervising senior IM resident, an attending, and 1 or 2 medical students.

Emergency Medicine (required by ACGME TYRC) - 1 Block

Ambulatory Medicine
(required by ACGME TYRC) - 1 Block or Equivalent
Block rotation in IM with Sycamore Primary Care Group or other outpatient facility, OR One half-day per week for the year in the SPCG Internal Medicine practice. Depending on a resident's interests, Family Medicine or Pediatrics can be substituted with Program Director approval.

Electives - 4 Blocks
Electives are individually chosen by resident in conjunction with the Program Director, Curriculum Coordinator, and Residency Coordinator who all meet to build the best possible year for each resident

It is expected that most electives chosen will be clinical rotations but limited research electives may be granted in specific instances

Up to 2 blocks of electives can be taken at other institutions for exposure to additional programs. 5 blocks of electives are available if the Continuity Office Practice is chosen for the ambulatory medicine experience.

For residents entering anesthesia, another month of medicine is required by The Anesthesia Residency Review Committee - This may be ICU or General Medicine.

Vacation can be taken during non-Internal Medicine rotations.

Notes:
1. KMC uses the 13 four-week block system
2. FCS = Fundamental Clinical Skills required by the ACGME TYRC

See possible electives below.

Addiction Medicine/Adolescent Medicine	1-2 blocks
Ambulatory Primary Care Med (either IM, FP, or Peds)	1-2 blocks
Anesthesiology (particularly for anesthesia-bound TYs)	1-2 blocks
Dermatology	1-2 blocks
Diagnostic Studies includes one or more:     EKG/Echo     Noninvasive Cardiac Testing     Nuclear Med/PET     Pulm Function Testing     Radiology incl. Neuroradiology	1-2 blocks

Emergency Medicine	1-2 blocks (additional)
Internal Medicine includes:     Cardiology     Critical Care Medicine (Med & Surg ICU)     Endocrinology     Gastroenterology     General Internal Med     Hematology/Oncology     Infectious Diseases     Nephrology     Pulmonology     Rheumatology	1-5 blocks (additional)
General Surgery	1-2 blocks
Neurology	1-2 blocks

Neurosurgery	1-2 blocks
OB/GYN	1-2 blocks
Ophthalmology including Neuro-Ophthalmology	1-2 blocks
Orthopedic Surgery	1-2 blocks
Otorhinolaryngology (ENT)	1-2 blocks
Pathology and Laboratory	1-2 blocks
Pediatrics includes:     Peds Emergency Med     Peds Inpatient Med     Peds Outpatient Med	1-2 blocks
Plastic Surgery	1-2 blocks

Physical Medicine and Rehabilitation	1-2 blocks
Psychiatry	1 block
Radiation Oncology	1-2 blocks
Research	1-2 blocks
Sports Medicine	1 block
Others as approved by the Program Director.

Month	Rotation
Block 1	Medicine
Block 2	Radiology
Block 3	EKG
Block 4	Outpatient
Block 5	Medicine
Block 6	Night Float Medicine
Block 7	Emergency Medicine
Block 8	Pulmonary/ICU
Block 9	Medicine
Block 10	Anesthesia
Block 11	Medicine
Block 12	Medicine
Block 13	Ortho

First year TY residents are on 14 hour call shifts every fourth day during the Fundamental Clinical Skills months. While on call, there is always a senior resident present who sees the patients with you.

Transitional Year residents assume the same responsibilities while on duty and are treated the same as categorical IM residents.

Residency Program Sponsors:

• KMC Internal Medicine
• WSU Emergency Medicine

KMC Transitional Year is affiliated with Wright State School of Medicine (all residents/fellows are Jr. Clinical Instructors at WSU).

DAGMEC (Dayton Area Graduate Medical Education Consortium) / Wright State University.

The Transitional Year Education Committee and the Graduate Medical Education Committee are the oversight committees, which:

• Review all components of the program.
• Assures that the quality and opportunities are equal to the categorical programs.

We are fully accredited by the Accreditation Council for Graduate Medical Education (ACGME). Our last approval for Continued Full Accreditation was November 1, 2007 receiving the maximum time allowed, which is 5 years. The program has always been fully accredited, since it began in 1984.