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Transitional Year Program

Purpose

  • According to the Accreditation Council for Graduate Medical Education (ACGME), the Transitional Year is designed to fulfill the educational needs of medical school graduates who:

    • Have chosen a career specialty for which the respective program in graduate medical education has, as a prerequisite, 1 year of fundamental clinical education, which may also contain certain specific experiences for development of desired skills; or

    • Have not yet made a career choice or specialty selection and desire a broad-based year to assist them in making that decision; or

    • Are planning to serve in organizations such as the public health service or on active duty in the military as general medical officers or primary flight/undersea medicine physicians prior to completing a program in graduate medical education; or

    • Desire or need to acquire at least 1 year of fundamental clinical education prior to entering a career path that does not require broad clinical skill, such as administrative medicine or non-clinical research.

  • The objective of the Transitional Year is to provide a well-balanced program of graduate medical education in multiple clinical disciplines designed to facilitate the choice of and/or preparation for a specific specialty. The transitional year is not meant to be a complete graduate education program in preparation for the practice of medicine.

  • At Tripler Army Medical Center (TAMC), the Transitional Year can be tailored to satisfy prerequisites for a variety of residencies. The TAMC program conforms to all the requirements of the ACGME for Transitional Year internship. Additionally, it can be modified to conform to American Osteopathic Association (AOA) requirements for osteopathic interns as needed.

Program Requirements (13 four-week rotation blocks)

  • Fundamental Clinical Skills:

    • Emergency Medicine: Eight weeks (two blocks). Exception: Transitional year residents confirmed for a follow-on residency in anesthesiology will only do one 4-week block.

    • Internal Medicine (two blocks)

    • Ambulatory Care Medicine: Outpatient (four weeks (one block). All residents will rotate through the Family Medicine Clinic. Residents should contact the Transitional Year Program Director if they desire to do a rotation in outpatient internal medicine.

    • Trauma Surgery: Four weeks (one block) at The Queen’s Medical Center, Honolulu, HI.

    • Obstetrics-Gynecology: Four weeks (one block)

    • Pediatrics: Four weeks (one block)

    • Critical Care Medicine – Intensive Care Unit: Four weeks (one block). Mandatory for transitional year residents confirmed for a follow-on residency in anesthesiology. All other transitional year residents will perform this rotation on a space-available basis.

    • Cardiology Inpatient Team: Four weeks (one block). This rotation is required for transitional year residents who are scheduled for a follow-on residency in anesthesiology. It is also required for residents who are scheduled for a follow-on residency in diagnostic radiology if they are unable to be assigned a rotation on the intensive care unit.

    • Elective: Twelve weeks (three blocks). Elective rotations for transitional year residents are listed in the Transitional Year Residency program manual.

  • Transitional Year residents who have already been accepted for follow-on residency training must be provided curricular components specified by the specialty requirements, i.e., Diagnostic Radiology, Anesthesiology, Ophthalmology, Dermatology, Physical Medicine and Rehabilitation, and Radiation Oncology. These requirements may be found at the following website: http://acgme.org/acgmeweb/Portals/0/PFAssets/ProgramResources/999_SpecialtySpecificRequirementsPGYCBY.pdf.

  • Residents are required to participate in the total care of their patients. Training in laboratory diagnosis, radiological interpretation, and pharmacological management of patients is achieved through integration with FYGME activities on all services.

For additional information or to arrange an interview please contact the Transitional Coordinator at 808-433-2474.



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