The internship year is designed to provide a solid foundation for the study of orthopaedic surgery. Rotations include general surgery, pediatric surgery, plastic surgery, orthopaedic surgery, surgical and medical ICU, rheumatology, emergency medicine and physical medicine & rehabilitation.

The PGY 2-5 years incorporate increased patient care and surgical responsibilities. Rotations through Albany Medical Center Hospital (AMCH), Samuel S. Stratton Department of Veterans Affairs Medical Center (VAMC), and two large community hospitals, St. Peter's Hospital and Ellis Hospital, afford exposure to all facets of orthopaedic practice. A total of 250 orthopaedic hospital beds exist for trauma, joint replacement, hand surgery, sports medicine, tumor, foot surgery, pediatrics and spine surgery. Senior residents also spend three months on pediatric rotation at Shriner's Hospital in nearby Springfield, Massachusetts.

All rotations are divided into three-month blocks. Residents receive three weeks of vacation time and one week of conference time per academic year.

Rotations are structured to provide continuity of care by integrating the outpatient, inpatient, and operative experiences during each rotation.