What does a typical workday involve?
A typical day might be structured as follows:
6:30 AM - 9:00 AM
AM Sign Out and Pre-rounding
9:00 AM - 11:30 AM
Ward Rounds with Attending
12:00 PM - 1:00 PM
1:00 PM - 4:00 PM
Patient Care (Admissions, Discharges)
4:00 PM - 4:30 PM
Formal Group Sign-out
How are Inpatient Floor Teams Organized at Albany Medical Center?
There are five inpatient teams at Albany Medical Center that are geographic. Four of the teams consist of general medicine patients and one of the teams is devoted solely to hematology/oncology patients. Each team includes a resident and two interns as well as a supervising attending.
How are Inpatient Floor Teams Organized at Stratton VA Medical Center?
There are two inpatient teams at Stratton VA Medical Center. These teams consist of one resident and three interns as well as a supervising attending.
What is the on-call system for house officers?
PGY-1 residents are responsible for call every fifth night until 9:00pm. Interns work in the wards during their night float rotation or in the MICU during their night shifts. PGY-2 and PGY-3 residents average every fifth night on call until 9:00pm and one Saturday per month while on medicine ward rotations.
A meal allowance, redeemable at the hospital cafeteria, is provided to on-call residents at Albany Medical Center Hospital; at Stratton VA Medical Center, meals are provided free of charge in the cafeteria.
What is the night float system?
We are fortunate to have a house staff program that is large enough to allow for a night float system at all levels of training. The night float house officer works Sunday through Friday, from 9:00 PM to 8:30 am (this includes morning report).
PGY-1 residents are assigned to up to six weeks of night float and upper level residents do an average of 4 weeks per year. The night float team consists of one resident and two to three interns.
Are ancillary services available to the on-call resident?
Both hospitals have extensive ancillary services, including phlebotomists and I.V. teams, available 24 hours a day, 7 days a week. Laboratory results are accessible via computer on all wards. At both hospitals there is a Rapid Response Team that presents to urgent medical situations on the floors to help with expedited care.
How is the outpatient ambulatory care experience structured?
Albany Medical Center's program has been approved as a Primary Care Residency by the New York State Department of Health and as such residents in our categorical program spend at least 20% of their training in their outpatient continuity clinic.
Our outpatient experience is designed to prepare residents for careers in both general internal medicine and ambulatory aspects of specialty practice. Faculty preceptors are assigned to each resident and patient continuity is stressed throughout the three-year experience. Clinics are scheduled in one-week blocks (every 5th week).
The Residency Program in Internal Medicine is one that provides exceptional opportunity to cultivate strong clinical skills, develop patient relationships, and interact with faculty and other residents and health care professionals.
Some frequently asked questions about our Internal Medicine Residency Program at Albany Medical Center include the following:
What is the overall educational experience of the resident?
The educational experience is a multi layered one that complements academic study and teaching opportunities with clinical and patient care experience. The experience follows the objectives outlined in our curriculum.
- Elective rotations provide an intense educational experience, with residents interacting with attendings on a one-to-one basis. Electives may incorporate subspecialty clinics, consultations, and, when applicable, time for research.
- All residents attend daily noon conference, where broad range of case discussions and specialty topics are presented by department faculty.
- Journal Club occurs during the outpatient rotations.
- Morbidity and Mortality Conference is held twice per month. A cross-section of departmental faculty, and faculty members representing radiology, pathology, and other medical specialties attend this conference.
- Morning Report occurs 5 days per week. Sessions are attended by the PGY-2 and PGY-3 ward residents, as well as the night float team.
- Medical Grand Rounds is held twice per month. This academic medical lecture series highlights recent topics in basic science and clinical medicine; presentations are given by full-time Albany Medical Center faculty and guest lecturers from other academic health science centers.
- Attending physicians participate in work rounds, providing bedside teaching and case-specific discussion.
Residents rotate through Albany Medical Center Hospital and the Samuel S. Stratton Department of Veterans Affairs Medical Center (VAMC). In addition to housing a state-designated Level I regional trauma center, a state-designated Level III regional perinatal care center, and a state-designated regional AIDS treatment center, Albany Medical Center maintains a Bone Marrow Transplantation program, Organ Donation and Transplantation program, and a Children's Hospital. The VAMC is located adjacent to the Medical Center and provides educational experiences in all specialties.
Albany Medical Center
South Clinical Campus
What elective experiences are available during the residency?
Categorical residents are allocated 5 months of elective time during their PGY-2, and 5 months of elective time during their PGY-3 residency. Of those 10 months, 2 must be spent in Ambulatory Care Block rotations, 2 in Neurology and non-IM specialties and 1 in Geriatrics, which includes a two week experience in home-based health care. There are approximately 8 weeks per year for subspecialty electives which include Rheumatology, Hematology/Oncology, Nephrology, Cardiology, Endocrinology, Pulmonary, Quality Improvement and many others.
Allergy and Immunology
Dr. Jocelyn Celestin
Dr. Steven Fein
Dr. Sharon Alger
Endocrinology and Metabolism
Dr. Sara Clark
Dr. Seth Richter
Dr. Michael Wolff
Dr. Makenzie Evangelist
Dr. Cynthia Miller
Dr. Sheran Mahatme
Pulmonary/Critical Care Medicine
Dr. Scott Beegle
Dr. Ruben Peredo
Can residents pursue research interests during their training?
The residency in Internal Medicine is designed to accommodate the personal goals of all residents. Research interests are encouraged and supported; residents may elect to complete up to 2 months of research in the second and/or third year of training. At the present time, a variety of clinical and basic research is being conducted in the Department of Medicine, including specific research in our Clinical Pharmacology and Molecular Biology divisions.
How are residents evaluated during postgraduate training?
Using the American Board of Internal Medicine (ABIM) evaluation scale, the Internal Medicine residency program generates monthly evaluations through an electronic evaluation software for each resident. PGY-1 residents are evaluated by the attending faculty and supervising resident. PGY-2 and PGY-3 residents are evaluated by the attending faculty and the PGY-1 residents they supervise.
We also value information from residents about their experience in our program. Residents are asked to evaluate their attending faculty and clinical rotation on a monthly basis. Each year residents elect members of their class to a council that acts on their behalf by bringing concerns and questions to monthly meetings with the Internal Medicine Program Director and Chief Residents.
At the end of each rotation, written performance feedback is provided to each house officer. The program director meets with each resident on a semi-annual basis to review evaluations. A Clinical Evaluation Exercise (CEE) is conducted during the first year of training, and multiple times during the second or third postgraduate year. The in-service examination is a nationally administered examination that is an online based test that is mandatory for all categorical residents.