Transitional Year KMC Residency Program
Message From the Transitional Year Program Director
The transitional year curriculum has been designed to give the resident a broad clinical base yet preserve much needed
flexibility in meeting individual career goals. The curriculum for each resident is individualized by the Program
Director, Curriculum Coordinator, and Residency Coordinator based on his/her needs.
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 Goals
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, ophthalmology, physical medicine and rehabilitation, or radiology.
- 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.
 Who Are Our Residents?
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!
 Openings
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)
 Required Rotations
Fundamental Skills
(required by ACGME TY Review Committee) - 6 Months
(5 Months) General Internal Medicine (1-2 weeks of night float required*)
(1 Month) Pulmonary / ICU
Each service consists of 2 interns, a supervising senior resident, an attending, and 1 or 2 medical students.
Emergency Medicine (required by ACGME TYRC) - 1 Month
Ambulatory Medicine
(required by ACGME TYRC) - 1 Month or Equivalent
Block rotation 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.
Electives - 4 months
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 months of electives can be taken at other institutions for exposure to additional programs. 5 months 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.
* Curriculum is subject to change based on new ACGME duty hour regulation due to take effect July 1, 2011.
See possible electives below.
 Electives
| Addiction Medicine/Adolescent Medicine |
1-2 months |
Ambulatory Primary Care Med (either IM, FP, or Peds) |
1-2 months |
| Anesthesiology |
1-2 months |
| Dermatology |
1-2 months |
Diagnostic Studies includes one or more:
EKG/Echo
Noninvasive Cardiac Testing
Nuclear Med/PET
Pulmonary Function Test
Radiology including Neuroradiology |
1-2 months |
| Emergency Medicine |
1-2 months (additional) |
Internal Medicine includes:
Cardiology
Critical Care Medicine (Med & Surg ICU)
Endocrinology
Gastroenterology
General Internal Medicine
Hematology/Oncology
Infectious Diseases
Nephrology
Pulmonology
Rheumatology |
1-5 months (additional) |
| General Surgery |
1-2 months |
| Neurology |
1-2 months |
| Neurosurgery |
1-2 months |
| OB/GYN |
1-2 months |
Ophthalmology including Neuro-Ophthalmology |
1-2 months |
| Orthopedic Surgery |
1-2 months |
| Otorhinolaryngology (ENT) |
1-2 months |
| Pathology and Laboratory |
1-2 months |
Pediatrics includes:
Peds Emergency Med
Peds Inpatient Med
Peds Outpatient Med |
1-2 months |
| Plastic Surgery |
1-2 months |
| Physical Medicine and Rehabilitation |
1-2 months |
| Psychiatry |
1 month |
| Research |
1 month |
| Sports Medicine |
1 month |
| Others as approved by the Program Director. |
 Sample Rotation Schedule
| Month |
Rotation |
| July |
Medicine |
| August |
Radiology |
| September |
EKG |
| October |
Outpatient |
| November |
Medicine |
| December |
Emergency Medicine |
| January |
Pulmonary/ICU |
| February |
Medicine |
| March |
Anesthesia |
| April |
Medicine |
| May |
Medicine |
| June |
Ortho |
 Call Responsibilities
Seven months during the year. 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 call and are treated the same as categorical IM residents.
 Sponsors, Affiliations, and Oversight Committee
Residency Program Sponsors:
- KMC Internal Medicine
- WSU Emergency Medicine
KMC Family Practice is affiliated with Wright State School of Medicine (all residents/fellows are Jr. Clinical Instructors at WSU).
DAGMEC (Dayton Area Graduate Medical Education Consortium).
The Institutional Coordination Committee is the oversight committee, which:
- Reviews all components of the program.
- Assures that the quality and opportunities are equal to the categorical programs.
 Accreditation
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.
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