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The Program

Campus

    The Transitional Year Program is fully accredited through 2004, by the Accreditation Council for Graduate Medical Education (ACGME) which is jointly sponsored by the American Board of Medical Specialties, the American Hospital Association, the American Medical Association, the Association of American Medical Colleges, and the Council of Medical Specialty Societies.

    CHRISTUS St Joseph Hospital Transitional Year Program consists of 12 months of training, in conjunction with rules and regulations outlined by the ACGME. Our two program sponsors are the CHRISTUS St. Joseph Hospital Family Practice Program and the CHRISTUS St. Downtown HoustonJoseph Hospital General Surgery Training Program. The fixed requirements of this internship consist first of two months of ICU/CCU duty.  During this rotation, the intern becomes familiar with the care of patients with acute respiratory failure, myocardial infarction, septic shock and other situations in which patients are best treated in the intensive care setting.  The intern will learn how to place various types of catheters, including subclavian and Swan-Ganz catheters and interpret the data.  The intern will also learn intubation procedures and become familiar with critical care medicine.  During this rotation, the intern will interact with Family Practice residents, as well as residents involved in the CHRISTUS St. Joseph Hospital General Surgery Training Program.

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    The second required rotation consists of four months of Ward medicine.  During these rotations, the intern will become familiar with general internal medicine patients, as well as those requiring specialized care, such as oncology, nephrology or gastroenterology.  ICU StationThe intern will work together with three other members of the Transitional program and interact with Family Practice interns of the same level.  There is constant communication with a number of staff physicians and senior level Family Practice residents.  There are regular teaching conferences during this rotation.

    The final required rotation is a one-month tour in the Emergency Department.  This rotation is supervised by board certified emergency medicine physicians, and consists of fourteen twelve-hour shifts.  The schedule of this rotation may be worked out with the emergency room attending physician, and is somewhat flexible.

    The remainder of the rotations are electives.  These can be structured depending on the interest of the intern.  Typical rotations may include some of the following:

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Radiology:  Radiology ViewingDuring this rotation, the intern spends time with the University of Texas radiology residents and CHRISTUS St. Joseph Hospital radiology staff and learns fundamentals of radiology.  This month may also be spent in radiation therapy if this is the particular field the candidate is interested in.  Other sub-selective rotations such as nuclear medicine and MRI and CAT scan interpretation may also be structured.

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Microsurgery:  This popular elective often interests prospective ophthalmologists and focuses on the candidate learning how to perform microsurgery using modern laser techniques and operating microscopes.  It takes place in the CHRISTUS St. Joseph Hospital Microsurgery Training Laboratory, which is a fully equipped facility staffed by a full time surgeon.  In this program, the intern will also interact with a number of higher level residents, including those involved in plastic surgery, general surgery and orthopedic surgery.

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Dermatology:  The intern spends time with four practicing dermatologists, including one dermatopathologist, who is engaged in an active training program in dermatopathology.  This is primarily an ambulatory care type rotation.

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Infectious Diseases:  On this rotation, the intern will be involved in the care of inpatients and outpatients receiving antibiotic therapy.  The intern will learn how to deal with a number of unusual infections, including problems involved with AIDS.

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Hematology/Oncology:  The intern spends time both in the hospital and in the ambulatory care facilities seeing patients with various types of hematologic and solid tumor malignancies.  The intern will learn how to perform bone marrow examinations and how to evaluate patients with various forms of malignancy.

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Pulmonary Diseases:  The intern will become familiar with the specialty of pulmonary diseases and learn how to interpret bronchoscopic data and pulmonary function studies.  Patients will be seen both in the hospital and in the ambulatory care facilities.

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Ophthalmology:  The intern becomes familiar with the care of the general ophthalmic patient.  Much of this is done on an ambulatory care basis, but the intern does spend time in the operating room observing the various surgery techniques and learning their indication.

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Surgery Sub-specialties:  The intern may choose to take a month in any number of surgical areas, including orthopedic surgery, general surgery, or plastic surgery.  During each of the rotations, the intern will interact with the various surgery residents, as well as the staff physicians.

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Womens Clinic
Obstetrics/Gynecology:  The intern will learn how to evaluate routine gynecological and obstetrical problems and participate with the resident house staff in the care of hospitalized obstetrical and gynecological patients.

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Physical Medicine:  The intern spends time with board certified specialists in the field and becomes familiar with rehabilitation techniques.

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Neurology:  The intern spends time with board certified neurologists examining patients in both the inpatient and outpatient setting and learns the fundamentals of a complete neurologic examination.

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Pediatrics:  The intern may spend time specifically in neonatology in our large neonatology nursery; or consider general pediatrics, which would be primarily an ambulatory care rotation.  This elective can be constructed depending on the needs of the house officer.

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ICU RoomAnesthesiology:  The house officer becomes familiar with intubation and various anesthetics in the operating room setting, as well as various types of venous and arterial catheters and monitoring equipment.

    Additional rotations are available depending on the particular interests expressed by the house officer.  The above elective list is not necessarily complete, but does represent a majority of rotations that have been sought in the past several years.

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