Each academic year is structured by 13 rotations, four weeks in length.

PGY I	PGY II	PGY III
Orientation - 4 wks Emergency Medicine - 4 wks Peds Inpatient2- 4 wks Pediatrics - 4 wks Psychiatry - 4 wks Internal Medicine - 12 wks Geriatrics - 4 wks ENT/Urology6 - 4 wks Obstetrics - 8 wks Ophthalmology/Amb Med - 4 wks	Community Medicine- 4 wks Emergency Medicine - 4 wks Critical Care1 - 4 wks Dermatology - 4 wks Surgery3 - 8 wks Internal Medicine - 8 wks Orthopedics5 - 4 wks NICU1 - 4 wks Obstetrics - 8 wks Gynecology - 4 wks	Sports Medicine - 4 wks Pediatric ER2- 4 wks Medical Subspecialty - 4 wks Preceptorship - 4 wks Neurology - 4 wks Internal Medicine - 8 wks Elective - 12 wks Cardiology4 - 4 wks Obstetrics - 4 wks Ambulatory Medicine - 4 wks

¹Truman Medical Center-Hospital Hill
²Children's Mercy Hospital
³ Research Medical Center
⁴ Private practice Cardiology Group
⁵ Private practice Orthopedic Group, Orthopedics office
⁶ Private practice office Otorhinolaryngologist/Urologist

Orientation - All first years have an orientation month during the first block of the year, so for much of July you are completing certification courses, having lectures and learning about the processes of the hospital. Typically, this is an 8am-4pm schedule.

Panel walk-in - This is a same-day clinic for people presenting with one acute problem who are an established patient of one of the residents in the program. This rotation is done in the 1st and 3rd year and usually you work in clinic from 8-12 and 1-4 with noon conference in between. You may have an occasional 1/2 day off, be on vacation during this month, or be doing your own continuity clinic. Hours probably average about 40 per week.

Obstetrics (2 months) - Two months covering labor and delivery. We are the only residents in the hospital, so the OB team does the management of the patients who present to labor and delivery and delivers those patients who do not have a "panel" doctor or a resident who has been following them for continuity care throughout their pregnancy. The hours vary depending on how often you are on call (this depends on the size of the service). Our call schedule is not strictly Q anything, but rather call is divided among the team members for the month. On a non-call day, everyone arrives at Labor and delivery at 7am. You will either be on the floor all day and usually finish around 4pm on the floor, or be in your continuity clinic. Call starts at noon and ends after rounds around 8am the next day. Call on the weekend is 24 hours starting at 8am.

Medicine (3 months) - Two months consecutively and one month at some other time during the first year. Medicine is similar to OB in that the call is divided between all of the 1st and 2nd years on service. One resident (usually a PGY III) serves as RIC - resident in charge. PGY I and II divide call. Non-call days, everyone arrives by at least 7am to find out about their patients overnight. Everyone then sees their patients and writes notes to be ready for rounds at 9am. After rounds, everyone finishes other work throughout the day and see new admissions. You are finished after checkout rounds which start at 4:30pm. On a call night, you arrive at 4:30pm and are finished by noon the next day. The number of hours you work depends on how often you are on call. Call on the weekends either days or nights is from 8 to 8 both Saturday and Sunday.

ER - Emergency room and your hours are somewhat flexible. There are two residents, one intern and one 2nd year on during a typical month. Usually hours are scheduled so that two residents aren't there at the same time. Shifts vary from 8 hours to 12 hours, but you are always done by 10pm or 11pm (unless you choose to work overnight) so you never have to work overnight shifts.

Geriatrics - Long Term Care Center in our hospital. Most people arrive for this rotation around 8am and you see the patients that have been placed on a doctor's list on each floor. You see the patients with one of our geriatrics fellows and address any acute issues that need attention. Then, you help with whatever admissions might occur during the day or have geriatric assessment clinic or lecture. This tends to be a fairly laid back rotation with respect to hours as you are often dismissed early in the afternoon if no admissions are expected and you have completed the acute care for the day.

Peds Outpatient (Newborn Nursery and Clinic) - You see all of the babies in the nursery that do not "belong" to one of the other resident physicians and they need to be seen by 9am. Then you help out in Peds clinic in the morning which involves seeing the newborn babies for 1 wk checks and weight checks. Most afternoons in Peds clinic tend to be well child checks and sick visits for children of any age. During the day, you admit any babies that need admitted to the nursery and do circumcisions on the babies whose parents elect that. If any infant becomes ill in the nursery during the day, you respond to that. There is no call on this rotation and you typically work two of four weekends.

Peds Inpatient (Children's Mercy Hospital) - This is by far our hardest rotation with respect to hours. No one exceeds 80 hours per week, although this is probably where we come the closest to 80 hours. You fill one of the intern spaces that Children's Mercy Hospital has on their inpatient team.

Psychiatry - This rotation is done at our hospital and involves seeing any psychiatric consults on the inpatient medicine floors or long term care center, doing clinic with our psychiatrist in the afternoon. You are also responsible for medicine consults from the psychiatric floors during this rotation. You will find that you have a lot of time to read during this rotation as the clinic and consult numbers vary significantly throughout the rotation.