The Transitional Year Residency Program at Flushing Hospital Medical Center is a fully accredited one-year course of post-graduate training. The residency program started in 1998. The Program Director, Roberto Cantu, Jr., M.D. is responsible for the administration of the program in addition to oversight for the maintenance of the program’s educational environment.
Course of Study:
The transitional year residency course of study is very flexible and is determined by the needs of the resident. In fact, the residents design their own schedules. The current schedule consists of 13 four-week blocks. Seven months of the year must consist of rotations in Medicine, surgery, Obstetrics and Gynecology and Pediatrics. Residents must rotate through at least two of those departments although there is no requirement to rotate through all. Residents may spend up to six months in one department. Our program is designed to accommodate residents who like variety, who like to do a little bit of everything as well as those residents who prefer to concentrate in one or two areas. In addition to the seven months on the primary services, the program requires residents to complete one month in the Emergency Room This assures the resident’s opportunity to participate in the evaluation and management of the care of all types of patients who present to the hospital’s emergency department. The transitional year resident is also required to spend one month in Ambulatory Medicine which provides the outpatient experiences provided by internal medicine, obstetrics and gynecology, surgery and pediatrics.
There is also a requirement that residents complete three elective months. The Transitional Year Program at Flushing Hospital Medical Center offers a wide variety of electives including Pathology, Anesthesia, Radiology and most of the Medical Subspecialties. Elective rotations are determined by the individual needs of the resident. Residents are permitted and even encouraged to design their own electives . A resident going into RADIOLOGY designed his own elective – learning ultrasound in the radiology department and duplex/dopplers in the vascular lab.
Scholarly Activities and Research:
The program enthusiastically encourages and is fully supportive of an environment of inquiry and scholarship. Residents are expected to participate in clinical discussions, rounds, journal club and research conferences in a manner that encourages and promotes such inquiry and scholarship. Residents are also expected to actively participate in morbidity and mortality conferences, journal review, seminars and grand rounds.
There is great emphasis on skill development and competency. Our residents will be given the responsibility for decision making and for direct patient care under the review and supervision of senior residents and attending physicians. To successfully complete the transitional year, residents are expected to demonstrate competency in obtaining complete medical histories, performance of a complete physical examination, defining a patient’s problems, developing a plan for diagnosis and the implementation of therapy based on the etiology, pathogenesis and clinical manifestations of various diseases.
In addition to clinical and academic development, we believe in the importance of training and encouraging our residents to be responsible, caring, sensitive to the needs of patients and peers and others and to maintain the highest sense of moral and ethical integrity. Residents are encouraged to sit and participate on hospital committees so that they can participate in meaningful discourse and have a voice concerning the various operations of the hospital. Residents are evaluated by faculty and in turn faculty members are evaluated by residents. This process not only permits the faculty to assess the resident’s competence in the areas of patient care, medical knowledge, practice-based learning and improvement, interpersonal and communication skills, professionalism and systems-based practice, it also provides a mechanism for feedback from the residents as to the effectiveness of the program and teaching. We find this to be a fundamental and critical component of the resident’s training.
The residents at Flushing Hospital Medical Center are members of the Committee on Interns and Residents /Service Employees Internal Union (CIR) and salaries and benefits are governed by a collective bargaining agreement between the hospital and the union. The current salary for transitional year residents is $47,260 although the salary may be subject to change with each new agreement. All residents receive sick leave, bereavement leave, parental leave, a meal allowance, scrubs and lab coats, medical/hospitalization insurance, a dental plan, an optical plan, life insurance, disability compensation, professional liability coverage, coverage for outpatient psychiatric treatment. Residents must take a mandatory one-month of vacation. A complete list of all benefits can be found on the hospital website and by reference to the collective bargaining agreement between Flushing Hospital and the CIR.
The transitional year program (as do all residency programs at Flushing Hospital Medical Center) recognizes the need to balance clinical and academic education with concerns for patient safety and resident well-being. Accordingly, the program is in strict compliance with both ACGME duty hour requirements and the New York State Regulations on resident work hours. The call schedule varies depending on the service you are on but it is generally every third or fourth night and for five months of the year, there is no call.
The Flushing Community:
Although the hospital does not provide housing, the surrounding community offers affordable, decent housing in a friendly, culturally and ethnically diverse environment. There is wonderful access to schools, shopping, restaurants, places of worship, gardens, sports venues and museums. We are close to two airports and the excitement of Manhattan can be easily and quickly reached by car, railroad, or subway.
Applications for the Transitional Year Residency Program are only accepted via the ERAS System. All others will be discarded without consideration. Applications will be accepted through January. Personal visits and interviews are conducted from October through January.