PGY-1 Rotations

The PG1 year is aimed at providing the intern with basic knowledge and skills in medical, neurological and psychiatric medicine. All the rotations occur on the inpatient units of Barnes-Jewish Hospital.

Internal Medicine (4 months)
Service Director: Department of Internal Medicine
Residents take care of patients hospitalized on the inpatient medical units at Barnes-Jewish Hospital. Residents typically are assigned to a general medicine team consisting of an attending internist, internal medicine residents, and medical students. Residents function as categorical internal medicine interns. Residents may be assigned to the hospitalist service where they work individually with the hospitalist attending. Residents are expected to attend didactic conferences of the internal medicine department during their rotations. There is no required overnight call. In place of one of the four months, residents may elect to do one month of emergency medicine in the emergency room or one month on the general inpatient pediatric floor at St. Louis Children’s Hospital.

Neurology (2 months)
Service Director: Department of Neurology
Residents are assigned to teams consisting of an attending neurologist, a supervising neurology resident, and medical students taking care of patients admitted to the inpatient neurology service at Barnes-Jewish Hospital. Residents also may be assigned to the neurology consultation service. There is no required overnight call. Residents are expected to attend didactic conferences occurring in the Department of Neurology during their rotations.

Inpatient Psychiatry (6 months)
Service Director: Dr. Michael Jarvis
On this rotation at Barnes-Jewish Hospital, the residents work one-on-one with renowned faculty from Washington University. They learn the basics of psychiatric care including obtaining good histories, doing mental status exams, and properly diagnosing and managing patients with severe psychiatric illness. Specialized services include an intensive care unit and a geriatric psychiatry unit. The setting utilizes a multidisciplinary approach with nursing, social workers, activity therapists, chaplain, psychiatrists, and medical students. As a group, residents provide coverage 24x7 split into two call shifts during which they admit new patients and provide emergency consultation for issues that arise on the psychiatry units. Residents also are assigned medical students to supervise and educate.