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  1. #1
    Fear is offline Member
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    Clinical Internships

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    I hear many people talk about internships and sub-internships, what exactly are they referring to? internships as i understand it aren't mandatory, are they for people trying to better their chances applying for residencies? who goes through these programs?
    Rx---FEAR

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    re:

    Good question, i am also curious what the differece between PGYI, internship, transitional, and categorical residencies, why do people choose the different routes and whats the difference between all of them.

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    teratos is offline Jedi Moderator 658 points
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    Subinternships

    Internship is your first year of residency. It is now more commonly called PGY-1 when it appears in print, but first year residents are still mostly called interns in the hospital. A sub-internship is something you do while still a med student. Usually it is done by a 4th year student. You basically function as an intern, doing admissions, writing notes on patients daily. You are typically supervised (closely) by an upper level resident, and you discuss all the cases with him/her. He/she must co-sign your orders, since you are not a doc. It is a great experience in terms of preparing you for what is ahead. If you do it at a place where you want to do residency and make a good impression on them, it can certainly increase your chances of getting a spot. Hope that answers your questions. G
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    nyphys1 is offline Member
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    Types of internships

    A transitional internship is a year done prior to another specialty such as Radiology,Optho,Derm sometimes also Anes, EM,Neuro if the pgy1 is not integrated,.It fulfills the requirements for the year of clinical training needed for these fields although the specifics may vary according to each specialty..They tend to be competitive because they let you rotate through various departments often with much elective time and sometimes much less on call than straight internships.The preliminary internship is also a year done prior to another field,usually its straight medicine or surgery.Most people going into rads, optho etc do a medicine prelim and they can be competitive in some hospitals because candidiates for derm,radiology and opthalmology tend to be very strong applicants academically..surgery prelim is however easy to get.Many positions dont match.People going into other specialties tend to avoid them because of their often intense work schedules much worse than medicine.Prelim med and surg could serve as the pgy1 for internal medicine or general surgery as well,if you do well in the year and the hospital has places open.

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    keithom is offline Junior Member
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    Internship etc

    To add on to what Dr. Durst has said, to finish answering some of the questions:

    Preliminary Spot: A PGY-1 year in either Surgery or Medicine that guarantees you only that 1 year. Many specialties require you complete a PGY-1 year before doing their residency. Example: For Orthopaedics, Neurosurgery, etc. you do 1 year of general surgery, then the reset of the years are within your discipline. You are usually accepted at the same hospital for your preliminary year and your residency program. However, some medicine subspecialites break it up. For example, a friend of mine did his preliminary year in Medicine in Boston and his emergency medicine residency in LA. The other type of prelim is a guarantee of 1 year, with a CHANCE to be resigned the next year. Example: Someone wants to do surgery at hospital X. They get a prelim spot which guarantees them surgery for their PGY-1 year. However, the next year, they may not have a spot in that program, or they may be offered another year. In this case, the preliminary spot is a yearly thing.

    Catagorical: You are guaranteed the whole residency, all years. Many hospitals have limited room in their programs. For example, where I will be a resident, their are 5 categorical surgical spots. The rest of the PGY-1 positions in general surgery are taken up by prelims (5 ortho residents, 2 plastics, 1 neurosurgery, 2 urology and 5 surgery prelims). The only people guaranteed spots in the PGY-2 year are everyone except the 5 surgery prelims.

    -K

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    Fear is offline Member
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    thanks

    thanks guys, you were very helpful i appreciate the replies.
    Rx---FEAR

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