Transitional Year Residency

One block is equal to four weeks:

• General Internal Medicine: 3 blocks
• Emergency Medicine: 1 block
• ICU: 1 block
• Ambulatory Care/Research: 1 block
• Nephrology: 1 block
• Electives: 5 blocks
• Night Float: 1 block

• Anesthesiology
• Dermatology
• Geriatrics
• Pathology
• Physical Medicine & Rehabilitation (PM&R)
• Radiology (radiology bound residents are NOT eligible for the radiology rotation due to ACGME requirements)
• General Surgery
• Internal Medicine Subspecialties
• SICU
• Oncology
• Infectious Disease
• Supportive & Palliative Care
• Rheumatology (only available for dermatology bound residents)
• Transplant Hepatology
• Interventional Nephrology
• Other IM subspecialties upon request

• Academic Half Day
• Journal Club
• Noon Report
• Core Clinical Lectures
• Grand Rounds
• Morbidity & Mortality conference
• Clinical-pathological conference
• Tumor Board
• Research conference (Annual Resident Research Day)
• TY Specialty Specific Conferences (TY Resident Led)

For residents interested in pursuing a career in anesthesiology, we’ve developed a one-month elective rotation designed to expose you to the wide array of anesthesia practice, including solid organ transplantation, cardiac surgery, joint replacement surgery, robotic surgery, reconstructive surgery, head and neck cancer surgery, as well as routine procedures including colonoscopies, appendectomies and cesarean sections.

It is our mission to instill principles and practices that will serve residents in providing excellent care for patients and prepare them for leadership in tomorrow’s healthcare, regardless of their chosen field. We invite you to explore the details of our specialty while gaining hands-on experience.

During your one-month Anesthesiology elective rotation, you will be an active participant in patient care, from start to finish while learning the basics of anesthesia and perioperative medicine from our anesthesiology faculty who have trained at premier programs across the country. You will learn the nuances of:

• General anesthesia, including anesthetic planning, preoperative patient assessment, and postoperative care
• Regional and neuraxial anesthesia, including spinal, epidural and peripheral nerve blocks administration
• Monitored anesthesia care, including moderate and deep sedation

You will have the opportunity to practice important life-saving skills including:

• Bag-mask ventilation with and without oral airways
• Laryngeal mask airway placement
• Endotracheal intubations, including double lumen endotracheal tubes and observe awake fiberoptic intubations
• Arterial line catheter placement with and without ultrasound guidance
• Central venous catheter placement with ultrasound guidance

During your rotation, you will learn about the various anesthesia subspecialties and have exposure to special procedures such as:

• Transesophageal echocardiography with our cardiac anesthesiologists
• Jet ventilation for cardiac electrophysiology ablation procedures
• Video laryngoscopy for managing potentially difficult airways
• Epidural catheter placement and subarachnoid blocks with our OB anesthesiologists
• Ultrasound-guided peripheral nerve blocks

For residents who may specialize in diagnostic or interventional radiology, we’ve developed a special rotation that will let you gain experience interpreting diagnostic cases and participating in image-guided procedures.

During your one-month rotation, you’ll have the opportunity to work with radiology attendings at the diagnostic workstation and in the interventional procedural suites. You will gain experience with a wide variety of diagnostic radiology cases and imaged-guided procedures. And you’ll be an active participant in patient care, from start to finish. During your radiology rotation, you’ll work in the All Saints radiology department of the Fort Worth campus of Baylor Scott & White.

In the diagnostic reading rooms of Baylor Scott & White All Saints – Fort Worth, you will:

• Learn the basics of image acquisition for the different modalities with the opportunity to directly observe the workflow of the radiology department
• Learn the basics of image interpretation across different modalities
• Learn proper protocoling of radiology exams for a variety of clinical questions and indications
• Observe the flow of inpatients and outpatients through the radiology department during the course of their care

In the interventional radiology suites of Baylor Scott & White All Saints – Fort Worth, you will:

• Learn the basics of image guided procedures including assisting and performing central line placement, paracenteses, and thoracenteses
• Observe and assist with cutting edge treatment in the realm of interventional oncology
• Observe and assist with the IR management of the pre and post liver transplant patients
• Observe and assist with the IR management of acute bleeds in a variety of scenarios

Your radiology rotation will give you opportunities to practice important skills, including:

• Interpretation of radiographs, ultrasound, nuclear medicine, CT and MRI exams
• Observe and assist numerous image guided procedures ranging from central line to radio-embolization of liver tumors
• Gain experience with advanced cardiac imaging including coronary CT and cardiac MRI
• Attend tumor boards and observe the management of complex involving most surgical specialties in the hospital

During this rotation, residents will rotate through general dermatology and derm-oncology. This is primarily an outpatient elective.

Residents will have an opportunity to participate in diagnosis and treatment of common skin diseases. They will also participate in Mohs procedure, interpretation of derm-path slides and formulate treatment plans for dermatological oncology cases.

For residents who may specialize in Physical Medicine and Rehabilitation (PM&R), we’ve developed a special rotation that will let you gain experience in this much needed subspecialty. During your one-month rotation, you’ll learn the basics of PM&R and work with PM&R attendings in the hospital setting and outpatient clinic setting. And you’ll be an active participant in patient care, from start to finish.

During your PM&R rotation, you’ll work in all three hospitals on the Fort Worth campus of Baylor Scott & White. In the main hospital campus of Baylor Scott & White All Saints – Fort Worth, you will:

• Learn about the rehabilitation management of a variety of neurologic and orthopedic pathologies including Stroke Rehab, Post-Amputation Care, Debility Management, Orthopedic Rehabilitation, and Neurosurgical Rehabilitation to name a few.
• Perform consultations and learn about the various post-acute dispositions for a patient which include: inpatient rehabilitation, LTAC (long term acute care), SNF (skilled nursing facility), and home with home health.
• Understand how to appropriately decipher therapy notes and how that impacts functional outcomes of a patient.

Your PMR rotation will provide an outpatient clinic setting where you will learn about:

• Post-Stroke Care
• How to write a proper therapy(PT/OT/ST) Rx
• EMG/Nerve Conduction studies
• Spasticity Management
• Amputee Care
• Low Back Pain, Neck Pain, Radiculopathies
• Joint pain, Arthritis, Tendonitis
• Spinal Cord Injury Management
• Traumatic Brain Injuries/Concussion
• Covid Long Haulers Syndrome
• Gait Disturbances

You may also have a chance to perform or assist with the following procedures based on your preference:

• Soft Tissue Injections with Ultrasound Guidance
• Botox Injections for Spasticity/Migraines
• Baclofen Pumps
• EMG/Nerve Conduction Studies
• Lumbar Epidural Injections