The Program

Intermountain Medical Center is a state-of-the-art tertiary care and Level 1 Trauma center.

The schedule reflects the necessary flexibility needed to train interns bound for these diverse specialties, with three full months of elective time. Rotations offer substantial autonomy in patient care with ample opportunities for procedures, an extremely broad case mix and opportunities for medical research.

The program offers all of the opportunities of a major academic center – robust medical research, Level 1 trauma care, multiple transplant services, full-spectrum tertiary care – all in the setting of a collegial, highly efficient private hospital.

The Transitional Year has sponsor affiliation with the internal medicine and surgery residencies at the University of Utah School of Medicine. In addition to the three months of elective time, the year consists of rotations in internal medicine, surgery, intensive care, emergency medicine, and ambulatory medicine.

There are four general medicine ward teams. Each team has a teaching attending from the faculty of the Department of Medicine as well as a supervising hospitalist physician and a single subspecialty attending. Teams consist of a supervising resident, two interns and medical students. There is an admission cap of five patients per intern on call, after which all patients are admitted to non-teaching services. On one team, Transitional Year residents work directly with attending hospitalists without a supervising resident. 

The surgery service consists of three teams, each of which covers general surgery, trauma and transplant cases. Each team is supervised by a faculty member from the Department of Surgery and consists of a supervising resident, four junior residents and medical students.

The critical care experience takes place in the Shock-Trauma Intensive Care Unit. The Shock-Trauma ICU team is supervised by faculty from the Division of Pulmonary and Critical Care Medicine, and offers a fully integrated, multi-disciplinary educational rounding process on all teaching patients in the unit.

The Curriculum

The academic year consists of thirteen 4-week rotation blocks.

Required Rotations with hospital call:

  • Internal Medicine - 4 blocks
  • Surgery - 2 blocks*
  • Shock Trauma ICU - 2 blocks

Required Rotations without call:

  • Emergency Medicine - 1 block
  • Ambulatory Clinic - 1 block

Electives - 3 blocks*

Electives are available within the institution in nearly all specialties and subspecialties. There is no competition for scheduling within the institution.

Transitional Residents may design their own elective experiences within the institution or at other institutions subject to approval by the Program Director.

Multiple research elective opportunities exist.

* Rotations during which vacation may be scheduled.

About Us

The Transitional Year was founded in 1983. It has full accreditation from the Accreditation Council for Graduate Medical Education and has never had an adverse accreditation event.

The Intermountain Medical Center Hospital emergency room has over 80,000 patient visits annually and a high level of acuity and is staffed by full-time emergency medicine attending physicians.

Intermountain Medical Center has world-class support personnel and associated resources. The extremely high efficiency and comprehensive scope of services result in a virtual absence of non-physician tasks for residents.

An international leader in providing high quality health care at low cost, and in fully integrating information technology into patient care, Intermountain Healthcare has been the focus of national praise as a model healthcare system. The Transitional Year resident is central to the delivery of the cutting-edge care that characterizes the Intermountain Healthcare system.


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