Considerable time will be spent in the intensive care units, and several months may be spent on other medical subspecialty rotations.
As a second-year resident, your responsibilities shift toward providing experience in consultative medicine. Second- and third-year residents have significant supervisory roles, working with both first-year residents and medical students.
During the three years of training, residents will develop and maintain an ambulatory primary care practice. The experience gained in this setting is invaluable, allowing the resident to become competent in the management of common outpatient problems, as well as a variety of primary care issues, including:

• Orthopaedics,
• Office gynecology,
• Psychiatry,
• Otorhinolaryngology
• Dermatology and
• Adolescent Medicine.

This continuing ambulatory experience is supplemented by scheduled rotations through a variety of subspecialty clinics and includes outpatient procedures such as flexible sigmoidoscopy and stress tests.
In the second year, residents may either continue in the traditional internal medicine residency program or be selected for the new primary care track.

In addition to continued experience in the intensive care units, second- and third-year residents in the traditional curriculum spend considerable amounts of time in the Emergency Department, providing consultative services and assessing patients for admission to one of the internal medicine services.

They also rotate in such specialties as:

• Endocrinology,
• Infectious disease,
• Neurology,
• Hematology/Oncology
• Critical care medicine and
• Geriatrics.

Also much of the curriculum is structured, residents have two to four months available for electives or research.