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The PGY2 year is designed to provide the resident with increasing responsibility, which includes leading the health care team, supervising the inpatient care of acutely and chronically ill patients, and making decisions regarding a patient's need for hospital admission. It includes general internal medicine inpatient rotations plus subspecialty rotations of the resident's choosing. The PGY2 resident has a primary teaching role for assigned medical students and first-year residents. PGY2 residents have 30 working days of leave.

The PGY3 resident is given maximum house staff responsibility in the care of general internal medicine and subspecialty patients. The year is designed to increase the resident's total patient-management skills. The resident serves as a first-line consultant for the junior house staff and medical students. The resident serves periodically as a general internal medicine consultant for other services in the hospital and supervises the admission of patients to the internal medicine services. The third year resident has major bedside and didactic teaching responsibilities for medical students and assigned junior house staff. The PGY3 schedule includes 30 working days of leave.