Program Structure

Our Transitional Year Residency Program is one year (12 months) beginning on July 1st and concluding on June 30th.  Orientation sessions will be held over the final two weeks of June with exact dates to be determined.

The patient care curriculum of the Grand Strand Medical Center Transitional Year Residency program is well-rounded with exposure to a wide variety of patients, conditions, and practice settings.  Resident truly benefit from the guidance of our outstanding clinical faculty. 

The year is split into thirteen, four week blocks.

Fundamental Clinical Skills Rotations

Eight blocks (32 weeks) must be completed in a discipline that offers fundamental clinical skills (FCS).  At Grand Strand Medical Center, Transitional Year residents complete a variety of rotations fulfilling these requirements.

All Transitional Year Residents have at least one four-week block of Emergency Medicine and one four-week block of Ambulatory Medicine. 

The additional FCS requirements for the Grand Strand Medical Center Transitional Year are:

  • 2 Blocks (8 weeks) Inpatient Internal Medicine
  • 1 Bock (4 weeks) Inpatient Internal Medicine Nights
  • 1 Block (4 weeks) Medical Intensive Care Unit
  • 1 Block (4 weeks) Medical Intensive Care Unit Nights
  • 1 Block (4 Weeks) Inpatient Acute Surgery*

*This rotation can be substituted for an additional month of Inpatient Internal Medicine.*


For the remaining 20 weeks, Transitional residents can choose from a variety of electives; many of these are available to residents from other programs as well.  Transitional Year Residents will assume the same level of responsibilities as PGY1s in other specialties while on these rotations.

Available Electives include, but are not limited to:

  • Allergy and Immunology
  • Neurology
  • Surgery Elective
  • Anesthesia
  • Ophthalmology
  • Toxiocology/Advanced ER
  • Cardiology
  • Orthopedics
  • Trauma Elective
  • Clinical Informatics
  • Pain Management
  • Wound Care
  • Dermatology
  • Pathology 
  • Endocrinology
  • Physical Medicine and Rehabilitation
  • GI - Psychiatry 
  • Geriatrics/Palliative Care
  • Pulmonary
  • Hematology/Oncology
  • Radiation Oncology
  • Infectious Disease
  • Research
  • Nephrology
  • Rheumatology

If a resident wishes to design an elective that is not available, he/she can reach out to the Program Director/Coordinator to try create the elective opportunity.  The Program Director and Performance and Evaluation Committee (PEC) must approve the rotation prior to a resident starting.

Sample Block Diagram

Block 1

Block 2

Block 3

Block 4

Block 5

Block 6

Block 7




Medicine Wards


Medicine Night Float



Block 8

Block 9

Block 10

Block 11

Block 12

Block 13

Medical ICU

Medical ICU Night Float

Geriatrics/ Palliative Care

Medicine Wards

Emergency Medicine

Wound Care