Transitional Year at Lemuel Shattuck Hospital

The Tufts Transitional Year Program at Lemuel Shattuck Hospital offers six PGY-1 positions in its one-year program.  This ACGME accredited program is jointly sponsored by the Tufts Medical Center Department of Medicine and Department of Surgery.  Our close affiliation with Tufts University School of Medicine and our variety of medical rotations assures a high standard of quality medical education.

Several features distinguish the Shattuck’s Transitional Residency Program from other such programs:

  • A unique public health setting which combines academic medical education in internal medicine and surgery.
  • Diversity of curriculum, patient exposure, and medical delivery systems at 3 major teaching hospitals of Tufts University School of Medicine.
  • A full-time dedicated attending staff who work closely with the house staff.
  • A multidisciplinary approach and humanistic atmosphere in which to learn medicine.
  • Ample elective time.

Lemuel Shattuck Hospital is a major teaching affiliate of the Tufts University School of Medicine, and it is the only teaching hospital operated by the Massachusetts Department of Public Health.  The Lemuel Shattuck Hospital provides acute, subacute, and ambulatory care to patients referred primarily by public agencies and private health care providers.  The hospital delivers compassionate medical and psychiatric care to patients requiring multi-disciplinary treatment and support which promotes their health, well-being, rehabilitation and recovery.  This fully accredited teaching facility also provides an array of mental health, substance abuse and social services. The hospital’s services enable patients that are economically and socially disadvantaged, and underserved by the mainstream health care system to obtain high quality, cost-effective care from an excellent staff that respects their dignity and respects their choices .

In addition to operating 255 inpatient beds, the Shattuck is unique among state-operated direct care facilities in offering comprehensive medical care, including 26 subspecialty outpatient clinics, all but the most tertiary surgical services, and a full array of radiological imaging and clinical laboratory services. The hospital’s inpatient services play a major role in filling gaps in the health care system for individuals in state care and custody, and from the community, whose co-morbidities and psycho-social issues can be a challenge to conventional health care providers. In particular, the hospital’s collaboration with the Massachusetts Department of Mental Health and Department of Correction enable the chronically and severely mentally ill, and state and county inmates, to obtain high quality care in a safe and secure setting.

Complex medical care is provided and it is enhanced by the hospital’s numerous relationship’s with academic teaching programs, especially the medical residency program co-sponsored with the Tufts University School of Medicine. Acute inpatient medicine and a 6-bed Intensive Care Unit are the core of the hospital and the domain of the Transitional Residency Program. A rapidly growing array of affiliated inpatient services are staffed independently by Physician Assistants, Nurse Practitioners and Attending Physicians. LSH houses a large outpatient medicine department with a full complement of subspecialty clinics.

Our staff is active in teaching, patient care, and research and it is dedicated to providing health care to those with the greatest need. Our staff members  have faculty appointments at the Tufts University School of Medicine. All major subspecialties are represented.

Lemuel Shattuck Hospital
A Commonwealth of Massachusetts
Department of Public Health Hospital
Medical Education Department
170 Morton Street
Jamaica Plain, MA 02130
617-522-8110 ext. 3337

The Transitional Year Residency Program offers:

  • Three months of inpatient Internal Medicine at Lemuel Shattuck Hospital,
  • Two months of Internal Medicine at Lahey Clinic Medical Center,
  • Two months of surgery rotation at Tufts Medical Center
  • One month of outpatient medicine at Lemuel Shattuck Hospital.
  • Two months of elective.
  • One month of Emergency Medicine at Tufts Medical Center
  • One month of vacation.

Considerable flexibility in scheduling electives and vacations is one of the major advantages of the Shattuck’s Transitional Residency Program.

Senior staff advisors work closely with each Transitional Resident in arranging electives, pursuing career goals, and ensuring that the PGY-1 year runs smoothly. During the six months of inpatient Internal Medicine, each Transitional Resident is part of a team consisting of three other PGY-1 Residents, a Senior (PGY-3) Medical resident from Tufts Medical Center and an LSH Attending.  Occasionally, medical students from Tufts University School of Medicine and pharmacy students from Northeastern University join the team. Each PGY-1 resident assumes primary responsibility for an average census of five patients, including ICU patients. A Night Float call system was implemented this year in which six consecutive nights are covered by the respective PGY-1 resident. Supervision during call nights is provided by a moonlighter physician who evaluates each new admission and assists the PGY-1 Resident in managing other patients on the acute medical service.

As a public hospital Lemuel Shattuck Hospital offers a distinct educational advantage in such that a complex array of medical, psychiatric, substance abuse and social issues are managed by a multidisciplinary team to ensure excellent care and patient‘s safe placement back in the community with optimal resources .

Structured educational activities on Internal Medicine include the following:

  • Daily Radiology Rounds
  • Daily Attending Rounds
  • Weekly subspecialty conferences covering selected
  • Weekly Medical Grand Rounds
  • Weekly HIV and Addiction Medicine Conferences
  • Monthly Morbidity & Mortality Conference

During the Ambulatory Care rotation, PGY-1 residents participate in clinics in General Internal Medicine, Gynecology, Dermatology, ENT, Neurology and Rheumatology. They evaluate several patients per clinic session and present them to the clinic attending for review. PGY-1 residents participate in consultative evaluations throughout the hospital.

During the four weeks in the Emergency Room at Tufts Medical Center, PGY-1 residents evaluate and treat acutely ill patients under the supervision of PGY-3 residents and Emergency Medicine attendings.

The Surgical rotation at Tufts Medical Center offers an array of subspecialty choices including  vascular,  bariatric, plastics  and intensive care exposures while rotating thorough inpatient, OR and outpatient settings.

PGY-1 residents receive a competitive salary, four weeks of vacation, health insurance, malpractice liability insurance, and free parking.

How do I apply to your program?

You can apply through the Electronic Residency Application Service (ERAS). Contact your school dean’s office or ECFMG for instructions regarding ERAS.

 What are the requirements to apply to the Residency Program?

  • MD/DO/MBBS or an equivalent Degree
  • Passing scores on USMLE 1 & 2
  • ECFMG Certificate (if applicable)
  • US Citizen / Green Card / J1 Visa or work authorization

What types of electives are available?

Interns can create their own clinical elective program, in conjunction with their advisors, by choosing from a wide variety of academic rotations in any Boston teaching hospital. Examples of electives that interns in recent years have taken include: ICU, CCU, Pediatrics, Anesthesiology, Cardiology, General Surgery and Pathology.

What is it like taking care of prisoners as patients?

Inmates are admitted in the hospital with an array of medical illnesses and  they appreciate the medical services provided by the Lemuel Shattuck Hospital. The Department of Corrections provides adequate professional security personnel at all times.