Program Structure 

Our program offers a unique X+Y system. Residents spend two months on inpatient services (X) followed by one month on an ambulatory clinic block (Y). This structure remains in place for the entirety of residency and allows for a more predictable schedule and consistent continuity in ambulatory care.

A sample schedule of our unique X+Y system

























Rotation Structure 

General Wards

Rotate on a medicine teaching team at Chandler, Good Samaritan or  the VA. The structure includes an attending, 1 supervising upper level resident, 2 interns, an MS4 and up to 2 MS3. We have superior teaching faculty dedicated to your learning. Residents can experience high acuity cases on Chandler Wards, bread and butter medicine at the VA and escalating autonomy at Good Samaritan.


A resident favorite! You will rotate on one of two medical ICU teams starting your intern year. We take care of some of the sickest patients in the country, making this a very challenging, yet rewarding month. Our MICU attendings and fellows love to teach but also lend plenty of autonomy creating a very supportive and educational environment with ample procedural experience.


During the ambulatory clinic block, you are assigned continuity clinic attendings who work with you throughout your 3 years, which allows for exceptional mentorship. During the month you will also rotate through subspecialty clinics to gain exposure in your areas of interest. You also have 2 half days each week for Independent Learning which is set aside non-clinical time to catch up on various tasks... and also a great time for your own dentist and doctors appointments!


As an intern, you will spend one month working at Saint Claire Regional Medical Center in Morehead, KY. This is a great opportunity to see how a community hospital operates. Residents will have plenty of autonomy and work one on one with the Saint Claire hospitalists. Free housing that is walking distance from the hospital is available for residents while on rotation.


As an intern, you will rotate one month through the Neurology service. You will spend the majority of time on the acute stroke service, which is typically very busy but a highly valuable experience as UK is a Comprehensive Stroke Center. You also spend time on the General Neurology service where you see a wide range of acute neurologic pathologies. 


The cardiology experiences varies depending on year. Your intern year is spent on a floor cardiology service to master common cardiac complaints. There is an option to rotate on this service as supervising upper level for more exposure as well. As a 2nd and 3rd year you will rotate on the CCU where you will get exposure to high acuity cardiac pathologies such as STEMI  and cardiogenic shock with a high volume  of patients with MCS (LVAD, ECMO, IABP). 


As a junior resident you will have one consult month and as a senior you will have three.  You are able to choose from the various subspecialty services and can tailor to your future career goals and allows for a more in-depth exposure to the various subspecialties. Options for our consult service include Gastroenterology, Hepatology, Pulmonology, Nephrology, Palliative Care, Medical Oncology, among others. 

Night Float

As an intern, you will spend one month on night float. You will cross-cover the various teaching medical wards teams. This is a great chance to learn to triage various night calls, with the support and supervision of an upper level resident and faculty.

Emergency Medicine

As a second year resident, you will rotate one month through the UK emergency department. Our ED is very busy with a wide range of pathology. This is typically a very well liked rotation among residents and a great experience with learning the work up for undifferenced patients, triaging, and POCUS from some of the best in the field.