Department of Medicine

Internal Medicine Categorical Track


Under the supervision and mentorship of expert faculty, residents experience diverse clinical training in our four unique hospitals: Ben Taub General Hospital (Houston’s county hospital), the Michael E. DeBakey VA Medical Center (a flagship VA hospital), Baylor-St. Luke's Medical Center, and MD Anderson Cancer Center. Residents have continuity clinic at Smith Clinic (part of the county safety net system affiliated with Ben Taub Hospital) or the VA, and rotate through other ambulatory experiences at the hospitals and Baylor McNair Campus.

Sample Yearly Rotation Schedule for Categorical Residents


  • Wards (BT, VA, or MDACC): 20-24 weeks
  • Ambulatory (primary care or subspecialty): 5-6 weeks
  • Inpatient subspecialty electives: 8 weeks
  • Night float: 4 weeks
  • MICU: 4 weeks


  • Wards (BT, VA, MDACC, or BSLMC): 12 weeks
  • Ambulatory (primary care or subspecialty): 8-16 weeks
  • Inpatient subspecialty electives: 16-18 weeks
  • ICU night float: 2 weeks
  • Neurology (PGY2 or PGY3 year): 4 weeks


  • Wards (BT, VA, MDACC, or BSLMC): 8 weeks
  • Ambulatory (primary care or subspecialty): 8 weeks
  • Inpatient subspecialty electives: 16 weeks
  • MICU and/or CCU: 8 weeks
  • Neurology (PGY2 or PGY3 year): 4 weeks



Our schedule system is the Baylor 4+4, which consists of thirteen 4-week blocks during the academic year. We alternate between four weeks on a Blue rotation (primarily consisting of wards and ICU) followed by four weeks of a Gold block. Gold blocks can consist of four weeks on a subspecialty rotation or two 2-week ambulatory rotations. All continuity clinics fall on Gold blocks, allowing us to preserve the continuity of the inpatient experience on rotations such as ICU or wards. All residents also rotate at the same time, allowing us to maintain a large call pool for flexibility.

Resident schedules are all online as we use a physician scheduler called Amion. The schedule can be easily visualized on and all of our residents also have access to the Amion phone application which allows them to see who is on call at any given time and visualize their own schedules with ease. The scheduler also allows for real-time schedule changes.