Transitional Year Residency

Rotations

One block is equal to four weeks:

• General Internal Medicine: 3 blocks
• Emergency Medicine: 1 block
• ICU: 1 block
• Ambulatory Care/Research: 1 block
• Nephrology: 1 block
• Electives: 5 blocks
• Night Float: 1 block

Electives

• Anestesiología
• Dermatología
• Pathology
• Physical Medicine & Rehabilitation (PM&R)
• Radiology (radiology bound residents are NOT eligible for the radiology rotation due to ACGME requirements)
• Cirugía General
• Internal Medicine Subspecialties
• SICU
• Oncología
• Enfermedad infecciosa
• Supportive & Palliative Care
• Rheumatology (only available for dermatology bound residents)
• Hepatología de trasplante
• Interventional Nephrology
• Other IM subspecialties upon request

Conferences

• Morning/Afternoon Report
• Journal Club
• Noon Didactic conference
• Core Clinical Lectures
• Grand Rounds
• Morbidity & Mortality conference
• Clinical-pathological conference
• Tumor Board
• Research conference (Annual Resident Research Day)
• TY Specialty Specific Conferences (TY Resident Led)

Anestesiología

For residents interested in pursuing a career in anesthesiology, we’ve developed a one-month elective rotation designed to expose you to the wide array of anesthesia practice, including solid organ transplantation, cardiac surgery, joint replacement surgery, robotic surgery, reconstructive surgery, head and neck cancer surgery, as well as routine procedures including colonoscopies, appendectomies and cesarean sections.

It is our mission to instill principles and practices that will serve residents in providing excellent care for patients and prepare them for leadership in tomorrow’s healthcare, regardless of their chosen field. We invite you to explore the details of our specialty while gaining hands-on experience.

During your one-month Anesthesiology elective rotation, you will be an active participant in patient care, from start to finish while learning the basics of anesthesia and perioperative medicine from our anesthesiology faculty who have trained at premier programs across the country. You will learn the nuances of:

• General anesthesia, including anesthetic planning, preoperative patient assessment, and postoperative care
• Regional and neuraxial anesthesia, including spinal, epidural and peripheral nerve blocks administration
• Monitored anesthesia care, including moderate and deep sedation

You will have the opportunity to practice important life-saving skills including:

• Bag-mask ventilation with and without oral airways
• Laryngeal mask airway placement
• Endotracheal intubations, including double lumen endotracheal tubes and observe awake fiberoptic intubations
• Arterial line catheter placement with and without ultrasound guidance
• Central venous catheter placement with ultrasound guidance

During your rotation, you will learn about the various anesthesia subspecialties and have exposure to special procedures such as:

• Transesophageal echocardiography with our cardiac anesthesiologists
• Jet ventilation for cardiac electrophysiology ablation procedures
• Video laryngoscopy for managing potentially difficult airways
• Epidural catheter placement and subarachnoid blocks with our OB anesthesiologists
• Ultrasound-guided peripheral nerve blocks

Dermatología

During this rotation, residents will rotate through general dermatology and derm-oncology. This is primarily an outpatient elective.

Residents will have an opportunity to participate in diagnosis and treatment of common skin diseases. They will also participate in Mohs procedure, interpretation of derm-path slides and formulate treatment plans for dermatological oncology cases.

Radiología

For residents who may specialize in diagnostic or interventional radiology, we’ve developed a special rotation that will let you gain experience interpreting diagnostic cases and participating in image-guided procedures.

During your one-month rotation, you’ll have the opportunity to work with radiology attendings at the diagnostic workstation and in the interventional procedural suites. You will gain experience with a wide variety of diagnostic radiology cases and imaged-guided procedures. And you’ll be an active participant in patient care, from start to finish. During your radiology rotation, you’ll work in the All Saints radiology department of the Fort Worth campus of Baylor Scott & White.

In the diagnostic reading rooms of Baylor Scott & White All Saints – Fort Worth, you will:

• Learn the basics of image acquisition for the different modalities with the opportunity to directly observe the workflow of the radiology department
• Learn the basics of image interpretation across different modalities
• Learn proper protocoling of radiology exams for a variety of clinical questions and indications
• Observe the flow of inpatients and outpatients through the radiology department during the course of their care

In the interventional radiology suites of Baylor Scott & White All Saints – Fort Worth, you will:

• Learn the basics of image guided procedures including assisting and performing central line placement, paracenteses, and thoracenteses
• Observe and assist with cutting edge treatment in the realm of interventional oncology
• Observe and assist with the IR management of the pre and post liver transplant patients
• Observe and assist with the IR management of acute bleeds in a variety of scenarios

Your radiology rotation will give you opportunities to practice important skills, including:

• Interpretation of radiographs, ultrasound, nuclear medicine, CT and MRI exams
• Observe and assist numerous image guided procedures ranging from central line to radio-embolization of liver tumors
• Gain experience with advanced cardiac imaging including coronary CT and cardiac MRI
• Attend tumor boards and observe the management of complex involving most surgical specialties in the hospital

Physical Medicine and Rehabilitation (PM&R)

For residents who may specialize in Physical Medicine and Rehabilitation (PM&R), we’ve developed a special rotation that will let you gain experience in this much needed subspecialty. During your one-month rotation, you’ll learn the basics of PM&R and work with PM&R attendings in the hospital setting and outpatient clinic setting. And you’ll be an active participant in patient care, from start to finish.

During your PM&R rotation, you’ll work in all three hospitals on the Fort Worth campus of Baylor Scott & White. In the main hospital campus of Baylor Scott & White All Saints – Fort Worth, you will:

• Learn about the rehabilitation management of a variety of neurologic and orthopedic pathologies including Stroke Rehab, Post-Amputation Care, Debility Management, Orthopedic Rehabilitation, and Neurosurgical Rehabilitation to name a few.
• Perform consultations and learn about the various post-acute dispositions for a patient which include: inpatient rehabilitation, LTAC (long term acute care), SNF (skilled nursing facility), and home with home health.
• Understand how to appropriately decipher therapy notes and how that impacts functional outcomes of a patient.

Your PMR rotation will provide an outpatient clinic setting where you will learn about:

• Post-Stroke Care
• How to write a proper therapy(PT/OT/ST) Rx
• EMG/Nerve Conduction studies
• Spasticity Management
• Amputee Care
• Low Back Pain, Neck Pain, Radiculopathies
• Joint pain, Arthritis, Tendonitis
• Spinal Cord Injury Management
• Traumatic Brain Injuries/Concussion
• Covid Long Haulers Syndrome
• Gait Disturbances

You may also have a chance to perform or assist with the following procedures based on your preference:

• Soft Tissue Injections with Ultrasound Guidance
• Botox Injections for Spasticity/Migraines
• Baclofen Pumps
• EMG/Nerve Conduction Studies
• Lumbar Epidural Injections

PubMed publications

• Chauhan PS, Shiang A, Alahi I, et al. Urine cell-free DNA multi-omics to detect MRD and predict survival in bladder cancer patients. NPJ Precis Oncol. 2023;7(1):6. Published 2023 enero 19. doi:10.1038/s41698-022-00345-w. PMID: 36658307
• Shields MD, Chen K, Dutcher G, Patel I, Pellini B. Making the Rounds: Exploring the Role of Circulating Tumor DNA (ctDNA) in Non-Small Cell Lung Cancer. Int J Mol Sci. 2022;23(16):9006. Published 2022 agosto 12. doi:10.3390/ijms23169006. PMID: 36012272
• Philip T, Sittirat PD, Eickenhorst D, Bhatti N. Spontaneous pneumothorax and COVID-19: Precipitants to a complex HIV-AIDS diagnosis. Radiol Case Rep. 2023;18(3):1197-1200. doi:10.1016/j.radcr.2022.12.010. PMID: 36643600
• Salem Y, Alam Z, Shalabi MM, Hosler GA, Acharya S. IgA Vasculitis Associated With COVID-19. Cureus. 2023;15(5):e38725. Published 2023 mayo 8. doi:10.7759/cureus.38725. PMID: 37292558

Other publications

• Earland N, Chen K, Semenkovich NP, Chauhan PS, Chaudhuri AA. Current and emerging roles of circulating tumor DNA in the personalization of radiation oncology. Seminars in Radiation Oncology. In Press.
• Earland N, Gerndt SP, Ramirez RJ, Harris PK, Hearn AI, Inkman M, Szymanski JJ, Chen K, Semenkovich N, Wahle BM, Xu Z, Zhang J, Chaudhuri AA, Zevallos JP. Sensitive detection of locoregional MRD after head and neck cancer surgery. Cancer Discovery. In Review.
• Chin Re-I, Chen K, Abraham C, Robinson C, Perkins S, Tanner J, Keller J, Ansstas G, Dowling J, Kim A, Huang J. Intracranial control and lymphopenia of melanoma brain metastasis patients treated with radiosurgery and WBRT in the era of immunotherapy and targeted therapy. International Journal of Radiation Oncology, Biology, Physics. In Review.
• Jacobsen, S., Moore, T., Douglas, A., Lester, D., Johnson, A., Vassar, M. Discontinuation and Nonpublication Analysis of Chronic Pain Randomized Controlled Trials. PAIN Reports, Accepted enero 2023.
• Ward, S., Ezell, K., Wise, A., Garrett, M., Rucker, B., Lester, D., Emam, M., Vassar, M. Assessing the Reporting of Harms In Systematic Reviews Focused on PRP Therapy: A Cross-Sectional Analysis. Submitted for publication.
• Rajagopalan V, Chakraborty S, Lin R. Novel Transcriptomic Interactomes of Noncoding RNAs in the Heart under Altered Thyroid Hormonal States. International Journal of Molecular Sciences. 2023;24(7):6560. doi:10.3390/ijms24076560

Presentations

• From Gut to Joint: E coli's Unusual Pathogenic Journey Leading to Infective Endocarditis and Sternoclavicular Septic Arthropathy in a Cirrhotic Patient
• Chen K, Shiang A, Chauhan P, Babbra R, Feng W, Baumann B, Kim E, Reimers M, Smith Z, Chaudhuri A. Urine tumor DNA detects minimal residual disease and predicts survival in bladder cancer treated with radical cystectomy. Poster presented at: Baylor All Saints Resident Research Day; abril 21, 2023; Fort Worth, TX.
• A Knee-d to Know Diagnosis: a case of peroneal mononeuropathy following prolonged hospitalization Emily Sears, OMS-III1, Saloni Tandon OMS-III2; Patricia Colucci, DO3; Omar Selod, DO4
• Evaluation of Swallow Screen and Predictiveness for Aspiration Pneumonia or Penetrance in Extubated Patients at a Academic Tertiary care Hospital Patricia Colucci, DO; Nathan Thorp M.S., CCC-SLP; Shovendra Gautam, MD; Sandeep Shori, DO
• Aggarwal A, Elfenbein B, Mazurek Z, Lin R, Philip T, Hiser K, Fraticelli A, Franks S, Palmore K, Bryant A, Eickenhorst D, Gautam S. Assessing Follow Up of Incidental Pulmonary Nodules Identified During Hospitalization. Poster presented at: Baylor Scott and White All Saints Resident Research Day; abril 28, 2023; Fort Worth, Texas
• Sittirat P, Mazurek Z, Peevey J, Mathew S. Leptomeningeal Carcinoma in Breast Cancer, a Rapid Neurological Disability and Death.Poster presented at: Baylor Scott and White All Saints Resident Research Day; abril 28, 2023; Fort Worth, Texas
• Sittirat P, Mazurek Z, Gutierrez A, Gupta R, Rasheed N. Rare Case of Recurrence High Microsatellite Instability (MSI-H) Colorectal Carcinoma After 17 Years of Complete Remission. Poster presented at: Baylor Scott and White All Saints Resident Research Day; abril 28, 2023; Fort Worth, Texas
• Aggarwal A, Nweke C, Carr A, VanAuker L, Schellhase C, Bryant A, Palmore K, Ellis S, Yarger T, Ramarathnam V, Youree B, Gautam S. Making a Difference with C.diff: Reducing the Rate of Hospital-Acquired Clostridioides Difficile Infection Through a Multidisciplinary Approach. Poster Presented at: BAS Resident Research Day; abril 28, 2023; Fort Worth, TX
• Nweke C, Gautam Shovendra. Fraternal Effusions: Simultaneous Atypical Pleural and Pericardial Effusions with Bosutinib. Poster Presented at: BAS Resident Research Day; abril 28, 2023; Fort Worth, TX
• Kim G.E, Chaudhry A, Colucci P, Seemann A, Nweke C.B, Philip T, Carr A, Gautam S. Wash and Protect: A Look into Hand Hygiene Compliance, PDSA Cycle II. Poster Presented at: BAS Resident Research Day; abril 28, 2023; Fort Worth, TX
• Patel J, Joel M, Lee K, Kambala A, Cornman H, Oladipo O, Rebecca V, Ho Jin W, Kwatra M, Dong X, Kang S, Kwatra S. Single-cell RNA sequencing reveals unique fibroblast subclusters in prurigo nodularis. Oral presentation at the International Societies of Investigative Dermatology;mayo 12; Tokyo,JP.
• Aggarwal A, Elfenbein B, Philip TJ, Mazurek Z. Assessing the Follow-up of Incidental Pulmonary Nodules Identified during Hospitalization. Poster presented at: Baylor Scott & White All Saints Resident Research Day. abril 27, 2023. Fort Worth, TX.
• Chaudhry A, Colucci P, Kim G, Nweke B, Philip TJ, Seemann A. Sanitized Data? Auditing Hand Hygiene Adherence. Poster presented at: Baylor Scott & White All Saints Resident Research Day. abril 27, 2023. Fort Worth, TX.
• Seemann, Amanda, Choi, Sarah, Pradeep, Sidart, Nwagbara, Whitney. The Fire Within: A Complex Case of Necrotizing Pancreatitis. Poster presented at: Resident Research Day; abril 28, 2023; Fort Worth, TX.
• Pradeep, Sidart, Choi, Sarah, Seemann, Amanda, Nwagbara, Whitney. Double Trouble: A Case of Mononucleosis and Alcohol-Induced Hepatitis. Poster presented at: Resident Research Day; abril 28, 2023; Fort Worth, TX.
• Kim, Grace. Chaudhry, Adeel, Colucci, Patricia, Seemann, Amanda, Nweke, Chinedu Brian, Phillip, Tim, Carr, Adrienne, Gautam, Shovendra. Wash and Protect: A Look into Hand Hygiene Compliance, PDSA Cycle II. Poster presented at: Resident Research Day; abril 28, 2023; Fort Worth, TX.
• Mojahed Mohammad K Shalabi, MD; Frank Jing, MD; Suresh B Kankanala, MD. A Case of Cutaneous Presentation of Esophageal Adenocarcinoma. Poster Presented at: Baylor All Saints Research Day; abril 28; Fort Worth, TX
• Mojahed K. Shalabi, MD, Sampada Acharya, MD, Gregory A. Hosler, MD, PhD. IgA Vasculitis Associated with COVID-19. Poster Presented at: Texas Dermatological Society Spring 2023 Meeting; abril 28-29, 2023; Austin, TX

Investigación

• DVT Prophylaxis adherence in trauma patients
• Assessing the Follow-Up of Incidental Pulmonary Nodules Identified During Hospitalization
• Alopecia Universalis Secondary to MMF, Sampada Acharya. MD (mentor). On going
• Granulomatosis with Polyangiitis after J&J SARS-CoV-2 Vaccination, Sampada Acharya, MD (mentor). On going project
• Chronic Hemoptysis: An Unusual Etiology. Diana Moise, MD (Mentor)
• Autoimmune like drug induced hepatitis with superimposed azathioprine toxicity leading to emergent liver transplant, Steven Gonzales, MD (Mentor)

Quality improvement

• 04/28/23: "Bridging the Gap: Assessing Incidental Pulmonary Nodules Identified During Hospitalization"; Dr. Gautam
• 04/28/23: "Making a Difference with C.diff": Dr. Gautam
• diciembre 2022 to Present. Multidisciplinary Code Shock Team Approach to Cardiogenic Shock at a Tertiary Center. Salman Gohar.
• Evaluation of Swallow Screen and Predictiveness for Aspiration Pneumonia or Penetrance in Extubated Patients at a Academic Tertiary care Hospital
• Assessing the identification of pulmonary lung nodules during hospitalization
• HAP, 4/28/23, Dr. Gautam • Hand hygiene QI project PDSA cycle 2