Residency Training Terms and Conditions of Employment

Position Title


Duration of Training

Four years total; contract for continued employment is reviewed annually and is based on satisfactory completion of patient care responsibilities and demonstrated progression of knowledge and skills.


Stipend Levels – Fiscal Year 2015-2016

PGY levelStipend


The following is a brief summary of the benefits that are available to trainees. A more detailed description of the benefits is available through the MD Anderson Benefits Office. Insurance benefits are available to persons holding educational appointments for a period of not less than four months and who receive a stipend.

Insurance benefits for residents are the same benefits as those available to classified employees. Monthly premiums are paid by the Physician’s Referral Service, thereby relieving residents of this expense:

  • Medical plan (PPO)
  • Prescription drug coverage
  • Choice of two dental plans
  • Vision plan
  • Life insurance
  • Accidental death and dismemberment insurance
  • Personal accident insurance
  • Long term disability
  • Long term care
  • Flex account
    A tax-free reimbursement account that may be used to pay eligible health care expenses and dependent care expense

Professional liability insurance is also provided by the institution to physicians in training at no cost to the trainee. 


As a physician in training, the institution will assist you in applying to the Texas State Board of Medical Examiners for a basic post-graduate resident permit. This will allow you to practice within the institution only; you will be covered under an institutional DEA number. Trainees may elect, at their own expense, to obtain a Texas state medical license, and upon so doing must also apply for their own DEA number.

Duty Hours

As a resident, you will complete six clinical rotations of 8-9 weeks per year. There are nine clinical services, most of which you will rotate to twice during your training. Most services have a junior (first and second year) resident and a senior (third and fourth year) resident. You duties will vary based on the rotation; however, basic responsibilities for patient care are the same. You are expected to arrive at 8:00 a.m. to relieve the on-call physician. Your duties extend until 5:00 p.m. If patient care duties are ongoing, you may need to stay in order to complete your duties.

Call Responsibilities

Weekly call (Monday 8:00 a.m. - 8:00 a.m. Monday of following week) is covered by PGY 2 and PGY 3 residents, split equally among them. The resident on call is present in the hospital for the first scheduled treatment and is considered on call until 8:00 a.m., at which time staff and residents assume responsibility for their respective services. The resident on call then reassumes responsibility at 4:30 p.m., remaining in the hospital until the last patient is treated. The resident on call may then leave the hospital, keeping his/her pager on and accepting inpatient consults and outside telephone calls until the following morning. Weekend call is alternated between the two residents assigned to the gynecology service, who are in the hospital on Saturdays to round on their patients and remove brachytherapy systems.  The resident on call is present is the hospital for the first scheduled treatment and handles treatment related issues, patient questions and in-treatment emergencies on Sunday morning until the last patient is treated.


You are entitled to 15 working days of vacation per year. A maximum of five vacation days may be taken during each rotation. However, 10 consecutive days of vacation may be taken at the end of one rotation and the beginning of the next rotation. Ten days of sick leave are granted each year and academic leave is given for attendance at professional and scientific conferences and interviews in the fourth/senior year.


Moonlighting call is not permitted anywhere outside the institution.

For more information and to answer additional questions you may have, please see the Trainee Manual (pdf) prepared by the Graduate Medical Education office.