Resident Rotations
Med 1
General Internal Medicine
On call every other day for MED 1 pts. and the “no doc”
PGY 2
(senior) + 4 Interns
Average Census 17.3 ± 3.8
Frequency of call every 8th day
PGY 2 + 3 Interns attend morning report
(MR)
MR = 7:30 – 8:20 am (Mon., Tues., Thur.) – Friday only third year medical students
with Chief
resident.
PGY 2 meet for 15 minutes with care coordinators to discuss patients disposition
(SBL competency.) 8:30-10 am patients seen
by the team. Rounds start with the attending at 10 am Team receives new patients (admissions
done by admitting residents) until 5 pm. The fourth
Intern (the on call Intern) from MED 1 joins the team for sign off rounds from 4-5
pm then start admitting supervised by the senior admitting
resident (ADR) until 8 pm and NF2 (8 pm – 8 am) to admit to MED 1 overnight. ADR meets
NF2, NF3 for sign off rounds from 7:30-8 pm. MED 1
PGY 1 on call covers floor calls for MED 1 and 2 only. Another intern from MED 3 or
5 will join his/her team at 4 pm for sign off rounds.
Joins MED 1 intern and ADR at 5 pm will admit patients to MED 3 or 5 only.
Also covers the floor calls for all patients except
(MED 6 + MED 1 and 2.)
The fourth (on call interns MED 1/2 and 3/5) will leave the next day at 2 pm after
rounds.
Med 2
General Internal Medicine
On call every other day for MED 2 pts. and the “no doc”
PGY 2
(senior) + 4 Interns
Average Census 15.6 ± 4.8
Frequency of call every 8th day
PGY 2 + 3 Interns attend morning report
(MR)
MR = 7:30 – 8:20 am (Mon., Tues., Thu.,) – Friday only MS3 with Chief resident
PGY 2 meet for 15
minutes with care coordinators to discuss patients disposition (SBL competency)
8:30 – 10 am patients are seen by the team
Rounds start with the attending at 10 am
Team receives new patients (admissions done by admitting residents) until 5 pm
The fourth Intern from MED 2 will join the team for sign off rounds from 4-5 pm then
start admitting with the ADR resident until 8 pm and
NF2 (8pm – 8am) to admit to MED 2 overnight. Also covers floor calls for MED 1 and
2.
Another intern from MED 3 or 5 will join
his/her team at 4 pm for sign off rounds.
Joins MED 1 intern and ADR at 5 pm will admit patients to MED 3 or 5
Also covers the floor calls for all patients except (MED 6 + MED 1/2)
The fourth (on call interns MED 1/2 and 3/5) will leave at
2 pm after rounds.
Med 3
Internal Medicine with Focus on Pulmonary
MED 3 (primary and consults) Mean 14.5 ± 3.5
Frequency of call
every 8th day
PGY 2 (Senior) + 4 Interns
PGY 2+3 Interns attend morning report (MR)
MR = 7:30 – 8:20 am (Mon.,
Tues., Thu.,) – Friday only MS3 with Chief resident
PGY 2 meet for 15 minutes with care coordinators to discuss patients
disposition (SBL competency)
8:30 – 10 am patients are seen by the team
Rounds start with the attending at 10 am
Team receives new Pulmonary patients (admissions done by admitting residents) until
5 pm
The fourth Intern from MED 3 will join
the team for sign off rounds from 4-5 pm then start admitting with the ADR resident
until 8 pm and NF2 (8pm – 8am) to admit to MED 3 only.
Also covers floor calls for MED 5 and 3.
The on call intern from MED 1 or 2 joins his/her team at 4 pm for sign off rounds.
MED 3 intern will admit patients (supervised by the ADR and NF2 after 8 pm) to MED
3 or 5 only and covers the floor calls for all patients except
(MED 6 + MED 1/2)
Subspecialty admissions after 8 pm (cardiology, ID, GI, H/O) are admitted by PGY
2 NF2
The fourth (on
call interns MED 1/2 and 3/5) will leave at 2 pm after rounds.
Med 4
Internal Medicine with Focus on Cardiology
On call every day for cardiology
PGY 3 + PGY 2 + 3-4 Interns
Census 21.5 ± 5.6
No overnight calls
Two teams:
Primary (PGY 2 + 2 Interns)
Consult (Fellow + PGY 3 + 1 Intern)
1 Intern on call until 8 pm
PGY 2 excused from attending MR
PGY 3 + 2 PGY 1 attend morning report 7:30 – 8:20 am
Seniors (PGY 3) meet for 15 minutes with care coordinators
8:30 – 10 am patients are seen by the team
Rounds start with the
attending at 10 am
Team receives new patients (admissions done by admitting residents) until 5 pm.
The on call Intern from
MED 4 will admit cardiology patients supervised by the fellow and the attending until
8 pm
The cardiology resident hands off to NF 2
7:30 – 8:30 pm.
Cardiology floor patients will be covered by MED 4 on call until 8 pm.
After 8 pm by the MED 3/5 on
call Intern.
Admissions to cardiology after 8 pm will be done by NF 2 only (MED 1, 2, or 3, 5
Interns are not responsible for these
admissions) and staffed with the cardiology on call.
Med 5
Internal Medicine with Focus on Nephrology
On call every day for MED 5 pts. and Nephrology consults Resident frequency of
call every 8th day.
PGY 3 (Senior) + 4 Interns
Average Census Mean 22 ± 4.5
PGY 3 + 3 Interns attend
morning report (MR)
Nephrology patients admitted to ICUs (3-5) supervised by the fellow not the PGY 3
especially when the census >
20.
MR = 7:30 – 8:20 am (Mon., Tues., Thu.,) – Friday only MS3
with Chief resident
PGY 2 meet for 15
minutes with care coordinators to discuss patients disposition (SBL competency)
8:30 – 10 am patients are seen by the team
Rounds start with the attending at 10 am
Team receives new patients (admissions done by admitting residents) until 5 pm
The on call Intern from MED 5 will join the team for sign off rounds from 4-5 pm
then start admitting with the ADR resident until 8pm and
NF2(8pm –8am) to admit to MED 5 overnight.
Also covers floor calls for MED 5 and 3.
Another intern from MED 1 or 2
will join his/her team at 4 pm for sign off rounds.
Joins MED 5 intern and ADR at 5 pm will admit patients to MED 3 or 5
Also covers the floor calls for all patients except (MED 6 + MED 1/2)
The fourth (on call interns MED 1/2 and 3/5) will leave at 2 pm
after rounds.
Med 6
Medical Intensive Care
On call every day for MICU
PGY 3 + PGY 2 + 2 PGY 1
Average Census 12.6 ± 2.9
Frequency of overnight call – None for PGY 1 and 2
Once a week for PGY 3
PGY 3 must attend morning report 7:30 – 8:20 am PGY 2 and the team see patients 8:30
– 10 am
Rounds start with the attending at 10 am
Team receives new patients (admissions done by admitting resident) until 5 pm
The on call MICU resident from MED 6 (5-8 pm) will admit MICU patients supervised
by the MICU fellow until 8 pm. Hand off to NF
7:30 – 8:30 pm.
Admissions to MICU after 8 pm will be done by NF 3 and staffed with the attending
and the fellow on
call.
NF 3 hands off patients to MICU team (PGY 2 and PGY 1) 7:30 – 8:30 am
All transfer notes outside the unit
should be done by the PGY 3 and if absent by the fellow
PGY 3 Friday call from 5pm – 2 pm the next day and must write.
1) Procedures
Procedures are logged through the new innovations. A report is generated and scores as shown.
2) Mini-CEX
The Mini-CEX is a 15-20 minute observation or “snapshot” of a resident/patient interaction, followed by a feedback session (10-15 min) and completion of a one-page form.