Inpatient Service Structure

Where Residents Spend Their Time

Name of Service No. of Residents No. of Interns Resident Call Intern Call Overnight Call No. of Medical Students General Medicine 1 2 q 5th q 5th q 5 1-2 CCU 3 0 q 3rd n/a q 3 0-1 MICU 3 2 q 3rd q 4th q 3-4 0-1 ER/Clinics 0 1 shift work 40-50 hrs/week 0 n/a

When on a general medicine team, the team consists of an upper level resident, two interns, an attending, and 1-2 medical students. The team takes overnight call on an every 5 day cycle. Long call, or overnight call, lasts from 3pm until 7am the next day, or 10 admissions (maximum 5 per intern) whichever comes first. There are no admitting responsibilities post call. Short call is also every 5 days and lasts from 7am to 3pm with a maximum of 6 admissions (no > than 3 per intern). Clinic days do not have scheduled admissions. All residents have continuity clinics, including preliminary year interns.

The overall cycle is Short Call - Clinic - Long Call - Post Call - Clinic

The MICU and CCU are every third night call for the upper level resident. There is a fixed day off as part of the cycle every week. Interns in the MICU have a more flexible role and take call no more frequently than every 4th night.

When rotating on the 1 month elective in Medicine Consultation/Preoperative Management, the resident (usually PGY2) will work 2 weekends/month along with an attending.

That is the ONLY consult month or elective with any weekend duty whatsoever. In general, interns will have 4-5 months during the year with no weekend duty, and PGY2/PGY3 residents will have 6-7 months/year with no weekend duty, allowing a great deal of free time for reading as well as relaxation.