Daily Structure     Call Schedule     FAQs About Inpatient Months     ICUs and ED     Consults and Electives

 

Where Residents Spend Their Time (Month/Year)

  Medicine Wards MICU CCU Electives / Specialty Consults ER Night Float

PGY1

5

1

0

4

1

1

PGY2

3

1

1

6.5

0

0.5

PGY3

2

1

1

7.5

0

0.5

 

Inpatient Service Structure

For our inpatient Staff Medicine services, the team assignment consists of an upper level resident, two interns, an attending, and one to two medical students. Our inpatient services are all generalist admitting teams which provides outstanding case-mix diversity. All inpatient ward teams are led by an experienced clinician educator attending who is dedicated to resident teaching and mentorship.

During the inpatient ward months, we reduce the amount of continuity clinic at Myers Park for each team member to approximately two clinics per month. Residents will have heavier continuity clinic exposure during their consult and elective months throughout the year. We believe that our inpatient call cycle and hybrid nightfloat schedule create an optimal environment for learning while maximizing patient safety, continuity of care, and resident satisfaction.

Team Structure

Name of Service
No. of Residents
No. of Interns
No. of Medical Students

General Medicine

1

2

1-2

CCU

3

0

0-1

MICU

3-4

2-4

1-2

ER/Clinics

0

1-2

Varies

 

For our inpatient General Medicine services, our five (5) day call cycle works as follows:

  1. Short Call:
    • Monday-Friday, 7 a.m. – 1:30 p.m.
    • Cap of six (6) new admissions for two interns, i.e., max three (3) admissions per intern
    • The upper level resident and both interns on the team are present for short call
  2. Rounding / Clinic Day:
    • The morning is spent rounding on the team’s inpatients.
    • Either the upper level or the interns may be scheduled for clinic in the afternoon (each team member has clinic approximately twice during the month).
    • The team has no admitting duties unless there is patient overflow to the team. One of the house staff may have the day off.
  3. Long Call Day:
    • Long call Part 1: [consists of one of the two interns on the inpatient team and the team upper level resident]
      • Monday-Friday, 1:30 p.m. – 7 p.m. / Saturday-Sunday, 7 a.m. – 7 p.m.
      • Cap of five (5) new admissions for one intern
    • Long call Part 2: [admitting done by the other of the two interns on the inpatient team and the "night float" admitting resident – both arrive at 7 p.m.]
      • Monday-Sunday, 7 p.m. - 7 a.m., Cap of five (5) new admissions
  4. "Post" call day
    • Entire team meets to discuss the overnight admissions.
    • Afterward, the overnight intern and night float resident leave by 9 a.m.
    • The other intern and the team resident will round with the attending and complete any needed patient care throughout the day.
  5. Rounding / Clinic Day
    • Similar to the other rounding / clinic day.

Intern Night Float

    • All “cross coverage” of patients is done by a separate night float intern from 5 p.m. – 7 a.m. The night float intern does not admit patients, but solely handles cross-cover issues and assists with codes and other overnight emergencies.
    • On average, CMC internal medicine categorical residency interns will have two 2-week blocks (Sunday-Thursday) of this night float "cross-coverage" in the first year, plus and additional two weekends / year of night float responsibility. Preliminary interns are not scheduled for a night float rotation but are scheduled for approximately 4 weekends / year of night float duties. In addition, all interns will typically work approximately five overnight shifts during their month in the Medical ICU.

Resident Night Float

    • On average, upper level residents will have two weeks (Sunday - Thursday) of night float responsibilities plus an additional two weekends of night float responsibility. The night float rotation during the PGY-2 and 3 years consists mainly of supervising an intern as he/she admits patients from the emergency department.

    • Upper level residents also typically will work seven to eight overnight shifts during their month in the Medical ICU.

    • The Coronary Care Unit has no overnight duties. 

                            IM Resident Call Schedule                IM Resident Call Schedule 2

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