Internal Medicine Residency Program
Newark Beth Israel Medical Center

Curriculum

Interns:

PGY-2's:

PGY-3's:

Call Schedule Summary:

Interns and PGY-2's:

Floor months: During all NBIMC floor months (GMF, Oncology, Geriatrics, Telemetry) interns admit Q 4 nights. PGY-2's admit either Q 4 or Q 8 nights, depending on their rotation. Five nights per week these calls are until 8:00 pm, with Night Float relieving floor teams at 8:00 pm. Friday and Saturday nights are overnight calls, with house staff leaving by 12:00 p.m. the next day.

ICU and CCU: All Critical Care rotations involve admitting Q 4 nights overnight. House Staff then are relieved after teaching rounds the next day, generally by 11:00 am.

Night Float: The Night Float team consists of two interns and one PGY-2 who work as a team Sunday through Thursday nights from 8:00 pm till 7:00 am. They are relieved after Morning Report at 8:30 am each day.

Ambulatory Blocks: Both Interns and PGY-2's participate in the call schedule for the critical care units during their ambulatory blocks, on a somewhat variable Q 4 to 8 call basis. They are relieved after signing-out to the ICU/CCU staff the next day, generally by 11:00 am. Interns participate in ICU calls and PGY-2's participate in the CCU call schedule during Ambulatory blocks.

Neurology consults: PGY-2's participate in the call schedule for the CCU during their Neurology consult block, on a somewhat variable Q 4 to 8 call basis. They are relieved after signing-out to the CCU staff and rounding with the Neurology attending the next day, generally by 11:00 am.

PGY-3's: During the PGY-3 year calls are divided between coverage of the Medical Intensive Care Unit (ICU) and coverage as "Medical Officer of the Day" (MOD), a job which involves major triage and administrative responsibility for patients admitted to medical teaching services, as well as oversight of emergency consults and cardiopulmonary resuscitation efforts. Coverage of these two jobs is divided as follows:

ICU Calls: These are overnight calls, occurring on a Q4 rotation. These calls are divided between two senior residents assigned to the ICU, the PGY-3 doing Pulmonary Consults, and the PGY-3 doing Cardiology and Neurology Consults each block. The residents are relieved after sign-out rounds and teaching rounds the next morning, generally by 11:00 a.m.

MOD call: The weekday MOD responsibilities are divided between a Day-MOD, who works from 8:00 am to 8:00 pm, and a Night-MOD, who works from 8:00 pm to 8:00 am Monday through Friday. Saturday and Sunday MOD responsibilities are covered by PGY-3's on Consult Services other than Pulmonary and Cardiology/Nephrology. These calls are 24-hour shifts, and generally each PGY-3 does two or three such shifts during each of their consult months.

Sample Work Week for PGY-1's and 2's

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