Curriculum
Interns:
| Rotation |
Categorical |
Preliminary |
| Medicine Floors |
2 NBIMC General med
1 St Barnabas
1 Geriatrics
1 Oncology
|
3 NBIMC General med
1 other |
| Ambulatory |
1 1/2 months |
1 to 1 1/2 months |
| Night Float |
1 1/2 months |
1 1/2 months |
| Telemetry floor |
1 month |
2 months |
| CCU |
1 month |
0 to 1 month |
| ICU |
1 month |
0 to 1 month |
| ER |
1/2 month |
0 |
| Elective |
1/2 month |
2 months |
| Vacation |
1 month |
1 month |
PGY-2's:
|
|
| Rotation |
|
| Medicine floors |
2 NBIMC General med
1 Geriatrics
1 Oncology |
| Ambulatory |
2 months |
| Night Float |
1 month |
| Telemetry floor |
1 month |
| CCU |
1 month |
| Neurology |
1 month |
| ER |
1/2 month |
| Elective |
1 1/2 months |
| Vacation |
1 month |
PGY-3's:
|
|
| Rotation |
|
| ICU |
2 months |
| Medical Officer
of Day |
1 month days
1 month nights |
| Elective |
2 months |
| Pulmonary consults |
1 month |
| Cardiology and
Renal consults |
1 month |
| Infectious Disease
consults |
1 month |
| GI and Rheumatology
consults |
1 month |
| Hematology and
Medicine consults |
1 month |
| Endocrinology
consults |
1 month |
| Vacation |
1 month |
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.
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.
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.
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.
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.
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:
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.
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.
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