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Hospital Medicine

Faculty teaching a group of residents at rounds, writing on board

Our Hospital Medicine training is a mixture of inpatient and outpatient time. Interns complete 5 blocks of hospital (inpatient) medicine: each block consists of 2 weeks inpatient and 2-week outpatient. The second year includes 2 blocks of night float (hospital medicine), 1 block hospital medicine, plus 1 blocks of ICU. Third year residents complete a final three blocks of hospital medicine.

The hospital inpatient service is 3 residents plus an attending team, typically covering a census of 12–20 patients plus 1–2 critically ill patients. Common diagnoses include community-acquired pneumonia, hospital-associate pneumonia, CHF exacerbations, COPD exacerbations, chest pain, sepsis/shock, pancreatitis, diabetic ketoacidosis, PEs, and stroke.

Our attendings are 10 percent Internal Medicine trained and 90 percent Family Medicine trained. The hospitalist service works together with the residency service to ensure that we have the right balance of patients to ensure good learning so that our census is neither too light nor excessive. During our time on Hospital medicine we continue with 3-6 half days in clinic during your outpatient weeks to provide our patients with continuity of care.

ICU / Cardiology

Residents help with pulmonary, surgery, cardiology, and neurology consults. Residents are taught ventilator basics and develop critical care skills. They assist with cardiology consults, interpret EKGs and review different cardiac diagnostic modalities. They are taught the keys to a thoughtful neurologic work up and a skillful exam. We are fortunate to have the support of the medical community.

Night Float

The night-float rotation is considered a learning-rich experience and consists of two 4-week blocks (2 weeks each block on night float). The float resident is responsible for taking care of the entire service overnight and does admissions—a lot of autonomy is developed, though faculty is always available.



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