Monthly intern assignments include 2-3 subspecialty ward months and 5-6 general medicine wards. Interns also spend one month in the Medical Intensive Care Unit and in ambulatory care in addition to time spent on inpatient consultative services.
VA Medical Center: Interns generally are on call once a week. They also work a total of 5 to 6 nights per month, split into two separate blocks of 2-3nights each. Interns and Residents participate in a short call system (5:00 p.m.-8:00 p.m.) Sunday through Thursday night. The ICU is a combined MICU/CCU attended by both Cardiology and Pulmonary/Critical Care. Call is q3 in the ICU and is staffed solely by upper level residents (no interns).
Medicine Grand Rounds are held every Tuesday at 8 a.m. Morning report at all hospitals for residents, interns and students is held on Mondays, Wednesdays, and Fridays.
Morning report at the Main Hospital is structured in a case-based format, with 2 cases presented each morning. After presentation of each case, residents break into small groups overseen by an attending. The emphasis of discussion is on forming a differential diagnosis and appropriate work-up. Finally, a large group discussion is followed by teaching topics led by the Chief Resident.
There is a separate ambulatory morning report held in Rutledge Tower for residents in clinic. There is also a separate morning report held at the VA which focuses on one case presentation followed by an in-depth discussion of a learning point centered around Quality Improvement, Cost Conscious Care, Evidence-Based Medicine, Board preparation, or VA operations/logistics.
A variety of topics are covered at daily noon conferences. An intern-specific conference is held once monthly. During July and August, an Intern Survival and Emergency Lecture Series is held, which focuses on common Internal Medicine emergencies and "cross-cover" issues. Throughout the remainder of the year, topics in subspecialty and general medicine diseases are presented. Other noon conference topics include M & M, EBM, journal club and senior resident presentations. While rotating on a subspecialty or consult service, housestaff may choose to attend weekly specialty conferences for that service.
Programs are two or three years in duration, depending on the subspecialty. These programs provide the necessary prerequisites for acceptance by the subspecialty boards of the American Board of Internal Medicine by offering subspecialty clinical training, research and didactic educational opportunities.
About 60% of the department's housestaff graduates seek additional training in subspecialty fellowships.
Chief Medical Residents