Department of medicine

General Curriculum

On-Call Schedule
Schedules vary depending on the rotation. All post-call interns are relieved by 12 PM (or no more than 16 hours, whichever comes first). There are no post-call continuity clinics. Each resident/intern is off a minimum of one in seven days on all rotations.

The average number of admissions is four per intern per call night at Medical University Hospital and three per intern per call night at the VA Hospital.  Interns are responsible for no more than five new patient admissions per 24-hour period.  Upper level residents assist with all admissions and a surge intern is available to come in on heavy admission nights.

Typical Houseofficer Assignments




Ward Months

7 or 8

4 or 5

3 or 4

ER Months

0 to 1



ICU Months




Continuity Clinic Months




Consult/Ambulatory Months

2 to 3

1 to 2

2 to 3

Geriatric Months




Night Float


4 Weeks

4 Weeks

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.

On-Call Schedule
Schedules vary depending on the rotation.  All post-call interns are relieved by 12PM (or no more than 16 hours in the hospital, whichever comes first).  There are no post-call continuity clinics.  Each resident/intern is off a minimum of one in seven days on all rotations. 

General Curriculum Links

- Overview
- General Weekly Schedule
- Wards
- Admissions
- Typical Houseofficer Assignments
- On-Call Schedule
- Clinics
- Fellowships
- Chief Medicine Residency
- Rotation Curriculae

Residency Applicant Links
- Welcome Message
- How to Apply
- What to Expect on Interview Day
- Educational Program Staff
- General Curriculum
- About Charleston
- Vacation & Benefits
- Off Campus Housing
- Post-Residency Plan
- Resident Candidate Packet
- Medicine/Pediatrics Residency
- Medicine/Psychiatry Residency
Current Resident Links
- Meet the Current Residents
- Resident Toolbox
- Global Health at MUSC
- Diversity and Inclusion

Other Schedules are as follows

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).

Throughout intern year, one afternoon per week will be spent in continuity clinic at the University IM Clinic seeing a maximum of 4 patients per afternoon.  In addition each intern will have a one month block of UIM Clinic.  Upper level residents spend one month in UIM every 4th month as a block rotation (totaling 6 clinic months during second and third years).   During UIM clinic block rotations, interns and residents have a mixture of continuity clinic and subspecialty clinics.

Read more about Conferences and Lectures

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.


Fellowship positions are available at MUSC in nine medical subspecialties: cardiovascular medicine, endocrinology-diabetes-medical genetics, gastroenterology and hepatology, hematology-oncology, infectious diseases, nephrology, pulmonary and critical care medicine, and rheumatology and immunology. Lastly, MUSC is currently in the process of starting a palliative care fellowship.

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
Each year, three PGY-3 residents are selected to participate for a fourth year as chief residents, occupying junior faculty positions in the department. This unique opportunity lets residents learn about education mechanisms, research, personnel management and medical administration, and allows them to experience working as an attending physician. [TOP]


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