Descriptions of Core Rotations
Inpatient Teams
UI General Medicine: Four teams, each consisting of 1 faculty, 1 senior resident, and 2 interns. Team call is every 4th night. Interns alternate overnight call (individual call is every 8th night) and a night float senior resident replaces the team’s senior resident at 6PM. Team cap is 18 patients, 9 patients per intern.
Hematology/Oncology: One team, consisting of 1 faculty, 1 senior resident, and 2 interns. The team takes admissions daily between 7AM and 5PM, Monday through Friday. Admissions at night and on weekends are covered by a night float senior resident and intern. There is no overnight call on this service. Team cap is 18 patients, 9 patients per intern.
Cardiology/CVICU: Two teams, each consisting of 1 faculty, 1 cardiology fellow, 4 senior residents and 4 interns. These teams manage myocardial infarction, heart failure, heart transplant patients as well as all other general cardiology admissions. Patients are followed in the Cardiovascular ICU (12 beds) and on the telemetry ward. Individual call is every 4th night and includes a senior resident from one team paired with an intern from the opposite team. Team cap is 16 patients, 8 patients per intern.
Medical ICU: Two teams, each consisting of 1 faculty, 1 pulmonary/critical care fellow, and 2 senior residents. Individual call is every 4th night with a MICU night float intern (see below). The MICU is a closed unit. Patient care is assumed by a general medicine or appropriate subspecialty team when patients are stable for transfer. The MICU is currently a 20 bed unit. Team cap is 10 patients per team.
VA General Medicine: Four teams, each consisting of 1 faculty, 1 senior resident, and 1 intern. Team call is every 4th night. A night float senior resident replaces the team’s senior resident at 6PM. The intern takes call in-house every 4th night. General medicine consults are covered by the senior resident on call, and these count toward the team cap of 14 patients. The general medicine teams at the VA also cover internal medicine patients in the ICU, which are then staffed by a pulmonary/critical care faculty and fellow. This is an open ICU with 10 beds. There are approximately 20-30 ICU admissions per month which are divided among all 4 teams.
Medicine/Psychiatry Unit: One team consisting of 1 Internal Medicine faculty, 1 Psychiatry faculty, 1 Internal Medicine senior resident, and 2 interns (internal medicine, psychiatry, or neurology). This is a closed unit with 15 beds. The team admits patients between 7AM and 5PM, Monday through Friday. Admissions at night and on weekends are covered by the night float senior resident and intern.
Night Float Rotations
UI General Medicine Night Float: One senior resident covers admissions to the general medicine service between 6PM and 7AM with the on-call intern. Shifts occur every other night for 2 weeks (including weekends). The night float senior resident stays until approximately 9AM to staff admissions with the post-call team.
UI Night Float: One senior resident and one intern, cover admissions and cross-cover issues on the Hematology/Oncology and Medicine/Psychiatry services between 5PM and 7AM during the week and 7AM to 7AM on the weekends. Shifts occur every other night for 2 weeks. The senior resident also covers new general medicine consultations during the night and on weekends.
VA Night Float: One senior resident covers admissions to the general medicine service between 6PM and 7AM with the on-call intern. Shifts occur every other night for 2 weeks. The senior resident also covers new general medicine consultations during the night and on weekends.
MICU Night Float Intern: The intern admits patients with the senior resident and pulmonary/critical care fellow between 5PM and 7AM as well as assists with cross-cover of ICU patient issues as needed. Average number of admissions is 2-3 per night. Shifts occur every other night for 1 month. The MICU night float intern stays until rounds are concluded the following morning to staff new admissions with the ICU team.
Continuity of Care Clinics
All residents training in the categorical program will have two ½ days of clinic per week on non-inpatient services. There is no Continuity of Care clinic during inpatient rotations. Each resident will be assigned either to the VA Medical Center or to the University Family Care Center for their Continuity of Care Clinic.
At the University, each resident has a single faculty mentor with whom he/she works throughout residency training.
At the VA Medical Center there are several faculty members that work together to staff all residents in clinic (usually 2-4 resident clinics per each ½ day). In addition, each resident is assigned to 1 nurse case manager, to assist with patient care follow-up issues.
Education
A defined curriculum has been designed for each rotation, in addition to patient-centered teaching on the wards. Residents attend core conference daily which includes traditional case presentations, faculty lectures and journal club. The core conference series helps to build fund of knowledge and cultivates life-long learning and problem-solving skills. Interns also meet once per week for case-based discussions on basic topics in general medicine. Residents rotating on subspecialty consult services will attend faculty & fellow conferences within that specialty for more focused training. Please click here for a detailed description of the conferences available for residents.
