Highlights of the call schedule
The primary objective of the call schedule is to optimize clinical training by providing adequate patient care experience within the guidelines specified by the RRC and ACGME. A unique 1:7 call schedule for internal medicine floor months ensures adequate time to rest and recover from overnight call. Interns and residents take call only during the rotations specified in the table below. The number of call months decrease from 8 months during the PGI year to 4 months during PGYIII allowing sufficient time for career planning and board preperation.
| Rotation | PGY I | PGY II | PGY III | Freq of Night Call |
|---|---|---|---|---|
| Floor Medicine | 6 Months | 3 Months | 2 Months | 1 : 7 |
| MICU/CCU | 2 Months | 2 Months | 2 Months | 1 : 4 |
| Total | 8 Months | 5 Months | 4 Months |
General Medical Floors
A team consists of:
One supervising resident
Two interns
One to two 4th year medical students
Two 3rd year medical students
Night call during general medical floor rotation is once a week and is assigned by the day of the week. The program has developed an unique call schedule that assigns night call, day (short) call and ambulatory clinic by the day of the week. It is specifically designed to avoid overlap of duties such as ambulatory clinic on call or post call days. The floor team is responsible for all admission orders and procedures. Faculty members round on and are available to assist with care of all patients admitted to the teaching service. All patients are followed by the admitting team from admission to discharge allowing undisrupted teaching experience.
Post-Call Day
After completing patient care duties and signing out to colleagues, resident
teams may leave the hospital by 1 p.m. Post-call day rounds are only for patient
care purposes.
Case Load Policies
The following policies were developed to ensure consistent patient care and a
humane work schedule for residents.
Limited Admissions During night call, no more than six new admissions per PGY I or 12 per supervising resident are allowed in a 24-hour period.
Service Size Limitations Seven day averages of not more than 10 patients per PGY I or 20 patients per supervising resident are allowed. Workload statistics are constantly monitored by the assistant program director. This policy is enforced.
| Time | Non Call Day | On Call Day (1 in 7) | Post Call Day |
|---|---|---|---|
| 7.30 - 9.00 a. m. | Work Rounds | Work Rounds | Post Call Rounds with Faculty |
| 9.00 - 10.00 a. m. | Morning Report | Morning Report | Morning Report |
| 10.30 - 12.00 Noon | Teaching Rounds (Mon,Wed,Fri) Pt Care (Tue, Thu) | Teaching Rounds (Mon,Wed,Fri) Pt Care (Tue, Thu) | Pt Care |
| 12.00 - 1.00 p. m. | Luncheon Conference | Luncheon Conference | Luncheon Conference |
| 1.00 - 3.00 p. m. | Pt Care | Pt Care /New Admissions | Sign out & Leave at 1.00 p.m. |
| 3.00 - 5.00 p. m. | Chart Rounds | Chart Rounds/ New Admissions | |
| 5.00 p. m. | Sign out & Leave | Night Call /New Admissions | |
| 5.00 p. m. - 8.00 a.m. | Night Call /New Admissions (Max 12 per Team/Day ) |
Medical Intensive Care and Coronary Care Unit Rotations
Residents are never on call more frequently than every fourth night. Residents
receive training in the care of criticlly ill patients under the direct
supervision of board certified intensivists.
Residents are allocated at least one day in seven away from hospital, free from patient care duties.