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Inpatient Teaching Services
At Memorial University Medical Center, general medicine call is every fifth night. There are five medicine ward teams, four internal medicine general ward services (yellow, red, blue, and green) and one family practice general ward service (silver). The IM ward services are comprised of an attending, resident, two interns, one to two medical students, and occasionally a pharmacy or physician assistant student. The ward teams take call every fifth night from 7 a.m. to 7 a.m. the next day. The interns are assigned either "first call” or "second call" designation. The second call intern admits patients from 7 a.m. to 7 p.m. The first call intern usually admits patients from 7 p.m. to 7 a.m. and does the general cross-cover. We fully comply with ACGME requirements for residency training programs with particular attention to the number of weekly hours and admissions allowed for each intern/resident. After a team caps, any further admissions are done by the night float resident. All members of the house staff are given one day off per week.
Night Float
The Department of Internal Medicine has
developed a resident night float system. Sunday through Thursday
nights from 7 p.m. to 7 a.m. is covered by an upper-level resident
assigned to the night float service. Night float takes the place
of the on-call resident, allowing him/her to go home at 7 p.m. Friday
and Saturday nights are shared by upper-level residents assigned
to no-call rotations. This system is strongly supported by the house
staff.
PGY-1
The PGY-1 residents take call while assigned to internal medicine wards. Call is every fifth night, in house, and runs from 7 a.m. to 7 a.m. PGY-1 residents assigned to the critical care rotation take call every fourth night.
PGY-2 and PGY-3
The PGY-2 and PGY-3 residents take overnight in-house call while on the night float rotation from Sunday through Thursday, 7 p.m. to 7 a.m.; PGY-2 and PGY-3 residents assigned to critical care rotation take call every fourth night.
Subspecialty/Elective Rotations
Residents on subspecialty services do
not take in-house call, except on the critical care rotation, which
is every fourth night. Generally, the resident will take call with
the respective subspecialist and pick up any new patients admitted
overnight in the morning.
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