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What is a typical day like during Memorial University Medical Center inpatient service?
7 a.m. to 7:30 a.m., Patient handoff/sign-out rounds
7:30 a.m. to 9 a.m., Resident work rounds
9 a.m. to 10 a.m., Morning report - inpatient teams only (Monday, Tuesday, and Thursday)
10 a.m. to 12:30 p.m., Attending rounds
12:30 p.m. to 1:30 p.m., Noon conference
1:30 p.m. to 4 p.m., Work rounds and inpatient duties
4 p.m. to 4:30 p.m., Afternoon patient handoff/sign-out rounds
What is the On-Call System?
Inpatient Teaching Services
There are four general ward services 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 fourth night from 7 a.m. to 7 a.m. the next day. The interns are assigned either "first call" or "second call" designation. The first and second call intern admits patients from 7 a.m. to 7 p.m. Every other call, one of these interns is allowed to leave at 7 p.m. as the night float intern arrives. We fully comply with ACGME requirements for residency training programs with particular attention to the number of weekly hours and the number of admissions each intern/resident can have. After a team caps, any further admissions are done by the night float resident and intern. All members of the house staff are given one day off per week averaged over four weeks.
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. are 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. Currently, we have one night float intern. There is a strong likelihood that we will have two night float interns in 2010. This will nearly eliminate 24-hour shifts on our general medicine ward teams.
PGY-1
The PGY-1 residents take call while assigned to internal medicine wards. Call is every fourth 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. Generally, the resident will take call with the respective subspecialist and pick up any new patients admitted overnight in the morning.
When is the Continuity Clinic?
Interns and residents spend a half day each week in their own continuity clinic and provide hospital follow-up care to patients seen at Memorial University Medical Center.
What is Memorial University Medical Center?
Memorial University Medical Center, located in Savannah, Ga., is a 530-bed tertiary care facility and a comprehensive regional referral center for cardiac care, cancer care, trauma, pediatrics, high-risk obstetrics, neonatology, and rehabilitation. We offer six physician residency programs and are affiliated with Mercer University School of Medicine.
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