There are four general ward services comprised of an attending, resident, two interns, medical students, and, occasionally, a pharmacy or physician assistant student. The ward teams take call every fourth day from 7 a.m. to 7 p.m. There is no intern overnight call. Night teams arrive at 7 p.m. and continue until 7 a.m. the following day. We fully comply with ACGME requirements for residency training programs with particular attention to the number of weekly hours and the number of patients each intern or resident can admit and manage. All members of the house staff are given a minimum of one day off per week averaged over four weeks.
The 16-hour intern work day has been an easy transition and is absolutely honored. All caps and ACGME work-hour requirements are strictly enforced. A Web-based program allows residents to log their hours.
The department of internal medicine has developed a night team system. Monday through Saturday from 7 p.m. to 7 a.m. are covered by an upper-level resident and two interns. This system is strongly supported by the house staff. No intern or resident works more than six night shifts in a row.
The PGY-1 interns take call while assigned to internal medicine wards. Call is every fourth day in house, and runs from 7 a.m. to 7 p.m.
The PGY-2 and PGY-3 residents take call while assigned to internal medicine wards. Call is every fourth day, in house, and runs from 7 a.m. to 7 p.m. The PGY-2 and PGY-3 residents work from 7 p.m. to 7 a.m. when they are assigned night shift.
Each ICU team has one intern and three residents. Call is divided among the team members who each take one week of night ICU.
Residents on subspecialty services do not take in-house call. Generally, the resident will take call with the respective subspecialist and in the morning pick up any new patients admitted overnight.