What is a typical day for internal medicine residents? 7-7:30 a.m., Patient handoff and sign-out rounds7:30-9 a.m., Resident work rounds9-10 a.m., Morning report (inpatient teams only)10 a.m.-12:30 p.m., Attending rounds12:30-1:30 p.m., Lunch conference1:30-4 p.m., Work rounds and inpatient duties; complete attending rounds, if needed4-4:30 p.m., Afternoon patient handoff and sign-out rounds9 a.m.-noon OR 1:30-5 p.m., Half day of outpatient continuity clinic per week
Inpatient Teaching Services There are five general ward services comprised of an attending, resident, intern, medical students, and, occasionally, a pharmacy or physician assistant student. The ward teams take call every fifth day from 7 a.m. to 7 p.m. There is no intern overnight call. Night teams arrive at 7 p.m. and continue through 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.
Duty HoursThe 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 the residents to log their hours.
Night TeamThe department of internal medicine 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 works more than six night shifts in a row.
What is the on-call system?Intern PGY-1The PGY-1 interns take call while assigned to internal medicine wards. Call is every fifth day, in house, and runs from 7 a.m. to 7 p.m.
Residents PGY-2 and PGY-3The PGY-2 and PGY-3 residents take call while assigned to internal medicine wards. Call is every fifth day, in house, and runs from 7 a.m. to 7 p.m.
Subspecialty/Elective RotationsResidents on subspecialty services do not take in-house call. Generally, the resident will take call with the respective subspecialist and pick up any new patients admitted overnight.
When is the continuity clinic? Excluding those on the night team, all 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 604-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. The presence of Mercer students enhances the teaching environment immensely.