Transcript Service Design 2015-2016 April 13, 2015 Goals  Review the design of the Ward, ICU, and ambulatory rotations  This is NOT schedule picks  April.

Service Design
2015-2016
April 13, 2015
Goals
 Review the design of the Ward, ICU, and ambulatory
rotations
 This is NOT schedule picks
 April 17th for rising 3rd years
 April 20th for rising 2nd years
General Schedule
 Interns: 7-9 Ward/ICU months
 PGY2: 8 Ward/ICU months, 3 clinic months, 1 consult
 PGY3: 6 Ward/ICU months, 3 clinic months, 2-3 consult
months
 Surge
 2nd years only have 1 consult month available for surge so will
do 7-8 days consecutive
 3rd years carry the majority of surge
Gen Med Overview
 4 teams at the Main
 Two 1 resident, 2 intern teams
 Two 1 resident, 3 intern teams
 1 team at ART
 1 resident, 2 interns
 3 teams at the VA
 Two 1 resident, 2 interns
 One 2 resident (rotating nights), 2 interns
Gen Med Service: Main
 4 Teams
 Team 1 and 3
 1 upper level and 2 interns
 Team 2 and 4
 1 upper level and 3 interns because of night float
 Call
 Residents: q4days
 Weekdays: 8AM-8PM
 Fri/Sat: 24+4hr call
 Sunday: 8AM-5PM
 Interns: q4days
 All days of week: 8AM-8PM
Gen Med Service: ART
 1 upper level, 2 interns
 Call
 Resident: q3days
 Weekdays: 8AM-8PM *
 Fri/Sat: 24+4hr call
 Sunday: 8AM-5PM
 Intern: q4days
 All days of week: 8AM-8PM
 Cross Coverage and night admissions will be for
Liver/Heme and Gen Med services
*Day float help 4-8pm
VA Wards
 3 Teams: Red, White, Blue
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Red, Blue
 1 upper level
 2 interns
White
 2 upper levels (2weeks days, 2weeks night)
 2 interns
Day float- 1 resident alternating 8-5pm, 8-8pm Mon-Fri
 Call
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Intern: Intern NF of 3 and 2 days; day calls shared by 5 interns not on nights
Resident:
 Weekdays: q3days but alternate weeks, 8-5PM and 8-8PM, with day float resident
 Weekends (Fri/Sat): 24+4hr calls
 Sun: 8AM-5PM
MICU
 5 residents and ~3 interns
 ER residents will continue to be in the mix as upper
levels
 Call
 Intern: ~6calls throughout the month with 6 nights of night
float
 Resident: q4days, 8AM-8PM
 Resident Night float, 8PM-8AM
 6 nights for each resident
VICU
 3 Residents
 Call: 24+4hr shifts q3days
Cardiology Wards
 2 Teams
 1 upper level and 2 interns
 +/- midlevel involvement
 Day float 4PM-MN, Sun-Thurs
 Night float 8PM-8AM, Sun-Thurs
 Call
 Resident
 Weekdays: 8AM-5PM
 Friday: 5PM-8AM covered by UIM clinic resident
 Saturday: 24+4hr call
 Intern: q4days
 Weekdays: 8AM-8PM
 Fri/Sat: rotating day or night
GI Liver
 1 upper level, 1 intern
 Call
 Resident: q3days
 Weekdays: 8AM-8PM
 Fri/Sat: 24+4hr call
 Sunday: 8AM-5PM
 Intern: q4days
 Weekdays: 8AM-8PM
 Fri/Sat: rotating day or night call
Heme Wards
 1 upper level, 1 intern
 Call
 Resident: q3days
 Weekdays: 8AM-8PM
 Fri/Sat: 24+4hr call
 Sunday: 8AM-5PM
 Intern: q4days
 Weekdays: 8AM-8PM
 Fri/Sat: rotating day or night call
Night float
 4 Residents
 Gen Med
 Sun 5PM-8AM
 Mon-Thurs: 8PM-8AM
 ARTGM/Liver/Heme
 Sun 5PM-8AM
 Mon-Thurs: 8PM-8AM
 Cardiology Day Float
 Sun-Thurs: 4-12pm
 Cardiology Night Float
 Sun 8PM-8AM
 Mon-Thurs: 8PM-8AM
GEM/Day float
 2-3 Residents
 1 resident always on Liver/Heme/ART GM Day float (4pm
– midnight), Monday-Thursday
 1-2 resident(s) on GEM
 Weekends to be divided between
the 2-3 residents
VA Day Float
 1 resident per month
 Week 1:
 Mon-Fri 8AM-5PM
 Week 2:
 Mon-Fri 8AM-8PM
 Etc, Alternating weekly shifts with the ward residents
UIM Clinic
 Upper Levels: UIM Clinic q4months
 6 continuity clinic ½ days
 Admin ½ day
 Other ½ days are subspecialty
 Interns: Weekly continuity clinic PLUS 1 Intern UIM
Ambulatory month
 Total of 3 ½ days of continuity clinic
 PLUS reading EKGs, PFTs, Stress tests, etc and other
subspecialty clinics
Ambulatory Experience
 Mon AM: Rismiller (RT) or Argula (RT)
 Mon PM: Chhabra (HCC) or Van Bakel (ART)
 Tues AM: Brock (ART) or Sherman or Usher (ART)
 Tues PM: Castell (ART) or O’Brien (ART)
 Wed AM: Zwerner (ART) or Ngo (RT)
 Wed PM: Huggins (RT)
 Thurs AM: Christiansen (HCC) or Morris (ART)
 Thurs PM: Boger/Gnann (RT) or Van Bakel (ART)
 Fri AM: RAC
 Fri PM: RAC
 *Subject to change
Schedule Preference Day Rules
 #1- Rising PGY3s in JULY have to be in UIM Clinic OR
Ward/ICU month…no consults
 #2- You will make at least 3 picks.
 #3- One pick must be ICU
 #4- One pick must be wards or night float
 #5- Know your picks ahead of time. Time is limited
 Remember these are only preferences. We cannot
guarantee them.
 Make picks in order of importance to you.
PGY3s
 You need:
 6 Ward/ICU
 2 ICU
 1 night float
 1 GEM
 2 other
 3 UIM Clinic
 3 consults/ambulatory month
PGY2s
 You need:
 8 Ward/ICU
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1 night float
1 VICU
1 MICU
5 other: Gen Med, VA wards, ART GM, Liver, Heme, Cards,
Day Float
 3 UIM Clinic
 1 consult
Graduation Requirements
 3 AMBULATORY MONTHS outside UIM Clinic (ideally 1
PGY2 and rest PGY3 yr)
 1 ER month (VAUC or Main ED)
 Neuro: Stroke service as intern or Consults as upper level
 Geriatrics (GEM)
Questions?