Medicine and Cardiology Wards
Our ward experience is divided into two general medicine (Teams A and C), cardiology and a Hematology-Oncology/Pulmonary team (Team B).
- Team A consists of one PGY-3 and two PGY-1 interns (one medical and one psychiatry intern). Team A is supervised by a hospitalist attending. Team A is geographically located primarily on one floor (M6).
- Team B (Hematology/Oncology & Pulmonary team) consists of one PGY-2 and one PGY-1 intern. Team B is supervised by a dedicated fellow and attending from each specialty. Team B is geographically located primarily on two floors (M6 and M7).
- Team C consists of one PGY-2 and two PGY-1 interns (medical interns). Team C is supervised by a hospitalist attending. Team C is geographically located primarily on one floor (M7 and 7E).
- Cardiology team consists of one PGY-3 and two PGY-1 interns. The cardiology team is supervised by a dedicated fellow and attending. The cardiology team is geographically located primarily on one floor (6W). A
ICU
Our ICU team is collectively responsible for caring for both medical and cardiovascular patients – they round separately with both the pulmonary/critical care and cardiology teams. The team consists of two PGY-3 residents, two PGY-2 residents and four medical interns. Call is every fourth night with the second- or third-year residents doing overnight shifts and leaving by 11 a.m. the next day. There is a night float system for the interns who work from 7 p.m. to 7 a.m. for three to four nights at a stretch. At nights, cardiology and pulmonary fellows are assigned directly to the ICU and help coordinate care in their respective teams.
Our new state-of-the-art 25-bed multidisciplinary ICU opened in December 2013. We have recently established an electronic ICU (eICU) program where from 7 p.m. to 7 a.m., an ICU attending continuously monitors the status of all the patients during the night and can live chat with the residents, nurses, and patients to give suggestions for enhanced patient care.
PGY Rotation
PGY-2 Day Float Rotation
This rotation consists of one PGY-2 resident who admits patients during the day between 7 a.m. and 4 p.m. Cases are signed out to an in-house hospitalist and medical team directly at the end of the working day.
PGY-1 Night Float Rotation
This rotation consists of two PGY-1 interns who are primarily responsible for the nighttime coverage of ward patients (see above) - additional responsibilities may include evaluation and admission of patients under the direct supervision of a PGY-2 senior.
PGY-2 Night Float Rotation
This rotation consists of two PGY-2 residents who admit patients overnight between 7 p.m. and 7 a.m. The residents work for two weeks at a time with each one weekend day off. A hospitalist on call is available 24/7 to discuss patient care.
Emergency Medicine, Neurology and Medical Consults
Emergency Medicine
House officers rotate in the emergency room during their intern (PGY1) year and again as a senior residents (PGY3). The emergency room is staffed by one or two board-certified emergency physicians 24 hours a day. Each emergency medicine rotation consists of approximately six 8-hour shifts over the course of a week.
Neurology
PGY-3 residents are required rotate on the inpatient neurology consult service. Teams consist of a neurology resident (from our academic affiliate Tufts Medical Center) and a board-certified neuro-hospitalist.
Medical Consults
PGY-3 residents are required rotate on the inpatient medical consult service. PGY-3 residents will evaluate all inpatient medical consults and round with a dedicated hospitalist. Additional responsibilities during this rotation include department of medicine death review and admission for the cardiology service during the day and one day of weekend coverage.