Internal Medicine

General Information

  • Sign out: 0630-0700 in the Control Room in the Wearn Building (Between Cafeteria and Lakeside). Try to be there closer to 0630 so night float can leave on time.

  • 0700-0800: Pre-round on your patients. Rounds generally start at 0800 but depends on attending preference.

  • 1200-1300: Noon lecture. Some days you may have an additional lecture from 1300-1400. Free lunch provided!

  • 1300-end of day: COLD (consults/orders/labs/discharges), finish notes, update sign out and hospital course, take admissions (the time you leave and the admissions you take depends on your call, see below)

    • Long call ALWAYS goes to code blues in the hospital. Medium call should go if available.

      • Exceptions include pediatric codes and codes in the ICUs.

    • Long and medium call holds the team pager and stays until sign out at 1830.

Medicine Scheduling Expectations

 

Long Call

Admit up to 3 patients before 1800 (1900 on Fridays).

Max amount of admissions = 3

Generally you get your admissions after 1600.

 

Short Call

Admit up to 1 patient up 1300.

Max amount of admissions = 1

Ask around the Hellerstein (Cardiology) room for short call admissions as soon as you arrive in the morning for sign out. Generally, the admissions overnight (1) go to the short call, and if there’s more than 1, it goes to the medium call.

Medium Call

Admit up to 2 patients before 1600.

Max amount of admissions =2

Sometimes, you will be given a medium admissions or both of them, when you arrive in the morning for sign out. Common in heavy load/high turnover teams like Hellerstein (Cardiology). But that means, you are capped, and do not get admissions later on during the day. In other words, you may be able to leave earlier.

 

Happy Call

No admissions

Round on your patients, finish up the work, and go home!

 

General Medicine (Wearn/Naff team)

Team room: Lakeside 50 (2nd floor) - a team of 2 interns

Goals & Objectives <download>

 

You carry the pager on your LONG and MEDIUM days. You are expected to stay until sign out at 0630 both long and medium call days.


Days Off

  • HAPPY and/or SHORT days that fall on the weekend.

  • A golden weekend is one where you are short on Saturday and Happy on Sunday.

Cardiology
(Hellerstein team)

Team room: Lerner Tower 5th floor - team of 4 interns

Goals & Objectives <download>

 

You can carry the pager on your LONG CALL days. You are responsible for the sign out at 1830 on your long call days only. You are likely to get admissions until 1900, since it is a long call anyway. However, many times you are there until sign out time on your medium call days too.

Days Off

Only your HAPPY call day that falls anywhere between Friday to Sunday.

Because it is a team of 4 interns, the cycle guarantees that you are off either Friday, Saturday, or Sunday - whichever day you are scheduled HAPPY CALL.

Nephrology (Eckel team)

Team room: Lakeside 55 on the 5th floor - a team of 3 interns

Goals & Objectives <download>

 

Generally a 4 week rotation -> 3 weeks inpatient, 1 week consult

The intern on consults will take over the service patients of the intern taking over consults the following week.

Proposed Admission Rules

  • A “long-medium-happy” q3 day call schedule

  • Long will take up to 3 admissions till 1900.

  • Medium will take up to 1 overnight admission, none on weekends.

  • Happy will take no admissions. They are off on weekend days.

Days Off

Your HAPPY CALL day that falls anywhere between Friday to Monday