Hospital Medicine
Our Hospital Medicine training combines both inpatient and outpatient experiences. Interns complete five blocks of hospital medicine, with each block consisting of two weeks of inpatient care followed by two weeks of outpatient care. In the second year, residents complete two blocks of night float, one block of hospital medicine, and one block in the ICU. Third-year residents finish with three blocks of hospital medicine.
The inpatient service typically consists of three residents and an attending physician, managing a census of 12–20 patients, with 4 - 5 often being critically ill. Our Hospitalists care for a high-acuity, medically-complex population. Common diagnoses include decompensated cirrhosis, gastrointestinal bleeding, acute coronary syndrome, heart failure, COPD and asthma exacerbations, pneumonia (community- and hospital acquired), sepsis, diabetic ketoacidosis, stroke, alcohol withdrawal, pancreatitis, acute kidney injury, and VTE and complications of malignancy. Residents develop strong clinical skills in managing complex multisystem disease under close attending supervision.
Our attending physicians are 90% Family Medicine-trained and 10% Internal Medicine-trained. The hospitalist service collaborates closely with the residency service, ensuring a balanced patient census that fosters a rich learning environment. Residents maintain continuity of care by continuing 3–6 half-day outpatient clinics during their outpatient weeks.
ICU
Residents assist with pulmonary, surgery, cardiology, and neurology consults, learning ventilator management and critical care skills. They participate in cardiology consults, EKG interpretation, and review of cardiac diagnostic tests. Neurologic workups and exams are emphasized. We are supported by a strong medical community.
Night Float
The night float rotation, consisting of two 4-week blocks, is a valuable learning experience. The night float resident oversees the entire hospital service and handles admissions, developing autonomy under faculty supervision.