Our inpatient medicine service has four resident teams that care for the majority of the patients in the hospital.
Each team is made up of a PGY-1, PGY-2 and attending. They admit q4-5 days. Overnight admissions and cross-coverage servcies are provided by our "NARC" team (the Night Admitting Residents & Cross-coverage team), comprised of a PGY-1 and PGY-3. A backup system is in place to call in extra help if the night gets too busy, and a cap is in place to maintain a good balance between service and learning.
Highlights of the rotation include lots of resident-to-resident teaching and collaboration, a healthy amount of tethered autonomy, and a daily morning teaching session led by PGY-3s and attendings with a core curriculum of case-based topics.
Residents see an amazing variety of pathology in patients of all ages and fully participate in their care as the primary doctor. They progressively develop more complete and complex differential diagnoses and cogent treatment plans. The progressive responsibility and leadership experiences prepare the resident well for independent practice.
Total time on medicine rotations comprises four months in each of the first two years, plus two 2-week blocks of NARC in each year. The rotation is primarily inpatient, with the exception of 1-3 half-days a week of continuity clinic and a day off each week.