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Rotations

The program’s rotation schedule is designed to ensure balanced and thorough training in a variety of settings, including ambulatory care, inpatient wards, critical care units, hospice, and long-term care facilities. The program offers elective time throughout the residency.

Categorical interns use their non-call months during the first year to begintheir mastery of ambulatory and emergency medicine and to schedule an elective. In the PGY-2 and PGY-3 years, increasing amounts of elective time are available for residents to master subject areas of choice.

In PGY-1, 2, and 3 on-call is 1 in 4 days on wards, ICU and CCU rotations.
General Medicine Wards

  • Teams are composed of one PGY-2 or PGY-3 resident, two PGY-1 interns, and two medical students.
  • Each team is assigned an attending. The attending conducts daily teaching rounds and serves as the attending on record for staff admissions to their team.
  • Teams admit no more than 10 patients per on-call night; the case load is distributed between the interns.
  • Night float covers all cross-coverage duties throughout the night.
  • All residents and interns have a minimum of four days off per month.

Intensive Care Unit/Coronary Care Unit

  • The ICU has 20 and CCU has 10 beds and are managed by separate house staff and attending physicians.
  • Each CCU team is composed of four PGY-2 or PGY-3 residents and ICU team composed of three interns.,one PGY-2 and one PGY-3.Medical students are frequently involved in CCU rotations.
  • Board-certified intensivists and cardiologists admit, manage, and teach about all patients in the ICU and CCU.
  • All residents and interns have a minimum of four days off per four-week block.

Ambulatory Block Rotation

  • Residents are assigned to a total of two blocks of ambulatory medicine during their three years of training at the Glenridge Medical Center.
  • Preliminary interns also need to do an ambulatory block rotation.
  • During this rotation, didactic sessions focus on advanced physical diagnosis, communication skills, suturing and splinting, and beginner critical appraisal skills.
  • The PGY-2 block rotations expose residents to the variety of sites where internists may choose to practice. Residents rotate through adolescent clinic in Howard University Hospital IN Washington, DC.

 

Geriatrics

  • All residents complete one block of geriatric medicine during their three years at the Prince George’sHospital Center.
  • Residents participate in inpatient consultation, home care visits, and a geriatric assessment program.

Emergency Medicine

  • Residents participate in the emergency medicine rotation during their three years.
  • Experienced emergency medicine specialists from GW hospital supervise residents as they care for a wide variety of acute and emergent conditions.
  • Residents in the emergency medicine rotation have the opportunity to perform a wide variety of invasive procedures

Continuity Clinic

  • All categorical interns and residents are assigned a weekly continuity clinic.
  • Clinic is scheduled at the newly constructed Faculty-Resident Ambulatory Care Center.
  • Registered nurses triage phone calls and take messages for resident physicians.
  • Typically, each resident works with the same faculty member to care for a panel of patients throughout their tenure at the clinic.
  • Residents work in the clinic during all rotations except during night float.

Night Float

  • Residents assigned to night float work either 5 days a week.
  • Night float rotations incorporate sufficient off-time allowing residents to better balance their personal life and training.
  • Night float teams provide all cross coverage for medical teams during their duty hours.
  • Patients admitted by the night float teams are reassigned to the teams on short call the next day.
  • PGY-2’s are generally not assigned to night float.
Elective Rotations
The Hospital Center offers electives in all major medicine subspecialties .PGY-2&3 are eligible to schedule one Outside elective per year. Every effort is made to accommodate external electives in the desires hospitals or clinics. Elective rotations include: 1. Endocrinology
2.Gastroenterology
3. Hematology
4. Infectious Disease
5.Nephrology
6. Neurology
7.Pulmonology
8. Geriatrics

 

Summary of Rotation Assignments

PGY-1
Categorical

PGY-1
Prelimary

PGY-2

PGY-3

The Department of Medicine operates on a one-month block system. The table below indicates the type and number of block rotations per resident at a given level of training. __General Medicine Wards

5

5

3

1

__ICU

2

2

1

1

__CCU/PCRU

± 1

None

3

1

__Night Float

1

1

None

1

__Electives†

1

1

1

5

__Ambulatory

1

1

1

0

. __Continuity Clinic

½ day per week

None

½ day per week

½ day per week

__Outside Elective

0

0

1

1

__Vacation

1

1

1

1

1 month ER should be done by all preliminary & categorical residents during their residency

 

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