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. |
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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.
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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.
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| Elective Rotations |
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| 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: |
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1. Endocrinology
2.Gastroenterology
3. Hematology
4. Infectious Disease |
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5.Nephrology
6. Neurology
7.Pulmonology
8. Geriatrics |
| Summary of Rotation Assignments |
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PGY-1
Categorical
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PGY-1
Prelimary
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PGY-2
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PGY-3
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| 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
|
|
|
|
|
|
|
|
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1 month ER should be done by all preliminary & categorical residents during their residency |