Ward
Teams
Six teams, consisting of one teaching attending, one resident, and
two interns and one or two medical students cover the wards. The pulmonary
floor service consists of one resident and one intern, neither of whom
partake in the below on-call schedule. The stroke unit consists
of 1 intern who does not partake in the below
on-call schedule.
Admissions
The call schedule
cycles every 6 days, as follows:
* "Bounce back"
refers to any patient who has been readmitted or transferred to the
medical wards within the same calendar month as when they were previously
discharged. They shall be covered each time by the same team who
had covered them before within the current calendar month. If
the admission occurs after the appropriate team has signed out, the
admitting team shall temporarily cover the patient until the morning
sign-in rounds.
The maximum number
of new admissions an intern can take is 5 in 24 hours (8 in 48 hours).
An additional two patients who require a less formal admission (i.e.
bounce backs, transfers) may be added in addition.
A subintern may admit half as many patients, and a clerk is limited
to two. The intern daily census should be a minimum of 8, maximum of
12. A subintern should carry approximately half (i.e. up to 6)
of an intern census and a clerk should carry 1-3 patients. All
houseofficers must have one 24-hour period off per week.
The pulmonary team’s
census is limited geographically to the PCU and the personal patients
of the PCU attending on the wards. The pulmonary team takes all
admissions or transfers that come to PCU before 4:00PM. The pulmonary
team resident should sign out the PCU patients personally to the PM
admitting resident not before 5 pm, and perform formal
sign out rounds in the PCU. On weekends, the pulmonary team takes admissions
to the PCU until 11 am, after which the admitting resident will be
responsible
for new admissions. The pulmonary team should sign out only their ward
patients to the night float intern. At 7 am the PCU resident should
get sign out from the uncovered medical resident regarding all admissions
to the PCU from the previous night's call.