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Internal
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:

  • Day 1* = AM call, keep all new covered patients. From 7 am - 3 pm + 1/2 covered prior 10 pm -7 am patients. - Note: odd number of admitted overnight patients go to this team
  • Day 2* = Post AM call, no new patients.
  • Day 3* = Pre PM call, no new patients.
  • Day 4* = PM call, keep all new covered patients. From 3 am-10 pm
  • Day 5* = Post PM call, take 1/2 prior overnight covered patients
  • Day 6* = Pre AM call, no new patients.

* "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.

Electives
Lectures

Clerkship

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This site is the property of the Department of Medicine at Saint Vincent Hospital in the Worcester Medical Center, 123 Summer St., Worcester, Massachusetts 01608. All information and photographs are the property of Saint Vincent Hospital, © 2001-2006. Site updated May 31, 2007.