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Presbyterian/St. Luke's Medical Center

The inpatient medicine rotation at P/SL is a highly autonomous experience exposing housestaff to diverse medical issues and complex patients. The inpatient medicine rotation at P/SL follows a traditional overnight call schedule with call occurring every fourth night.  Each senior resident supervises either a two or three intern team in addition to medical students and sub-interns.  Each team has a Teaching Attending who meets for one hour each morning for bedside rounds and teaching sessions.  Private attendings, including subspecialists from cardiology, pulmonary, renal, and heme-onc also directly serve as attendings for the housestaff, offering direct contact with subspecialty services and continuity from the clinic to the inpatient service.  A new development at PSL is the addition of a Hospitalist Teaching Service.  This team of physicians accepts patients for admission and staffs patients with the house staff, in addition to serving as teaching attendings, providing patient continuity and educational support for the residents.  The intensive care unit at P/SL is an “open” unit which allows residents to continue to serve as the primary team if a change in level of care is required.  The ICU enables many opportunities to develop procedural skills such as central venous catheter access, intubations, lumbar puncture, arterial lines, thoracentesis, paracentesis, and Swan-Ganz catheter placement. 
Ample teaching conferences are offered at P/SL.  Morning report is held on a daily basis, as is noon conference, which includes monthly EKG conference, Pathology conference, Palliative Care Report, and In-patient Pharmacy Report.  In addition to receiving Grand Rounds from University Hospital, P/SL has its own Grand Rounds on Friday of each week.  Residents also present cases at “Tumor Board”.  This is a highly collaborative meeting which occurs each month, attended by members of radiology, pathology, oncology, surgery, and medicine to review interesting and challenging cases and discuss diagnostics and advanced therapeutics.

Rose Medical Center

At Rose, the inpatient month curriculum is tailored to emphasize the educational experience of the resident. While on the wards, residents work with The National Jewish Hospitalist group taking care of a wide variety of complex internal medicine patients. Unique educational experiences at Rose include billing, Residents As Teachers, and advanced clinical simulations.  Half of the month, residents a free of ward responsibilities in order to attend a variety of subspecialty and primary clinics. They also have an opportunity to attend a variety of subspecialty and primary care clinics at both National Jewish and Rose. In addition, third year residents spend one month in the Rose emergency department, assessing and caring for complex internal medicine patients with a large degree of autonomy.

rev 8/22/08