Medicine teams, consisting of a two-resident day and night teams, are responsible for the care of the Family Medicine Center patients requiring hospitalization, Emergency Room assessments, admissions from private attendings, and for emergent care of any hospitalized patients. A Family Medicine faculty member functions as the teaching attending for these patients and oversees the care delivered by the residents via daily teaching rounds.
The Director of Medicine and a Family Medicine faculty member, along with a number of attending internists and subspecialists on the medical staff, directly oversee the inpatient internal medicine rotation. Attending physicians admit patients to the Medical Teaching Service and thereby actively participate in the teaching program on a daily basis. All admissions are formally presented to selected attending physicians at "sign-out" rounds. As a result, instruction is assured from four complementary sources: the Director of Medicine, the attending staff physicians, the Family Medicine faculty, and senior residents.
Family Medicine Residents from all three years comprise the medicine teams responsible for the initial evaluation, the diagnostic work-up and the therapeutic management of patients admitted to the teaching service. Residents learn the different aspects of patient care by following patients from the beginning of their hospitalization through to their discharge. Additionally, the patient's primary care resident actively participates in the management of their patients regardless of their rotation. This insures continuity of patient care. There is also a significant longitudinal experience in the Intensive and Coronary Care Units as well as a "block" rotation in cardiology. The transition from junior to senior resident responsibilities in medicine occurs during the second year. The resident begins to assume an active teaching role, an important skill to be developed to complement the basic clinical skills. In addition to responding to all medical emergencies in the hospital, the senior resident is the code team leader for all cardiopulmonary arrests.
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