Inpatient rotations
Emergency Medicine (ED)
While rotating through the Emergency Department, you will generally work a varied schedule of 14-16 ten-hour shifts each block. These shifts include 1-2 pediatric ED shifts. On these shifts you will work one on one with an ED attending seeing patients, preforming multiple procedures including suturing, nerve blocks, cardioversion, foreign body removals, and overall workups of patients with a large amount of independence.
Family Medicine Service (FMS)
FMS service is a full medical service with high volume, complex medical decision making, and extensive management of acute and chronic disease pathologies. We offer an extensive in-patient medical service curriculum with 4 blocks (16 weeks total) during your intern year spent on our floors. You will also be exposed to the modern world of medicine by handling social situations, working with case managers and social workers, and consulting a large variety of specialist to make up a true multidisciplinary team with family medicine as its fulcrum. Depending on the time of year, your team will consist of:
- 3 Interns/2 Seniors (night float)
- Daily teaching rounds
- Psychiatry Resident
Hematology Oncology (Hem Onc)
PGY1 Family Medicine residents participate in 2 weeks of the Hem Onc rotation. The Family Medicine resident has primary responsibility for assigned patients under the supervision of senior internal medicine residents, consulting subspecialists and Heme/Onc teaching attendings. The Family Medicine resident is a full member of the team, with involvement in both patient care responsibilities and teaching activities.
Typical responsibilities include rounding one on one with attendings in the morning, entering floor orders, management of acute complications to therapy and unique hematologic/oncologic emergencies, and note writing. Residents participate in daily teaching rounds presented by Heme/Onc attendings and fellows, as well as regular didactic sessions on Hem Onc issues. Evaluation of the resident is conducted by the supervising residents and Heme/Onc attendings.
The remaining two weeks of the block will be spent in your Nesset outpatient clinic building your patient panel and working on clinic flow and medical decision making.
Intensive Care Unit (ICU)
PGY1 Family Medicine residents participate in a one block rotation (4 week) in critical care based in the ICU. The Family Medicine resident has primary responsibility for assigned patients under the supervision of senior residents, attending family physicians or general internists, consulting subspecialists and teaching attendings. The Family Medicine resident is a full member of the team, with involvement in both patient care responsibilities and teaching activities.
Residents participate in daily teaching rounds, as well as regular didactic sessions on critical care issues. Evaluation of the resident is conducted by the general medicine supervising residents and intensive care attendings. On-call, the residents also are responsible for coverage of the coronary care unit. During this block rotation, the residents are given responsibility to participate in emergency resuscitations (codes).
Obstetrics (OB)
You will rotate through two blocks of OB during your intern year (total of 8 weeks). While on OB you are expected to perform and assist with as many deliveries as possible and then follow the patient’s post-partum. On the OB floor you are under direct supervision of senior OB residents and attendings. You will be managing low risk patients and be the resident doctor in charge of your patients care. This includes getting the full experience including intrapartum care, delivery and post-partum laceration repair. You may assist with C-sections, tubal ligations, and circumcisions if you desire as well.
You work one week of nights during one of your two blocks on the OB service where you are the only intern in-house and will be responsible for all low-risk deliveries and triaging potential laboring patients. Also, there are elective opportunities as a PGY-2 and PGY-3 to rotate on the OB service to gain more experience if desired.
Prenatal care experiences will be by rotating through the OBGyn residency clinic throughout your 3 years here. Also, you will be exposed to OB group visits through our didactic curriculum.
Pediatrics (Peds)/Newborn Nursery (NBN)
The inpatient experience includes one block (4 weeks) of NBN and one block (4 weeks) of inpatient Peds. There is an outpatient Peds experience in the second year of residency. Inpatient Peds occurs at our attached Level 1 Trauma Pediatric Hospital. You will be working side by side with pediatric residents and under the supervision of a senior resident and Pediatric attending. It is very high volume, high acuity, and medically complex service where you will get a full immersive experience as an integral part of the team. You will work one week of nights where responsibilities include admissions, night rounds, and floor management.
NBN include one block (4 weeks) as the primary resident in the nursery floor taking care of healthy neonates. You may or may not work with a pediatric resident on this service. Your responsibilities include rounding on all newborn babies, following up on exams and screens, and giving anticipatory guidance to all mothers prior to discharge. Pediatric attendings oversee you directly and provide daily didactics after rounds of their choosing.
Surgery
The Surgery rotation is 2 weeks long where you perform the role of a surgical intern. Your responsibilities include rounding, floor management, consults and admissions, and if desired, operating room experience. You will be placed on the call schedule equal to the other surgery interns. While on call, you will cover all the general surgeons’ patients, trauma admissions, acute problems, and any admission or consultation to general surgery during the night.
Also, you assist on any surgery during the night. The remaining two weeks of the block will be spent in your Nesset outpatient clinic building your patient panel and working on clinic flow and medical decision making.