Description of Teaching Service
Intensive Care Unit
A twelve-bed unit with the most advanced monitoring equipment allows trainees to gain experience in the philosophy and the required procedures concerning the critically ill patient. Residents have the opportunity to manage pre and postoperative patients.
The unit is under the overall direction of three full-time board certified Intensivists who conduct daily Teaching Rounds supplemented by conferences in Respiratory Care, Cardiology, and Nutrition. Night call is every fourth night for PGY1s and every fifth night for PGY2s and PGY3s.
Intermediate Care Unit (2S)
This unit is a "step-down" unit consisting of 16 beds all equipped with telemetry. The ward teams follow patients admitted to 2 South.
Coronary Care Unit (6S)
CCU is a 17 bed acute facility (5 acute, 10 telemetry). An RI and R2 or R3 team sees patients under the supervision of a Cardiology teaching attending.
General Medical Teaching Service
This service consists of approximately 80-90 teaching patients accepted on the service by the senior resident. Four teams of residents, each with two PGY1s and one senior resident have responsibility for management of the patients. Teaching rounds, three times weekly, are provided by the Hospital based full-time faculty and are distinct from management rounds. Residents gain broad experience in management of a diverse population of patients, most of whom are acutely ill with short hospital stays.
Non-teaching patients are seen for emergency situations or upon admission by Hospital-based physicians (Medical Associates). The Hospital provides phlebotomy, intravenous therapy, and EKG services for all patients. All newly admitted patients to the Teaching Services are reviewed at Morning Report held four times weekly, with the chief resident and a faculty member presiding.
Residents assigned to Subspecialty services will make daily rounds with assigned faculty following patients assigned to that faculty member. These patients will have one of the ward teams as their primary House Staff Team, but the subspecialty resident is expected to communicate any problems or suggestions made by the subspecialists. The subspecialty resident will see and write a consultation report on patients for whom subspecialty consultation is requested.
Patients on the General Medical Service whose attending physician is the preceptor of a subspecialty service to which a resident is assigned may be transferred to the primary care of the resident on that subspecialty after proper notification and acceptance.
Each subspecialty section will conduct subspecialty teaching rounds three times a week at which one or two interesting cases will be discussed at length. Attendance by House Staff assigned to the respective subspecialty section is mandatory. Other House Staff are encouraged to attend, provided their attendance does not conflict with patient care and other assignments.
Emergency Department PGY2
Residents will be assigned to the ER. The residents will be supervised by full-time Emergency Room Physicians and working hours will be assigned by the Chief of the Emergency Service. It can be expected that the resident will work different shifts but no longer that 8-10 hours per shift. The resident will be permitted to attend the Noon Conference, work load permitting. All patients seen by the resident will be discussed with full-time ER Attendings who must authorize all management plans.
Emergency Department Consultations(PGY2 and PGY3)
- Responds to ER requests for Medical and Critical Care Consultations
- Sees patients in all specialties for initial evaluation including minor surgery, gynecology, orthopaedics, and psychiatry
- Covers admissions through the ER until relieved by resident on night call and gives concise but accurate sign-out on these patients
- Provides consultation service for selected non-Internal Medicine patients
Ambulatory Experience - Continuity Clinic
All categorical residents will be assigned to Perry School Family Medical Center for his/her continuity ambulatory experience. Residents will attend a weekly half-day session as assigned, except during assignment to the Critical Care Unit(s). Punctual attendance is required without exception. Residents will be assigned patients that they will follow throughout their residency period at Providence Hospital. The resident will maintain a log of patients seen and the corresponding treatment. Assigned patients who require hospital admission will be seen by their assigned resident as soon as possible. The resident will communicate and discuss the patient with the in-house Staff Team providing day-to-day care of that patient and provide for follow-up outpatient care.
Subspecialty Office Preceptorship
PGY3 residents are assigned 3-month rotations in subspecialty offices weekly for one half-day. In the event a resident is unable to attend a specific ambulatory session or is on vacation, he/she should notify the preceptor's office. If either the resident or the preceptor has specific reasons to warrant a change in the assignment, the Chief of Services should be notified no later than September 1.
Geriatric Longitudinal Experience:
PGY2 and PGY3 Residents are assigned nursing home patients at Carroll Manor under the supervision of full-time Geriatricians. Patients are seen every month for one half-day.
The following "elective" rotations are available:
- Radiology electives are designed to include indications for special procedures (invasive and non-invasive) and the interpretation of commonly performed procedures
- George Washington University Hospital Subspecialty Rotations
- Otolaryngology, Orthopedics, Ophthalmology, and Psychiatry
- Ambulatory block - one month at Perry Family Health Center