| |
Team Structure |
Patient Cap |
Admissions |
On-Call |
Hours |
Back-up/Coverage |
Attendings |
SMH |
2 Interns
Categorical R2 or MP R2/R3
1-2 Medical Students
(R3/MP R4 acts as primary backup to team) |
14 patients
(but 2 interns) |
Teams can admit every day up to their cap - averages 3-4 admissions/day but these include night-floated admissions. No admissions on pre-call day. |
No overnight call |
Teams have one weekday long day where they stay until 7 pm. Twice per month, they have one long call-day on the weekends where they can leave as early as 5 pm if work is completed. The other two weekends they can leave when their work is completed (11 am at the earliest.) They always have one 24 hour period off each week. |
Interns round and may admit one day each weekend with a categorical R3 or MP R4 as supervisor/back-up |
Attendings are primarily hospitalists with some sub-specialists and community primary care physicians. |
| HH |
Intern
Categorical R2 or MP R2/R3
1-2 Medical Students |
12 patients |
Teams admit every 4th day, taking up to 5 admissions if cap allows, and may admit one patient on their precall day |
No overnight call |
Call teams stay until 8:30 pm. At least one 24 hour period off each week |
Interns round alone one day each weekend. There is a senior resident in the hospital for back-up at all times. |
Same as SMH |
| CCU and MICU |
3 Interns, 2 R2's or MP R3's, 1 categorical R3
|
No cap |
Teams admit on call days |
Overnight call every 3rd night for a 2-week block. |
One 24 hour period off each week |
Interns are always on call with an upper level resident |
Cardiologists for CCU and Critical Care Attendings for MICU |
| NF |
1 intern (MP R1 only at HH NF), 1 MP R2/3 or 4 (SMH), 1 Night Hospitalist (at HH)
|
No cap |
Intern nightfloat cross-covers patients with no admitting responsibilities. Upper level admits patients. |
Six 11-hour shifts per week |
8:30pm - 7:30am |
Interns are supervised by a MP R2/3 or MP R4 (admitting resident) and a night hospitalist (at HH only) |
Nightime hospitalist (in-house at HH) |
| |
Team Structure |
Admissions |
On-Call |
Back-up / Coverage |
Attendings |
SMH |
2 Interns
1 Senior Resident (R2/R3/R4)
2 Medical Students |
Teams can admit every day with no cap; the high
turnover of patients keeps team size relatively stable. |
No overnight call, except for 1-2 24 hour Saturday call per month. One - two long days/week until 9:00 pm. |
Night float team covers Sunday through Friday nights. R1 is responsible for cross-cover with admitting residents
(R2 and R3/MP R4) as backup. |
On the Pediatric
Floors, attendings are primarily general pediatric academic
faculty or hospitalists, community pediatricians, and sub-specialists. |
RGH
(Special Care Nursery or B7 Ward) |
1 Intern
1 Senior Resident (R3/R4)
1-2 Medical Students |
Teams can admit every day with no cap; usually quick
turnover and fewer admissions. |
One 24 hour call per week, usually Saturday or Sunday |
Nightfloat system
(1 intern, 1 senior resident) covers hospital on weeknights (M-F) |
NICU |
2-3 Interns
2 Senior Residents (R2/R3)
Separate NP team covers half of the patients |
Teams admit daily, alternating new admissions with
NP team. |
Always on for one month, once as R1 and R2. One week of NF (Sun-Fri 6 pm - 6 am). Long-call until 7 pm 1-2 times per week when not on nights. One 24-hour call/month on a Saturday. Every intern/resident has at least one 24 hour period off weekly. |
Interns are on call with a senior resident and/or
NP with a NICU fellow as backup. |
Neonatologists |
PICU |
3 Senior residents
(R2s or R3s) |
On call resident admits with no patient cap. |
Overnight call every 4th night. Every resident gets one Golden Weekend per month and at least one 24-hour period off weekly. |
Residents have a PICU fellow or attending as in-house back-up at all times. |
Pediatric Intensivists |
