Teams and Admitting:

  • Two teams of one resident and one hospitalist each.
    • R service: A mix of gen med and cards patients
    • T service: A mix of gen med and liver patients
  • Admitting occurs daily, and will mostly be overnight handoffs, NOT fresh admits from the ED. That said, occasionally if you do not fill to cap with handoffs you might receive a fresh admit from the ED
  • General Hours: 7:30am-until work is finished, can sign out after 5pm on weekdays (or 4pm and remain on the pager until 6pm) and after 12pm on weekends. Each resident gets one weekend day off.
  • Each service will have 2 pagers, R1 and R2, T1 and T2. The resident will carry the R2 or the T2 pager.
  • Each resident fills to a cap of 7 patients, the corresponding attending will also have up to 7 patients for a team total of 14
  • Workroom
    • TC520 (5th floor hospitalist workroom, directly above gens workroom) will house R attending and R resident.
    • 9W- 9161 will house T attending and T resident

Workflow:

  • 7:30am – be present in workroom to receive overnight admission assignments. Patients will be distributed to each FCP each morning to fill to cap with new admissions/transfers
  • 8am – 11:30am – morning work
  • 11am MDR
  • 11:30am-1pm – residents attend MR and conference
  • 1pm-5pm – afternoon work and rounds
  • 2:30pm on Tuesday and Thursday – teaching sessions with both attendings and residents in C117 (see below)
  • 5pm – can sign out to LG shift

Rounding expectations:

  • Rounding will occur in the afternoons at a time and format decided by each team.
  • Residents will be expected to see and direct the daily plan of care for their patients throughout the morning.
  • Residents are responsible for all primary care for patients on their FCP pager, including orders, MDR, consultation communication, daily progress notes and discharge summary documentation.
  • Attendings are responsible for the same for their FCP patients, and for staffing and billing for all team patients.

Teaching sessions:

  • Occur on Tuesdays and Thursdays, facilitated by the T attending on Tuesday and by the R attending on Thursday. Attendings will be responsible for selecting content related to cases seen during the week and team preferences. Both R & T team members will be expected to attend each session.

Updated 6/2025