A Typical Day on the General Medicine Wards |
7 a.m. (or earlier) | Pre-rounds Interns and medical students pre-round on patients, checking events of the previous night, following up on test results, etc. Night team hands off to day team. |
7:15-8:15 a.m. | Morning work rounds The upper-level resident rounds on all patients with the team, teaching and modifying the plan of care for each patient. |
8:15-9:15 a.m. | Morning report The chief resident leads an interactive small group conference. Topics include post-call cases with critique and comment by the chairman or chief resident; case presentations by the ward teams; and a review of timely topics with a friendly competition for Team of the Month honors. |
9:15-11:30 | Attending rounds The attending physician discusses each patient's plan of care with the team. Bedside teaching and physical examination skills are emphasized. |
11:30-11:50 | Resident work time Protected work time for residents and students to take care of the business of the service prior to lunch and conference. |
Noon-12:50 | Noon conference In addition to a 12-month curriculum focused on patient care and board preparation, monthly conferences include Grand Rounds, Professor Pro Tempore, Clinical Pathologic Correlation and Continuous Quality Improvement. |
1-5 p.m. | Afternoon work time Residents track down diagnostic studies, complete procedures, admit patients if taking short or long call that day, and discharge patients. |
5 p.m. | Sign-outs Residents turn over care of their patients to the night medicine intern for the evening. In addition to a written list, a verbal report is given to ensure adequate transfer of care. |
7 p.m. | Hand-off to night medicine Night medicine team begins to handle admissions. |