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The general medicine service at each hospital consists of two teams, each of which is made up of one attending, two senior residents, two interns, and 3rd and 4th year medical students. The teams alternate call every other day, but each intern and resident are only on call every fourth evening. The night float resident covers five nights per week, and each intern and resident covers one night every other weekend.
Palmetto Health Richland
While on call, the team accepts admissions primarily from the Emergency Department as well as functions as the code team for the hospital. For each call day, the intern is limited to five new patient evaluations. The daytime senior resident can evaluate six new patients and the night float senior resident also can evaluate six new patients. Each intern is limited to 12 total patients at any given time. On weekends, the senior resident can evaluate 10 new patients in a 24 hour period. Overflow admissions are transferred to the hospitalist service as needed to maintain an appropriate patient census.
On call days, the team accepts admissions from Urgent Care, Primary Care, and transfers from outside hospitals and the MICU. The number of patients evaluated by the interns depends on whether the patients are new admissions or transfers from the MICU. Overflow admissions go to the hospitalist service.
The night float is a PGY 2 or PGY3 resident. The night float takes new admissions from 9 p.m. to 7 a.m. (Sunday through Thursday) and then attends morning report. Prior to morning report, the night float meets with the night float attending to review admissions and have dedicated education time. This is not a purely service oriented month.
Palmetto Health Richland
Palmetto Health Richland's MICU consists of 3 seniors, 2 interns, 1-2 acting interns (4th year Med Students); function is to cover all medical ICU patients and to act, at times, as a consult service in the PCU, CCU, and CVICU. All housestaff attend a two-day seminar on the fundamentals of critical care to prepare them for this rotation.
This is an inpatient service that runs the 8-bed MICU/CCU and the 10-bed PCU. The team consists of four or more residents from Internal Medicine, Family Practice, or Emergency Medicine and one or more interns from Internal Medicine, Orthopaedics, or Emergency Medicine. Overnight call is every fourth night.
Two months (not consecutive) during the intern year are spent on the ambulatory rotation. Two interns are on the rotation each month. The mornings are spent doing a walk-in clinic and the afternoons involve rotations at subspecialty clinics and with ancillary services such as speech therapy and physical therapy.
This is a consult service typically consisting of an intern and a senior resident. Five infectious disease attendings rotate on the service. There is no overnight call, and weekend coverage is split amongst the team. Consults frequently consist of antibiotic therapy recommendations, fever of unknown origin work-ups, and assistance with Ryan White Clinic patient inpatient management.
This rotation is with Columbia Heart, a private cardiology practice. There is a dedicated teaching service and teaching attending each month. The attendings of Columbia Heart are very committed to resident education. Dr. Ben Jones won the Clinical Faculty Teaching Award for 2003-2004. Residents from Emergency Medicine and Family Practice also rotate with this group. Overnight call is at the discretion of the attending and is taken from home.
This rotation is with Columbia Nephrology, a private nephrology practice. There is a dedicated teaching service and teaching attending each month. Residents from Emergency Medicine and Family Practice also rotate with this group. No overnight call or weekend work.
This rotation is with Columbia Gastroenterology, a private gastroenterology practice. This is primarily an inpatient consult service. No overnight call or weekend work.
This rotation is with South Carolina Oncology Associates, a private practice of 19 oncologists. No overnight call or weekend work.
This rotation is based both at Dorn VA and at Palmetto Health Richland and is a combination of outpatient clinic, inpatient consults and procedures. No overnight call or weekend work.
This is a favorite of every resident who rotates through. It is primarily an outpatient based rotation with some hospital consult work as well. Comprehensive rheumatology lectures each morning with the teaching attending.
This rotation is primarily outpatient clinic with some hospital consult work as well. There are three endocrinologists who rotate serving as the teaching attending. You work closely with the endocrinology fellows as well.
Allergy/Immunology - This is an outpatient based rotation with some hospital consult work.
There are several options for geriatric rotations including: geriatric hospitalist group, Palmetto Senior Care (comprehensive adult day care with multiple locations throughout the city), Dorn VA nursing home, HealthSouth Rehabilitation Center, or outpatient with Senior Primary Care Practice.
This rotation is based at Dorn VA and focuses on doing nuclear and treadmill stress tests and intensive EKG interpretation.