Unique aspects of our system:
Education: Our number one objective is the quality education of residents. This is done through a combination of hands-on patient care and didactics (see the conference schedule example). One example of our commitment to education is our effort to maintain an intern presence on overnight cross-cover. Dealing with acute care issues of hospitalized patients is a necessary part of becoming a good physician. Interns learn these skills under the direct supervision of a supervising resident and/or staff physician. We have maintained this educational experience while strictly adhering to work hour restrictions and limiting overnight call to only every 8th night.
Continuity: Patients always stay under the care of the team that admits them. In contrast to traditional night float systems, our residents take care of their patients from admission to discharge (and often out-patient follow-up).
Supervision: Graded responsibility and supervision is a cornerstone of resident education. As such, our residents do not begin supervising until the second half of their PGY2 year, meaning that there is never an inexperienced intern with an inexperienced supervisor. This assures a higher level of competency and confidence in supervision of our residents.
Balance: The process of becoming a physician can be arduous, but it must be balanced with personal and family needs. As such, we have developed a unique system that gives residents ample experience in caring for patients while maintaining a life outside of the hospital. As noted previously, our residents work only 3-4 overnights per month and average 50-60 hours per week while on University Wards.
Hospitalist experience: Our hospitalist service offers a genuine experience in the practice of hospital medicine. Residents are under the supervision of staff hospitalists, including in-house supervision during overnights. As noted above, our burgeoning patient safety and quality improvement curriculum will add to the education of our residents on this service. Included in this is our new patient hand-over curriculum and group hand-over model.
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