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Our program adopted an X+Y schedule in July 2014, with three weeks of inpatient or subspecialty rotations (X block) followed by one week of ambulatory and continuity clinic (Y block). In this system, residents will experience:
Our Hospitalist Teaching Service (HTS) was established to meet our patients' needs while offering an exceptional training experience for our residents. Our dedicated teaching faculty are experts in medical education, offering precise feedback and mentorship to our residents. Historically, we have surpassed other non-teaching services across the city in terms of quality and population health metrics.
The HTS team structure includes three teams (A, B, and C), each comprising an attending physician, senior and junior residents, a pharmacist, and medical students. Teams follow a structured rounding schedule, with each team on call every third day, averaging 12-hour call days and 8-hour non-call days. Additionally, a night float system operates seven days a week to ensure continuous patient care. Responsibilities are clearly defined for each role, ensuring efficient patient care and education. Key practices include the I-PASS methodology for handoffs, a patient cap to manage workload, and a focus on evidence-based teaching during rounds. The attending hospitalist oversees team coordination, promotes a culture of safety, and ensures effective communication and collaboration among team members.
The following conferences and rounds provide residents with ample opportunity to discuss clinical cases, review evidence-based care guidelines, and learn from senior faculty.
House staff and faculty attend the weekly Department of Medicine Grand Rounds each Wednesday morning. Grand Rounds are an integral component of medical education, teaching new information and enhancing clinical reasoning skills.
One of the chief residents presents a case from a recent patient. This conference emphasizes our role in improving patient care and the quality of medical education.
Pharmacy residents present a monthly conference on evidence based pharmacological topics such as antibiotic stewardship and many others.
This unique didactic occurs on the second Thursday of each month. Pulmonologists present cases to be discussed with radiologists, pathologists, and cardio-thoracic surgeons. Residents get to experience a true multidisciplinary approach to patient care.
Held every third Thursday of the month, journal club is an important learning tool for critically appraising articles and keeping up to date with the current literature. Depending on the topic of the article, a corresponding specialist moderates the session.
In an effort to promote multidisciplinary care and learning, this monthly conference series presents topics key to both Internal Medicine and Surgery. Both surgical and medical residents and attendings discuss the presented cases.
Teaching hospitalists present a variety of topics to residents every other Friday. These conferences focus on inpatient care topics and draw on the experience of the hospital medicine faculty.
Presented by a population health and information technology executive, this lecture series aims to educate the residents and house staff on the large-scale social, economic, and environmental issues that impact health outcomes of large groups of people.