Medical Residency: Training Program
The inpatient teaching service consists
of two wards, each with 32 beds. The wards are covered by four teams.
Each team consists of one resident, two interns, a sub-intern and
one or two third year medical students. Long call on the wards is
every fourth night with a night float system.
The night float team consists of a PGY3, PGY2 and two
PGY1 residents. This team takes all admissions to the teaching service
after 8 p.m. This allows the long call team to leave the hospital
after that time. Teams in the CCU consist of a PGY3, PGY2 and PGY1
resident. Night call in the CCU is every third night.
Internship includes rotations on the general medical
floors and critical care units under the supervision of residents
and teaching attendings. The PGY2 and PGY3 of residency training involve
periods of increasing clinical responsibility. To assist residents in meeting
their professional and career goals, a broad range of elective experiences
are available both in the hospital and in other major academic centers.
Ambulatory care is an important component of the St.
Agnes program. Each resident attends two weekly continuity clinics.
Residents also have one ambulatory block each year.
During the PGY2 block the
housestaff participates in multiple subspecialty clinics. The PGY3
block is a community-based rotation where the housestaff see patients in
the setting of a large primary care group practice. Routine phlebotomy
and IV placement services are available 24 hours per day. A 24-hour EKG
service is available. General routine laboratory work has a rapid processing
time with most AM lab results available by 9 a.m.
Conferences
There are 2 conferences every day beginning
at noon. The schedule varies from day to day and includes separate
interns’ and
residents’ morning report, Grand Rounds, attending rounds, board
review, journal club, Morbidity and Mortality and clinicopathologic,
ambulatory, and AICU conferences. In addition regular ethics conferences
are held as well as a monthly lecture series on administrative and
business aspects of medicine such as managed care, health care economics
and employment and practice opportunities. Morning report is particularly
popular because it features interesting case presentations and discussions
including several board-type questions pertinent to the case.
Weekly
conferences:
- Morning Assembly
- Residents’ Morning Report
- Interns’ Morning Report
- Lecture-twice weekly
- Evidence Based Medicine
Monthly conferences:
- Morbidity and Mortality
- Clinicopathologic Conference
- Journal Club
- ICU and CCU conference
- Ambulatory conference
- Ethics Conference
- Resident Mortality Conference
- Administration and Business of Medicine
Typical Block Schedule—Medical*
| |
PGY1
(PRELIM) |
PG1
(CATEG.) |
PGY2 |
PGY3 |
| General Medical Floors |
6 |
6 |
2 |
2 |
| CCU |
0 |
1 |
1 |
1 |
| AICU |
2 |
1 |
1 |
1 |
| Oncology, Johns Hopkins |
---- |
---- |
1 |
---- |
| Night Float |
1.5 |
1.5 |
1 |
1 |
| Emergency Medicine |
---- |
.5 (EM &
Behav. Med.) |
---- |
.5 |
| Ambulatory |
---- |
---- |
1 |
1 |
| MAO |
---- |
---- |
---- |
1 |
| Vacation |
1 |
1 |
1 |
1 |
| Electives |
1.5 |
---- |
2 |
3.5 |
| IMCU |
0 |
1 |
2 |
---- |
* Block schedule is subject to change with approval of
teaching faculty.
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