Ward rotations are as follows:
- General: Great variety of both typical and unusual inpatient diagnoses, not geographically cohorted. Mostly with one teaching attending but can potentially work with other faculty and private attendings. Teams consist of 2 interns and one resident, with q4 calls 7 am to 7 pm.
- Clinic team: admits all patients seen in residents’ continuity clinic, high turnover, team consists of 3 interns and one resident, with one teaching attending.
- IMC: 14-bed unit for sicker patients (NIPPV, sepsis, GIB, DKA etc.), geographically cohorted, with high acuity and turnover. Team consists of 3 residents and 3 interns, mostly under one attending, but can work with other attendings including faculty and private attendings.
- Cardiology: includes 6 intermediate care beds (for sicker patients), geographically cohorted, team consists of two interns and two residents, with one attending.
Intensive Care units
- Medical ICU: Closed unit divided into two teams with two attendings, with fellows in house overnight. Training involves caring for critically ill patients, learning about basic ventilator settings, interpretation of blood gases, and management of common ICU pathologies.
- Cardiovascular ICU: Closed unit, one attending, with fellows in house overnight. Training involves caring for patients with types of advanced heart conditions, including myocardial infarctions, heart failure, cardiogenic shock, and life-threatening arrhythmias.
- Gain experience in triage, admitting and cross cover.
- Categorical interns and residents are assigned to a weekly, half-day afternoon continuity clinic except during their ICU, CVICU and night float rotations.
- Pre-clinic conference: weekly online modules covering important outpatient topics.
- The Ambulatory Care Center uses an electronic medical record.
- Registered nurses triage phone calls and take messages for resident physicians when they are not in the clinic.
- Residents work with the same designated faculty member to care for a panel of patients throughout their training.
- Categorical residents complete a total of four blocks of ambulatory medicine during their three years of training.
- Interns rotate through different non-internal medicine subspecialties (e.g. gyn, ENT, orthopedics, podiatry, dermatology, psychiatry, ophthalmology, urology, etc.) Residents have the opportunity to rotate through private primary care practices, occupational-health and free city clinics as well as pre-op and urgent clinics.
- The rotation includes morning reports focused on outpatient medicine topics, and evidence-based medicine article analysis.
- Medicine residents gain experience in pre-operative evaluations (both elective and emergent), as well as co-management of patients with chronic medical problems on non-internal medicine services.
- Consult residents also gain experience in running code blues during this rotation.
- The MedStar Washington Hospital Center Emergency Department is the busiest in Washington, D.C., with over 80,000 ED visits per year.
- Patients often have serious medical conditions and a relatively high proportion of patients get admitted.
- Residents work one-on-one with the ER attending.
- Categorical residents complete one block of geriatric medicine at either MedStar Washington Hospital Center or the VA Medical Center.
- Residents participate in inpatient consultations, home care visits, and a geriatric assessment program.
- Categorical residents complete one block of neurology consults at MedStar Washington Hospital Center.
- Residents participate in inpatient consultations and attend a variety of unique didactic conferences.