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Service Design 2012-2013

Service Design 2012-2013. March 19, 2012. Ambulatory Model. Every 4 th month dedicated Ambulatory/Continuity Clinic month 2 - PGY 3’s, 2 - PGY 2’s (and 2 - PGY 1’s) in each pod PGY 1’s & combined program residents will stick to ½ day CC/week Approximately 300 patients/pod 13 pods

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Service Design 2012-2013

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  1. Service Design 2012-2013 March 19, 2012

  2. Ambulatory Model • Every 4th month dedicated Ambulatory/Continuity Clinic month • 2 - PGY 3’s, 2 - PGY 2’s (and 2 - PGY 1’s) in each pod • PGY 1’s & combined program residents will stick to ½ day CC/week • Approximately 300 patients/pod • 13 pods • Rescue clinics dropped in 1x monthly • 6 half day continuity clinics/week • 2 half day admin days to work on QI/return patient calls/respond to labs/emails • 2 half days for non-medicine subspecialty clinics

  3. Macroscopic View – the POD

  4. Sample Schedules

  5. POD #1

  6. Inpatient Services

  7. VA • The VA will have 3 teams • Q6 16 hour overnight call for interns with alternate Q6 day call until 8pm • Resident Night float – q 3 until 8pm for day resident (except when day float covers) • Weekends – Resident overnight 24+4 • Day Float – Resident 8-5 M-F, alternating weeks 10-8 M-F.

  8. GEM • 2-3 residents/month • Responsibilities include both inpatient wards and clinics • 1/3-1/2 of month residents also rotate to act as the 2nd night float resident on GI/HO (Sun-Thurs)

  9. Cardiology • 3 teams • One upper level resident and 2 Interns each day • Team will be on call q 3 until 8pm • RESIDENT Night float (2 residents – 1 for CCU coverage, 1 for crosscoverand floor coverage) • Alternate admissions (CCU resident to take admit calls and divide) • Weekends – Resident overnight 24+4 • Interns will do staggered call on Friday/Saturday • Intern 1 from 8a-8p; Intern 2 from 8p-12p

  10. General Medicine • 4 Teams • 10 Interns • 2 Teams will have 2 Interns • 2 Teams will have 3 Interns (these interns will do 5 nights each) • 4 residents – q 4 until 8pm • Resident Night Float • Weekends – Resident overnight 24+4

  11. GI/Heme/Onc • 4 residents during the day • Residents q4 until 8pm • 4 Interns during the day • Interns q4 until 8pm • RESIDENT Night float (2 residents – 1 for Admits, 1 for floor coverage) • Working together as a team • Weekends – Resident overnight 24+4 • Interns will do staggered call on Friday/Saturday • Intern 1 from 8a-8p; Intern 2 from 8p-8a (but staying through rounds)

  12. MICU • 5 residents • 6 days of night float each -Night float resident expected to be out by 930am • Interns will be in the MICU (5 nights of night float each)

  13. VICU • 3 residents • Q 3 overnight call • Shift will be 24+4

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