A Typical Day on General Medicine

6 a.m. - Work Rounds

On General internal medicine services, interns usually arrive at 6am to begin pre-rounding work and receive signout from the night team. Senior residents arrive at 7am for both signout and to begin patient care. Interns are primarily responsible for writing progress notes under the supervision of the senior resident. Senior residents function as the primary leader of the team, coordinating patient care and beginning to develop plans of care for new admissions. Both interns and senior residents guide medical students and provide teaching while pre-rounding. IM resident teaching services at LVHN include the ECLS A and B services which cover the 5th floor of the Kasych building, as well as the GIMS (General Internal Medicine Service) team C and D, which can involve patients on multiple floors in the hospital.

9 a.m. - Teaching Rounds

Each day teaching rounds are led by one of our core IM faculty members. ECLS A and ECLS B are overseen by residency faculty. GIMS C and D are overseen by the core teaching LVPG Hospitalist faculty. Teaching attendings use a variety of teaching skills to enable resident growth, including bedside teaching, didactic teaching and case-based sessions.

12 p.m. - Didactic Conference Series

Noon lectures are held daily. In addition, residents are assigned various conferences to present throughout their residency that are held during our noon conference series. Wednesday afternoons are dedicated education time for all residents on non-primary services, allowing for focus on education and learning. See the section on conferences for more information.

1 p.m.-5 p.m. - Discharge patients, primary service educational opportunities, follow-up on morning orders, rotating admission team responsibility

Afternoons entail time for following up on morning rounds, discharging patients, conferring with consultants and admitting patients if assigned to the admitting team that day. The afternoons are also the time for more directed didactic teaching, either by the senior resident or teaching attending. Resident service 5K teaching opportunities are abundant. Additionally, quality improvement projects and resident driven leadership initiatives are prioritized during work hours.