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Rotations

Our rotations are broken down in to Inpatient, Ambulatory and Elective rotations. Please look to the chart below to see how our time is separated in to each of the categories.

Rotations PGY-1 PGY-2 PGY-3
Inpatient Medicine 10-14 weeks 10-14 weeks 10-14 weeks
Ambulatory Medicine 10 weeks 10 weeks 10 weeks
ICU/CCU 8-10 weeks 8-10 weeks 8-10 weeks
Emergency Medicine 2 weeks -- --
Electives 4-8 weeks 6-8 weeks 6-8 weeks
Vacation 5 weeks 5 weeks 5 weeks

Inpatient Rotations

Inpatient general medicine experiences are spread throughout our 3 hospitals. We do not have subspecialty admitting services, which means that general medicine provides a sense of ownership and independence in patient care.

Wards:

Wards Teams are composed of one attending, one resident and two interns. The resident and the interns will come from the same Firm. Call schedule is on a Q4 cycle, with the upper level resident taking 28 hour call on the call day, while interns will be expected to be out of the hospital by 9 pm. Usually, wards will take up a whole month of an individual's schedule. 

MICU/CCU: 

MICU and CCU teams are composed of one fellow overseeing three separate firm teams of one resident and one intern. The exception being UMC ICU where teams are composed of one resident and two interns. Call cycle is a Q3 cycle and teams do two week stents. 

Overflow/Phoenix:

Phoenix is a rotation that is comprised of two teams of upper level residents that accept the overflow after the call team caps. The rotation is broken up into a night admitting week and a day team week, mostly made up of PGY2s and PGY3s. However, categorical residents will start this rotation in the second half of their PGY1 year. This allows the PGY1 a chance to admit on their own at night. Usual admissions range from 2-5 a night providing a great transition to PGY2 year. 

Night Float: 

The night float system is made up of one resident per hospital. Hours are from 5pm-7am, and is done only in one week stents. Since we have a Phoenix team admitting at night after the call team caps, Night Float has no admitting duties. The duties of the night float resident are to prioritize care for the wards patients. Rotation is for PGY-2s, PGY-3s. 

Ambulatory Rotations

Ambulatory medicine occurs by the 4+1 system. During the plus one week, residents participate in five primary care half-day clinics as well as two subspecialty half-day clinics of their choice.

Primary care clinics are broken up into VA clinics and UMC clinics, residents will split their time evenly between the two clinics during this week. Both clinic locations provide a unique outlook into the different patient populations that make up our wonderful city, as well as the surrounding region. The New Orleans VA is the main regional medical center for all veteran's affairs patients in the Gulf region. This means you can see patients in your panel from all across the deep south. At each location residents will have their own patient panel. This encourages residents to take ownership of their own patients, allowing them to gain experience with longitudinal patient care and establish great relationships with their patients over three years. 

We also allow for options to participate in Home-based primary care visits and geriatric rotations in PGY-2 and PGY-3 years. 

Electives

Subspecialty elective opportunities:

  • Research
  • Palliative Care
  • Cardiology
  • Nephrology
  • Endocrinology
  • Hematology/Oncology
  • Infectious Disease
  • Medical education
  • Global health international experience
  • Anesthesia
  • Bone and joint
  • Physical Medicine and Rehabilitation
  • Dermatology
  • Stroke service
  • Neurocritical care
  • Bone Marrow Transplant Unit

 

 

 

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