Our Rotations

Inpatient general medicine experiences are spread throughout our three 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 come from the same firm. Call schedule varies slightly by hospital. University Medical Center (UMC) and East Jefferson General Hospital (EJ) function on a short-call/long-call system with UMC on a Q5 cycle and EJ on a Q4 cycle. The VA is a full day call on a Q4 cycle. Usually, wards will be scheduled for a four-week block. 

MICU

MICU teams also vary slightly by hospital. They are typically Q3 call cycles and are composed of one fellow overseeing three separate firm teams. At UMC and EJ, the teams are composed of one resident and one intern, while at the VA, the teams are a single upper-level resident. Each team does a two-week stint. 

Night Float 

The night float system is made up of one resident per hospital. Night Float and Night Admitting are combined in a two-week rotation that ensures a minimum of four days off during that stretch. Night Float has no admitting duties. The duties of the night float resident are to prioritize care for the wards’ patients. 

Night Admitting

The night admitting system is made up of one resident per hospital. The resident will admit patients and will present overnight admits to the post-call team, with attendings ensuring that the night resident is out of the hospital before 10:00 a.m. There is a cap of seven new admits overnight. Night Admitting is exclusively responsible for the admission and care of the new admits they take overnight. 

Ambulatory medicine functions as the Plus One of 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. 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. At each location, residents will have their own patient panel. This encourages residents to take ownership of their patients, allowing them to gain experience with longitudinal patient care and establish great relationships with their patients over three years. 

Subspecialty rotation opportunities: