Floor rotation is the major rotations for PGY 1 and PGY 2. It is divided into eight teams, each team is compose of a resident, an intern and student. It is a 7am to 4pm regular days, 7am to 8pm on call days which is every fourth day and one overnight Friday call per block. The team will take care of both floor and telemetry patients. Each team is assigned to present morning report once every block.
Night float is composed of two teams that take care of floor, telemetry and pulmonary – cardiac step down unit. It is a 12 hour shift 8pm-8am 6 days a week. Residents on this rotation meet with the chief residents at 7am-8am for the night float didactic session.
Pulmonary Step Down
Pulmonary step down rotation takes care of patients who need intermediate level of care between MICU and medical floor. It is run by an intern and PGY 2. The PGY 2 will also take care of the pulmonary consults. Every four days the intern and the resident will be on call in MICU overnight.
Medical Intensive Care
Residents in MICU takes care of the sickest patients. It is composed of 5 residents, three PGY 3's, a PGY 2 and PGY 1. The calls are shared with a pulmonary step down resident and a senior rotating in ambulatory as a floater. Each call is an overnight call with one PGY 3 and a junior (either PGY 2 or PGY 1). This is the rotation meant for comprehensive learning in advanced ventilatory management, IV drips, and manage critical and complicated cases.
Cardiac Care Unit
PGY 2s and PGY 1s run this unit. It's a close unit composed of 3 PGY 2s and 3 PGY 1s who do every 3 overnight calls. This is the rotation meant for comprehensive learning in management of decompensated heartfailures, arrythmias and myocardial infarction. Residents also assists in several procedures such as transvenous pacemaker placement and management of intraaortic balloon pump. CCU team presents the cardiac cath conference once per rotation.
PGY 1 rotates in the ER for 2 weeks, it is a 12 hour shift rotation. Interns are exposed to medical emergencies, triage and urgent care (fast track) and observation unit.
Consult and Subspeciality Services
The residents will rotate on all subspeciality throughout their residency. PGY 1 rotates in geriatrics and PGY 2 rotates in pulmonary. The rest of the rotations will be distributed to PGY 3. (See the schedule)
Medical Officer of the Day/ Medical Officer of the Night (MOD/MON)
MOD/MON a 12-hour rotation done by PGY 3 (8am-8pm for MOD, and 8am-8pm for MON) 2 weeks MOD and 2 weeks MON each block rotation. MOD takes care of the endocrine consult as well as medicine consults (called by other services such as surgery and OB-Gyne). Starting at 4pm the MOD takes over the subspeciality service and MICU/CCU evaluation for admitted patients. MON will take over from 8pm to 8am.
PGY 2 and PGY 3 have elective rotations (see the schedule). Residents are allowed to rotate to the teaching hospitals of their choice across the country in their PGY 3 year. While PGY 2 electives are allowed to rotate in teaching hospitals at around tri state area.
Residents are assigned to a continuity clinic in general internal medicine during their floor, consult/subspeciality, and ambulatory rotation. The PGY 3 also has a separate ambulatory care rotation where they rotate to general medicine, subspeciality, gynecology and ophthalmology clinics. The consult/subspeciality rotation rotates to their respective subspeciality clinic once a week.