
Inpatient Schedules & Curriculum
Ward Team Structure
Each inpatient team consists of an attending physician, two residents, two interns and one to two medical students. Residents and interns are paired 1:1. There is typically a fellow on the subspecialty rotations but not on the general medicine services. The intern is the patient's primary physician under the mentorship of the resident and attending.
Each ward rotation consists of 3 to 5 resident/intern/medical student teams. During a standard month, each team spends three weeks on day-call and one week on "night float" taking overnight admissions.
During day call, patients are admitted from 7:30A until 7:00P. The night float resident and intern arrrive at 8:00P. After sign-out to the night float team, the day team goes home by 9:00P. Night float obligations are Sunday through Thursday nights, with Friday and Saturday nights covered by an off-service resident.
UVA's day/night float model not only meets the national Residency Review Committee mandates for work hours, but also allows integration of the night float team into morning attending rounds. This has dramatically improved our patient care continuity and resident education. Typical inpatient rotation schedules are outlined below.
Please see Resident Scheduling for information on:
Inpatient Rotation Curricula:
- Acute Cardiology
- Coronary Care Unit
- Digestive Health
- General Medicine
- Hematology-Oncology
- Medical Intensive Care Unit
- Neurology
Didactic Conferences
- Attending Rounds: Daily
- Core Lecture Series: Twice weekly through September
- Outpatient Report: Daily
- Outpatient Journal Club: Monthly
- Inpatient Journal Club: Monthly
- Morning Report - Review of admissions with Department Chair, Associate Chairs, and rotating faculty: Mon, Wed, Thur, Fri
- Acute Care Conference: Mon, Fri (Oct-Jun)
- Radiology Review with Radiology Attending: Weekly (General Medicine)
- Medical Grand Rounds: Tues
- Intern Morning Report: Wed
- Introduction to Clinical Investigation: Wed (Sep-Dec)
- Morbidity & Mortality Conference: Fri
- Primary Care Medicine Conference: Tues, Thur
- Gross & Micro Pathology Conference: 3rd Thur
- Clinical Medicine Conference: Mon, Thur (Nov-Feb)
- Evidence-Based Conference: Fri
- Subspecialty Conferences: multiple to choose during outpatient rotations
Ambulatory Schedules & Curricula
There are three types of outpatient/ambulatory blocks at UVA:
- conventional electives
- ambulatory blocks
- “specials” blocks
Conventional electives may involve both outpatient care and inpatient consultative experiences, usually in the medical subspecialties. During ambulatory blocks, which are exclusively outpatient, residents participate in clinical experiences and a structured ambulatory curriculum that progresses through the three years of training (see template below). To ensure that all residents receive the same curriculum, they are scheduled for at least one ambulatory block in the fall and one in the spring of each year. Specials blocks are designed to allow protected time for resident research projects. Residents are also encouraged to use elective time for international rotations.
Typical Ambulatory Block Schedule
(Example: Digestive Health)
|
Mon |
Tue |
Wed |
Thur |
Fri |
|
|
Week 1 |
ERCP Clinic |
Hepatology |
General GI Clinic |
Continuity Clinic |
|
|
PM |
Endoscopy |
IBD Clinic |
Hepatology |
Endoscopy |
|
|
Week 2 |
Endoscopy |
Liver Transplant |
Continuity Clinic |
Liver Transplant |
Continuity Clinic |
|
PM |
Hepatology |
Endoscopy |
Motility |
Hepatology |
Endoscopy |
|
Week 3 |
Endoscopy |
Liver Transplant |
Endoscopy |
ERCP Clinic |
Continuity Clinic |
|
PM |
Endoscopy |
EUS Clinic |
IBD Clinic |
Hepatology |
Endoscopy |
|
Week 4 |
Endoscopy |
ERCP Clinic |
Continuity Clinic |
General GI Clinic |
Continuity Clinic |
| PM |
Endoscopy |
EUS Clinic |
Liver Tumor Clinic |
Nutrition Clinic |
Liver Tumor Clinic |
|
Week 5 |
Endoscopy |
||||
|
PM |
Hepatology |
Ambulatory Curriculum Template
All seminars and workshops repeat monthly for interns and residents on ambulatory blocks.
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Fall |
Spring |
|
Interns
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Year 2
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Year 3
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All Years
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Ambulatory Block Electives
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