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| Early! | || Post-Call / Early Wake-Up One of the great benefits of training at UVa is waking up post call in your own bed! This is when I really appreciate the night float system our program adopted. There is nothing like several hours with the pager off and a shower! |
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| 6:50 AM |  |
|| Jump Start I arrive at the hospital. Higher Grounds, the “special” coffee joint, is open and the pots are brewing. My early morning mocha is a much needed jump start to the day. |
| 7:00 AM | || Pre-Rounding Prerounding consists of daily communication with the nursing, respiratory, and patient care staff to find out the latest events on your patients. The intern’s responsibilities include collection of data, examination of each patient, and writing the daily notes for the team. |
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| 7:30 AM |  |
|| Action Planning Time to sneak in a snack before rounds and touch base with the resident to formulate a plan of action for each patient. |
| 8:00 AM | || Finish Pre-Rounding While the residents are at morning report, we finish pre-rounding with the team and get a jump start on the day's work. On light days, I'm able to go to morning report. |
| 9:30 AM | || Attending Rounds These rounds, especially in the MICU, are walk-rounds with bedside ventilator/physical exam teaching. Medical students, residents, nursing staff, respiratory therapists, outcomes managers, and other patient care staff (nutritionists, PTs, OTs) attend. This is an important time to “put our heads together” for superior patient outcomes - part of why UVa is among the top 100 hospitals in many fields. |
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| 11:00 AM |
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|| Intern Morning Report: Fridays Intern Morning Report is a time to see and catch up with fellow interns and participate in an interactive lecture. The chiefs (Jason, Jen, Farah, and Lillian) are energetic teachers and wonderful mentors. I only hope I know a portion of what they do in a few years. Notably, this is protected education time for interns - the upper level residents take your pager and free you up to get the most from the conference. |
| 11:00 AM | || Radiology Rounds We head to the darkened caves of the Radiology Department where we meet with a radiology resident to discuss current films and studies. In the MICU, we do this daily; on the general medicine wards, we go once a week. |
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| 12:00 N |  |
|| Noon Conference FREE FOOD and, of course, more learning opportunities! There are several lecture series that run throughout the year. These vary by day and season - see our conference schedule for more info. |
| 1:00 PM | || Work or Clinic Time Now it is time to head to UMA Clinic (usually one half-day/week during ward months) or back to the wards to continue with the daily work. Here is where the “divide and conquer” strategy between the resident and intern comes in handy. There are lots of responsibilities associated with carrying a busy medicine team. I have the opportunity to consult with almost every specialty and subspecialty, participate in many procedures, and have conversations with patients and their families. |
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| 3:00 PM |  |
|| Afternoon Attending/Fellow Lecture We are so lucky to have attending physicians and specialty fellows who are interested in teaching - most often above and beyond the required lecture time. |
| 5:00 PM | || Sign-Out After lecture, and once the patients are tucked away for the day (don't forget to order AM labs and X-rays), there is a friendly on-call team excited to take over your patient list so you can go home. Always cognizant of work hour regulations, it is not uncommon for the upper level resident to excuse you and stay to tie up loose ends. It is the constant display of teamwork and camaraderie that I feel here that makes UVa a great place to work and learn. |
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Our On-Call Schedule
The UVa Internal Medicine Residency Program has implemented a night float system to comply with RRC mandates and reduce resident work-hours. Each inpatient rotation (except MICU) has night float coverage 7 days a week, thereby allowing the day call teams to sign-out and spend some well-deserved time at home – sleeping in their own beds, eating dinner with their families, etc.
Cross-Coverage: 5:00 - 8:00 PM
Non on-call interns typically sign out around 5:00 PM. Care of their patients is assumed by the on-call team until 8:00 PM when the night float intern arrives. Cross-coverage occurs simultaneously with on-call duties.
On-Call Intern: 7:00 AM - 8:00 PM or 8:00 PM - 7:00 AM
The morning schedule is the same, with the addition of accepting new admissions from the E.D. and transfers from outside hospitals. The day typically begins with hand-off of night float admissions to the team and the short call service. These hand-offs are incorporated into the Attending Rounds. The on-call team accepts new patients until 7:00 in the evening after which they are held until the night intern arrives at 8:00 PM. Cross-cover duties are signed over to the night intern. The day on-call team completes work on their patients and prepares to sign out to the night team.
