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Service Design 2012-2013 - PowerPoint PPT Presentation


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Service Design 2012-2013. March 19, 2012. Ambulatory Model. Every 4 th month dedicated Ambulatory/Continuity Clinic month 2 - PGY 3’s, 2 - PGY 2’s (and 2 - PGY 1’s) in each pod PGY 1’s & combined program residents will stick to ½ day CC/week Approximately 300 patients/pod 13 pods

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ambulatory model
Ambulatory Model
  • Every 4th month dedicated Ambulatory/Continuity Clinic month
  • 2 - PGY 3’s, 2 - PGY 2’s (and 2 - PGY 1’s) in each pod
  • PGY 1’s & combined program residents will stick to ½ day CC/week
  • Approximately 300 patients/pod
  • 13 pods
  • Rescue clinics dropped in 1x monthly
  • 6 half day continuity clinics/week
  • 2 half day admin days to work on QI/return patient calls/respond to labs/emails
  • 2 half days for non-medicine subspecialty clinics
slide7
VA
  • The VA will have 3 teams
  • Q6 16 hour overnight call for interns with alternate Q6 day call until 8pm
  • Resident Night float – q 3 until 8pm for day resident (except when day float covers)
  • Weekends – Resident overnight 24+4
  • Day Float – Resident 8-5 M-F, alternating weeks 10-8 M-F.
slide8
GEM
  • 2-3 residents/month
  • Responsibilities include both inpatient wards and clinics
  • 1/3-1/2 of month residents also rotate to act as the 2nd night float resident on GI/HO (Sun-Thurs)
cardiology
Cardiology
  • 3 teams
  • One upper level resident and 2 Interns each day
  • Team will be on call q 3 until 8pm
  • RESIDENT Night float (2 residents – 1 for CCU coverage, 1 for crosscoverand floor coverage)
    • Alternate admissions (CCU resident to take admit calls and divide)
  • Weekends – Resident overnight 24+4
  • Interns will do staggered call on Friday/Saturday
    • Intern 1 from 8a-8p; Intern 2 from 8p-12p
general medicine
General Medicine
  • 4 Teams
  • 10 Interns
    • 2 Teams will have 2 Interns
    • 2 Teams will have 3 Interns (these interns will do 5 nights each)
  • 4 residents – q 4 until 8pm
  • Resident Night Float
  • Weekends – Resident overnight 24+4
gi heme onc
GI/Heme/Onc
  • 4 residents during the day
    • Residents q4 until 8pm
  • 4 Interns during the day
    • Interns q4 until 8pm
  • RESIDENT Night float (2 residents – 1 for Admits, 1 for floor coverage)
    • Working together as a team
  • Weekends – Resident overnight 24+4
    • Interns will do staggered call on Friday/Saturday
      • Intern 1 from 8a-8p; Intern 2 from 8p-8a (but staying through rounds)
slide12
MICU
  • 5 residents
  • 6 days of night float each

-Night float resident expected to be out by 930am

  • Interns will be in the MICU (5 nights of night float each)
slide13
VICU
  • 3 residents
  • Q 3 overnight call
  • Shift will be 24+4