All inpatient rotations of the Internal Medicine Residency at Overlook Medical Center are offered at Overlook Medical Center. Our rotations do not require overnight call coverage and employ a night float system.
Team A which is comprised of a senior (PGY2/3) resident and two PGY1 residents is supervised by a hospitalist from the Atlantic Medical Group. This team has an average census of 16 patients so the PGY1 resident has no more than eight patients due to the high level of complexity of the medical cases. This team cares for a wide range of general medical cases including the patients in our intermediate care unit (IMCU). This unit provides a level of care between a general medical floor and an intensive care unit.
Team C and Team D
Team C and Team D are both comprised of a senior (PGY2/3) resident and two PGY1 residents. Both teams are supervised by our full-time medicine faculty. The average census is 16 patients on each team, so each intern cares for a maximum of 8 patients. Residents on both teams provide care for patients with neurological disorders including patients in our Level IV Epilepsy Center and the Advanced Comprehensive Stroke Center. Residents are also exposed to perioperative medicine and care for patients on our hip fracture service. Patients on this service have a wide array of inpatient medical diagnoses and are representative of our diverse population including patients from our residency outpatient practice.
One senior (PGY 2/3) resident is assigned to this service. This resident is supervised by one of our full-time medicine faculty and carries an average census of 10 patients. The consult resident completes pre-operative evaluations and learns about perioperative management with special focus on co-management with orthopedic surgery. Our consult service resident is also a member of the Rapid Response Team (RRT). They respond to all RRT calls for hospitalized patients with early signs of deterioration on non-intensive care units. They are also a part of our stroke medical team and receive specialized training in stroke care including the use of the telestroke robot.
Medical Intensive Care Unit
The MICU team includes three senior (PGY2/3) residents and three PGY1 residents supervised by attending physicians who are board certified in Pulmonary-Critical Care and/or Cardiology. The team cares for patients in both the medical intensive care unit (MICU) and the cardiac care unit (CCU) with an average census of 20 patients. The MICU team treats a full range of cardiac, pulmonary, renal, endocrine, and infectious as well as toxic/metabolic cases. Residents become proficient in many procedures including central venous and arterial line placement, thoracentesis, and ventilator management.
Medical Admitting Rotation
The PGY2/3 residents on this rotation work six days per week under the supervision of our board-certified intensivists. The rotation gives our residents the opportunity to triage, evaluate and admit the sickest and most complex cases. These residents are the primary liaison for the Department of Medicine on all patients admitted from the Emergency Department to the MICU or transfers from other services to the MICU. All potential admissions to the MICU are evaluated and discussed collaboratively with both the Emergency Department attending and the ICU attending to determine the appropriate level of care and management.
Night Medicine (Night Float)
The Night Float team is comprised of a PGY2 and a PGY1 resident. This team provides cross coverage for patients admitted to our service, receiving sign out from the day teams at 8:30 pm and covering until 7:00 am. During this rotation residents improve triage, clinical reasoning, and management skills under supervision from our medicine faculty.
PGY3 and preliminary PGY1 residents on this rotation work 8–10-hour weekday shifts under the supervision of our board-certified emergency medicine physicians. This rotation gives our residents exposure to a wide variety of undifferentiated patients and the opportunity to evaluate acutely ill patients in a fast-paced setting.