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Objectives
Assignment Each second year resident will spend one 4-week block on the Medicine/ICU/CCU service at Swedish at Providence Medical Center. On night call, the second year resident will: 1) supervise two R-1s and work with the attending physician and consultants on admissions to the medical floor, ICU, and CCU and, 2) care for those patients followed by the resident’s team as well as those of its cross-coverage team. On short day call, the second year resident will supervise two R-1s in the care of redistributed patients admitted by the Night Float. In addition to the responsibilities at Swedish at Providence Medical Center, the second year resident will continue to have continuity clinic at his/her respective site one half day a week. Duty Hours The medical service will set duty hours. Please contact Sandy Petit (320-2553) for more details regarding specific expected times of attendance. Call Responsibilities Night Call: The night call schedule will be every fourth night and alternate between 8:00am – 8:00am admissions and 8:00am – midnight admissions. The second year resident will act primarily as the supervisor for two R1s. The current admission maximum or "cap" is 5 patients per R1. This call schedule is adjusted for weekend coverage as outlined in the Duty Hours. During the shorter night call, the second year resident will be co-admitting as the supervising resident with the senior Internal Medicine resident. During these night calls, the Internal Medicine resident will attempt to have the second year resident supervise the ICU/CCU admissions. There will be an in-house senior Internal Medicine resident acting as the Night Float. S/he will be available for consultation on patient management or procedures from 8:00pm – 8:00am. If patient management consultation is required prior to the arrival of the night float, a senior Internal Medicine resident will be available by phone. If procedure consultation is required prior to arrival of the night float, the inpatient hospitalist, ICU attending, or emergency room attending will be available. Remember, patient care is of utmost importance. If there are any questions or concerns regarding patient care, please do not hesitate to contact the above-mentioned resources. Short/Day Call: Two days after the longer night call ("post post-call day"), the second year resident will supervise two R1s in the care of those patients admitted the previous night by the Night Float. The critically ill patients that were admitted by the Night Float will generally go to the Night Call team and not the Short/Day Call team. Faculty Dr. Robert Schoene – University of Washington and Swedish at Providence. Dr. Michael Tuggy – Director of Family Medicine, Swedish at First Hill. Chief Medical Resident at Swedish at Providence Colleague - University of Washington Internal Medicine R2 or R3 Colleague – Swedish at
Providence Family Medicine R2 Medicine conferences as directed by the curriculum for the senior resident while at Swedish at Providence. Family Medicine didactics are scheduled every Tuesday afternoon. Care Pathways Clinical care pathways should be followed where applicable. Codes The second year resident will carry code beepers while on the longer night call and should be prepared to "run" the code. Vacation No vacation is allowed during the Medicine/ICU/CCU rotation at Swedish at Providence. Priorities
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