GHSU Inpatient Wards
Currently there are 2 inpatient general medicine wards services and 2 hospitalist teams. These services rotate on a q4 call system with 24 hour hospitalist coverage. With the nightfloat system in place, this amounts to 2 overnight calls per month per team. The general medicine teams are composed of 1 Resident and 2 Interns along with a multidisciplinary support staff including pharmacists, dieticians, and social workers. The Nephrology team contains 1 fellow, 1 resident, and 1 intern, and the Hematology-Oncology service contatins 1 fellow and 2 interns. These services do not take overnight call, as a nightfloat resident covers any patient care responsibilities. There is an additional Hematology-Oncology service with a PA and fellow, as well as a bone marrow transplant and nephrology transplant services staffed by PAs and fellows.
VA Inpatient Wards
At the VA, general medicine teams operate on a q3 call schedule with an incorporated Night Float system.
When a team is on long call, they will admit patients from 7am-7pm Sunday-Thursday, and 7am-7am Friday and Saturday. Sunday - Thursday, the Night Float Resident will have admitting responsibilities from 7pm-7am for Hematology-Oncology and Nephrology patients, and up to 3 general medicine patients.
At GHSU each Critical Care service has 1 Fellow, 2 Residents, and 2 Interns. Call is q4 and alternates Residents/Interns. If a Resident is on call for the MICU, then an Intern is on call for the CCU and vice versa. Whenever an Intern is on call, the Utility Float Resident is in-house to cover that service as well.
At the VA, the MICU team consists of 1 Fellow, 1 Resident, and 1 Intern, and the Cardiology team consists of 1 Fellow and 2 Interns. Call is also q4 divided equally amongst the residents. If an Intern is on call, the General Medicine Resident or Night Float Resident who is on call, will also cover both services.