Core Curriculum

Floors

Floor rotation is the major rotations for PGY1 and PGY2. It is divided into three teams, two hospitalists with one resident, two interns and one student. One Harvey team with one resident and one student. It is a 6:30 a.m. to 3:30 p.m. rotation on non-call days, 6:30 a.m. to 6:30 p.m. on call days which occurs on one weekday and one weekend day per week. The team will take care of both floor and telemetry patients. Each team is assigned to present at noon conference once every block.

Night Float

Night float is composed of one team of two residents and two interns that are responsible for Medicine admissions and coverage of the medicine floor teaching service patients. It is a 12 hour shift 6:30 p.m. to 6:30 a.m., six days a week.

Medical Intensive Care

This is composed of three residents and one Pulmonary Critical Care fellow during the day, 6:30 a.m. to 6:30 p.m.; two residents overnight 6:30 p.m. to 6:30 a.m. This is the rotation meant for comprehensive learning in advanced ventilatory management, IV drips, and manage critical and complicated cases. The ICU team present a case at Noon Conference once per block.

Cardiac Care Unit

PGY2s and PGY1s run this unit. It's a close unit composed of one PGY2 and one PGY1 during day time and one PGY2 at night time. This is the rotation meant for comprehensive learning in management of decompensated heart failures, arrythmias and myocardial infarction. Residents also assist in several procedures such as transvenous pacemaker placement and management of intraaortic balloon pump. CCU team presents a case at Noon Conference once per block.

Emergency Room

PGY1 and PGY3 rotates in the ER for 2 weeks, it is a 12 hour shift rotation. Interns are exposed to medical emergencies, triage and urgent care (fast track) and observation unit.

Consult and Subspeciality Services

The residents will rotate on all subspeciality throughout their residency. PGY1 rotates in geriatrics, Palliative Care and PGY2 rotates in Infectious Disease. The rest of the rotations will be distributed to PGY3. (See the schedule)

Medical Officer of the Day/ Medical Officer of the Night (MOD/MON)

MOD/MON: 7 a.m. to 7 p.m. Shift, one PGY3 per shift. Responsibilities are as follows:

  • Responds and leads rapid responses and CODE blue/Adult medical emergencies on floors and CCU and ED for patients already admitted to routine services in the ED. They will be responsible for admissions to the unit if the patient is transferred to the unit as a result of a rapid response or Code blue/adult medical emergency.
  • Responds to sepsis alerts on the floors and patients admitted to routine services in the ED. Informs the ICU/CCU/Surgery teams if sepsis alert is triggered in the unit on their patients.
  • Responsible for medicine consults and POMA’s which will be discussed with medicine attending as per consult schedule.

Night Float: 6:30 p.m. to 6:30 a.m. Shift, team of four, two PGY2 and two PGY1. Juniors respond to pages and are supervised by their corresponding senior resident and should go to them for any questions or concerns regarding admissions or pages. Admissions from 6 p.m. to 5:30 a.m. are the night team’s responsibility. The whole team must respond to all Adult Medical Emergencies and Rapid Responses on floors and units without exception.

MAR: Shift starts at 6 a.m. from Monday to Friday. Team of two, one PGY2 and PGY1. This team does the routine floor admissions from 6 a.m. to 2:30 p.m. on weekdays. The residents will endorse the attending of the respective team and should hand off the patient to the team prior to shift end so that the team is aware of any major follow ups. In addition, they respond to Adult Medical Emergencies and Rapid Responses from 6:30 a.m. to 6:30 p.m. on Monday, Wednesday and Friday. Monday and Wednesday are “call days” in which the senior carries the Team A lists and the Junior carries the Harvey and Team B lists from 3:30 to 6:30. Additionally, during those call days, they will do IMP-1 admissions between 2:30 to 6:30. Friday is a 24-hour call. The team will have a break from admissions between 2:30 to 6:30 p.m. During this 24 hour period the MAR team is to respond to all Adult Medical Emergencies and Rapid Responses on floors and units for the whole 24-hour period. MAR will then leave Saturday morning after signout and have the rest of the weekend off.

Floor A, B: These teams consist of one senior and two juniors. The juniors split the list in half and are supervised and assisted by the senior. Non-call days are from 6:30 a.m. to 3:30 p.m. Floor A is on-call Tuesday and Saturday, and Floor B is on-call Thursday and Sunday. On weekday calls, the Floor Team will do all Routine Admissions from 2:30 to 6 p.m. and the Juniors will split the lists into A and B (same as night float above). On weekends, the Floor call team does all routine admissions from 6:30 a.m. to 6 p.m. and signs out at 6:30 p.m. to NF. Team must respond to all rapids and codes between 6:30 a.m. to 6:30 p.m. on call days. Juniors are expected to see your patients before endorsements at 6:30 a.m. with the seniors while receiving admission endorsements from NF.

IMP-1/Harvey: Private physician’s service, responsible for taking care of 12 patients only. You are responsible for doing all your admissions from 6:30 a.m. to 2:30 p.m. and then IMP-1 Call Resident takes over on non-call days. Non-call days end at 3:30 p.m. and you will endorse Junior B on call. Call days will be Tuesday, Thursday, Friday and Sunday. On call days, shifts are from 6:30 a.m. to 6:30 p.m., you will be responsible for doing all your admissions during that time period and are expected to respond to all Codes/Rapids.

Consult Services

  • PGY3 residents cover Cardiology, Neurology and Renal during the weekday.
  • PGY1 consult resident will cover cardio, neuro, infectious disease and renal on Saturday with a cap of ten consults.
  • All consult services are resident-run from 7 a.m. to 3 p.m.
  • On Sunday, there will be no consult resident. Consults should be called to the consultants directly. Consultants will do their own consults.

CCU Day: 6:30 a.m. to 6:30 p.m. Shift. The team consists of one PGY2 and one PGY1. Every day is a call day from 6:30 a.m. to 6:30 p.m.. They will split the list evenly and work together on follow-ups, and admissions are done by the Senior. They will respond to sepsis alerts triggered on their patients as informed by the MOD/MON. They are expected to respond to rapids and codes after 2:30 p.m. The PGY2 resident will be off Saturday and the PGY1 resident will be off on Sunday. They are expected to respond to all CODE HEARTS during their shift.

CCU Night: 6:30 p.m. to 6:30 a.m. Shift, covered by one PGY2 resident. Will be off on Saturday Night. They are responsible for caring for CCU patients overnight as well as CCU admissions. There is no cap on admissions in critical care. They will respond to sepsis alerts triggered on their patients as informed by the MOD/MON. They are expected to respond to rapids and codes during their shift unless caring for an unstable patient. They are expected to respond to all CODE HEARTS during their shift.

ICU Day: Team of three residents, one PGY3 and one PGY2 and one PGY1. There will also be an ICU fellow. Every day is a call day from 6:30 a.m. to 6:30 p.m. PGY3 is in charge of splitting the list between the team based on the severity of the case, however, the patients are taken care of collaboratively by the whole team as these are Critical Care patients who sometimes require extra attention and care. They will respond to sepsis alerts triggered on their patients as informed by the MOD/MON. They are expected to respond to rapids and codes after 2:30 p.m. There is no cap on admissions in critical care. The PGY3 and PGY1 will be off on Saturday. The unit will be covered by a covering PGY3 (renal) and PGY2. The PGY2 will be off on Sunday.

ICU Night: 6:30 p.m. to 6:30 a.m. Shift, covered by one PGY3 and one PGY2 resident or another PGY3 resident. The team will be responsible for caring for the Critical care patients and for ICU consults/admissions. There is no cap on admissions in critical care. They will respond to sepsis alerts triggered on their patients as informed by the MOD/MON. They are expected to respond to rapids and codes during their shift unless caring for an unstable patient. The PGY3 resident will have their day off on Saturday night. The PGY2 resident will have their day off on Friday night.

Electives

Residents will have elective blocks (PGY1 and 2: three blocks, PGY3: four blocks). We ask that everyone inform us of your chosen elective at least two weeks in advance for in-house electives and four weeks in advance for away electives. This must be approved by the program director.

Ambulatory Curriculum

Residents are assigned to a continuity clinic experience in our Greenville and Bayonne locations, following a 8 & 1 block structure. They will spend two weeks of ambulatory exposure every two months, completing ten weeks in total by the end of the academic year (5 blocks).