Our residents split time between our two hospitals. Across their residency, many of their general inpatient rotations are at University Health Truman Medical Center. Here’s what a typical day looks like for our first-year residents on the general medicine inpatient service:
| 6:30-7 a.m. | Medicine teams meet at our resident workspace. Sign out occurs between the night team and day medicine teams. This face-to-face communication provides an opportunity to ask questions to the overnight team and communicate critical information that may have developed overnight. |
| 7 a.m.–9 a.m. | Teams pre-round on their patients, develop plans to be presented on rounds, and anticipate who may discharge that day. |
| *8:45 a.m. – 9 a.m. | Residents at University Health Truman Medical Center participate in multidisciplinary rounds with their team’s specific social worker and case management in order to facilitate safe and effective discharges. |
| 9 a.m.–11:45 a.m. | Attending-facilitated teaching rounds. |
| 11:45 a.m. – 12:15 p.m. | Resident Report: A senior resident presents a prior case designed to teach clinical reasoning, physical diagnosis, and management principles in an interactive format. |
| 12:15 p.m. – 1 p.m. | Noon Conference: The bulk of these conferences are comprised of Internal Medicine and subspecialty faculty teaching core concepts pertaining to a given specialty or medical condition. Other conferences held during this time frame include monthly Journal Club, Patient Safety Conference, Morbidity & Mortality, and Chiefs’ Conferences. |
| 1 p.m.-4:15 p.m. | Medicine teams continue to work on patient care management and accept new admissions to their team. |
| 4:15 – 5 p.m. | Non-call teams* perform a face-to-face sign out to the short call team. Inpatient teams alternate short call coverage every fourth day of service. Short call means the team stays until 7 p.m., cross-covers the other teams, and takes admissions until handoff to the Night Float team at 7 p.m. |