INTERNAL MEDICINE RESIDENCY
The academic year is divided into 13 four-week blocks. All inpatients on medicine teams are covered by separate day and night shifts.
A typical schedule for PGY-1 residents includes:
- 4 inpatient ward blocks
- 1 night float block
- 1 cardiology inpatient consult team block
- 2 intensive care unit blocks
- 1 emergency department block
- 1 outpatient primary care medicine block
- 1 geriatric medicine block
- 2 outpatient elective blocks
A typical schedule for PGY-2 residents includes:
- 4 inpatient ward blocks
- 1 or 2 ICU blocks
- 1 or 2 blocks of MOD (admitting resident)
- 1 outpatient internal medicine consult / gynecology block
- 1 cardiology clinic block
- 1 neurology block
- 3 elective blocks
A typical schedule for PGY-3 residents includes:
- 2 inpatient ward blocks
- 2 ICU blocks
- 2 blocks of MOD (admitting resident)
- 1 dermatology block
- 6 elective blocks
Free food is always a cause for celebration…
Patients admitted to the internal medicine wards are managed by four ward teams. Each team is usually composed of one attending staff physician, one PGY-2 or PGY-3 resident, two PGY-1 interns (internal medicine, family medicine, psychiatry, or transitional year), and one or two third-year or fourth-year medical students. Ward teams may also include a clinical pharmacologist or pharmacology resident, an oral & maxillofacial surgery resident, or a physician assistant. Overnight coverage is provided by a night float resident and intern.
The typical census for each ward team is approximately 15 patients (the cap is 20 patients). Patients are usually admitted to the general internal medicine ward (5C2, 25 beds), the telemetry ward (6C2, 25 beds), or the Progressive Care Unit (PCU, 14 beds).ICU
The Critical Care Unit at Tripler, composed of 16 beds, is a closed unit serving medical and surgical intensive care patients. Patients admitted to the ICU are followed by the critical care team. The critical care team is typically composed of two intensivist attendings, three residents (medicine or surgery) and four or more interns from various specialties. The critical care team serves as the primary team for all medical patients. For surgical patients, the critical care team serves in a consultant role. The critical care team members cover the patients during the day and night on a shift schedule. Teaching conferences are conducted daily by the critical care staff.
Prior to graduation from residency, housestaff are required to complete ambulatory rotations in cardiology, neurology, outpatient internal medicine consults, gynecology, geriatrics, and dermatology.
Electives are available in every subspecialty of internal medicine. In addition to these subspecialty electives, housestaff are also eligible to participate in electives in fields such as trauma ICU (Landstuhl ICU rotation), tropical medicine research electives, anesthesia, sports medicine, and radiology. Due to funding source requirements, some off-island elective opportunities are available to military residents only.Continuity Clinic
During residency training, house staff serve as the primary care manager for approximately seventy patients. Residents see patients in the Internal Medicine Clinic for one full day each week during electives, and one full day every two weeks during ward months. The clinic day begins with a faculty-led ambulatory medicine conference prior to the first scheduled patient.
Intern welcome picnic, Kailua Beach Park, June 2010