I. Inpatient Ward Services - UIH

A. General Medicine Services - 3

1. 1 attending, PGY2 supervising resident, PGY3 teaching resident, 2 interns, 0 - 3 students
2. Service call q 3; Intern and resident call q6
3. Night float intern begins @8p to do cross coverage and admit if necessary; clinic cancelled during night float rotation.
4. Renal fellow admits and follows routine dialysis patients.
5. All resident post-call clinics are cancelled.
6. Post-call resident, intern and students leave by 1pm the day following overnight call; service responsibilities are covered by the remaining resident, intern and students.
7. HIV patients supervised by the ID attending
8. Intern cap: 5 admissions/24 hour period
9. Resident cap: 10 admissions/24 hour period
10. All housestaff and students must have one day off per week, averaged over the 4-week rotation.

B. Geriatrics

1. 1 attending, 1 fellow, 1 resident, 1 intern, 0-2 students
2. Resident: no call; Intern covers night float on Friday.
3. Overnight patients are admitted by the General Medicine admitting team; the Geriatric intern must write an admission note the next morning
4. All housestaff and students must have one day off per week, averaged over the 4-week rotation.

C. Non-malignant Hematology and Oncology

1. 1 attending, 1 fellow, 1 resident, 2 interns
2. Subspecialty call: Resident admits until 5pm Monday - Thursday; q4 coverage on Friday, Saturday, Sunday and Monday from noon - 5pm (i.e.q8); MOD moonlighter takes call Monday - Thursday from 5p to 7am; Intern call q6.
3. Intern clinic is cancelled post-call; Resident clinic is cancelled on Monday post-call.
4. Post-call housestaff leave by 1pm the day following overnight call; service responsibilities are covered by the resident (except Monday post-call), remaining intern, and the fellow; service responsibilities on a post-call Monday are covered by the intern, the noon - 5pm admitting resident and the fellow.
5. Intern cap: 5 admissions/24 hour period; 8 admissions/48 hour period
6. Resident cap: 10 admissions/24 hour period
7. Oncology fellow admits all 'head and neck' protocol patients
8. All housestaff and students must have one day off per week, averaged over the 4-week rotation.

D. Leukemia/BMT

1. 1 attending, 1 fellow, 1 resident, 1 intern
2. Subspecialty call: Resident admits until 5pm Monday - Thursday; q4 coverage on Friday, Saturday, Sunday and Monday from noon - 5pm (i.e.q8). MOD moonlighter takes call Monday - Thursday from 5p to 7am; Intern call q6.
3. Intern clinic is cancelled post-call; Resident clinic is cancelled on Monday post-call.
4. Post-call housestaff leave by 1pm the day following overnight call; service responsibilities are covered by the resident (except Monday post-call), and the fellow; service responsibilities on a post-call Monday are covered by the intern, the noon - 5pm admitting resident and the fellow.
5. Intern cap: 5 admissions/24 hour period; 8 admissions/48 hour period
6. Resident cap: 10 admissions/24 hour period
7. Hematology fellow admits and follows BMT patients
8. All housestaff and students must have one day off per week, averaged over the 4-week rotation.

E. General Gastroenterology

1. 1 attending, 1 fellow, 1 resident, 1 intern
2. Subspecialty call: Resident admits until 5pm Monday - Thursday; q4 coverage on Friday, Saturday, Sunday and Monday from noon - 5pm (i.e.q8). MOD moonlighter takes call Monday - Thursday from 5p to 7am; Intern call q6.
3. Intern clinic is cancelled post-call; Resident clinic is cancelled on Monday post-call.
4. Post-call housestaff leave by 1pm the day following overnight call; service responsibilities are covered by the resident (except Monday post-call), and the fellow; service responsibilities on a post-call Monday are covered by the intern, the noon - 5pm admitting resident and the fellow.
5. Intern cap: 5 admissions/24 hour period; 8 admissions/48 hour period
6. Resident cap: 10 admissions/24 hour period
7. All housestaff and students must have one day off per week, averaged over the 4-week rotation.

F. Liver Service

1. 1 attending, 1 fellow, 1 resident, 2 interns
2. Subspecialty call: Resident admits until 5pm Monday - Thursday; q4 coverage on Friday, Saturday, Sunday and Monday from noon - 5pm (i.e.q8). MOD moonlighter takes call Monday - Thursday from 5p to 7am; Intern call q6.
3. Intern clinic is cancelled post-call; Resident clinic is cancelled on Monday post-call.
4. Post-call housestaff leave by 1pm the day following overnight call; service responsibilities are covered by the resident (except Monday post-call), remaining intern, and the fellow; service responsibilities on a post-call Monday are covered by the intern, the noon - 5pm admitting resident and the fellow.
5. Intern cap: 5 admissions/24 hour period; 8 admissions/48 hour period
6. Resident cap: 10 admissions/24 hour period
7. Liver fellow admits and follows routine liver biopsy patients
8. All housestaff and students must have one day off per week, averaged over the 4-week rotation.

G. Cardiology/CCU

1. 1 attending, 1 fellow, 2 residents, 3 interns
2. Q 4 call; cross-covered by Cardiology consult residents and EM Cardiology consult intern
3. Clinic is cancelled for all housestaff during unit months.
4. Post call resident and intern leave by 1pm the day following overnight call; service responsibilities are covered by the remaining resident and interns.
5. Ectopic Cardiology consult resident leaves by 1pm post call unless the post call day is a clinic day, in which case the resident comes in at noon on the call day. (If ectopic call falls on a Sunday, Monday clinics are cancelled).
6. Intern cap: 5 admissions/24 hour period
7. Resident cap: 10 admissions/24 hour period
8. Cardiology fellow admits and follows routine cardiac catheterization admissions.
9. All housestaff and students must have one day off per week, averaged over the 4-week rotation.

H. MICU

1. 1 attending, 1 fellow, 2 residents, 3 interns
2. Q 4 call; cross-covered by Pulmonary consult residents and Ambulatory block intern
3. Clinic is cancelled for all housestaff during unit months.
4. Post call resident and intern leave by 1pm the day following overnight call; service responsibilities are covered by the remaining resident and interns.
5. Ectopic Pulmonary consult resident and Ambulatory block intern leave by 1pm post call unless the post call day is a clinic day, in which case the resident and intern come in at noon on the call day. (If ectopic call falls on a Sunday, Monday clinics are cancelled).
6. Intern cap: 5 admissions/24 hour period
7. Resident cap: 10 admissions/24 hour period
8. All housestaff and students must have one day off per week, averaged over the 4-week rotation.

I. Night Float Intern (2-week rotation)

1. 1 intern: 8pm - 9am, Monday - Thursday; Saturday - Sunday
2. Friday night float is covered by the Geriatric intern.
3. Provides cross-coverage and admitting (if necessary) for the General Medicine services.
4. If the night float intern admits patients, he/she must stay for work rounds and morning report.
5. All clinics are cancelled during Night Float rotation.

II. Inpatient Ward Services - WSVA

A. General Medicine Services - 6

1. 1 attending, 1 resident, 2 interns, 0 - 3 students
2. Q6 call
3. Long call: resident and interns admit until 8pm; admissions after 8pm are done by the night float team; long call resident leaves by 9pm; long call interns and students alternate coming in at 7am or 10am on a long-call day (if the intern has a morning clinic on a call day, must come in at 7am); 7am intern and students leave by 1pm post-call; 10am intern and students leave by 4pm post call; intern clinics cancelled post call.
4. Night float admissions transferred to the next day's short call teams; night float team resident and intern do work rounds with the accepting services and must attend morning report.
5. Intern cap: 5 admissions/24 hour period
6. Resident cap: 10 admissions/24 hour period
7. All housestaff and students must have one day off per week, averaged over the 4-week rotation.

B. MICU/CCU

1. 2 attendings (Pulmonary-Critical Care and Cardiology), 2 residents, 3 interns
2. Q 4 call; cross-covered by Cardiology consult residents and Ambulatory block intern
3. Clinic is cancelled for all housestaff during unit months.
4. Post call resident and intern leave by 1pm the day following overnight call; service responsibilities are covered by the remaining resident and interns.
5. Ectopic Cardiology consult resident and Ambulatory block intern leave by 1pm post call unless the post call day is a clinic day, in which case the resident and intern come in at noon on the call day. (If ectopic call falls on a Sunday, Monday clinics are cancelled).
6. Intern cap: 5 admissions/24 hour period
7. Resident cap: 10 admissions/24 hour period
8. All housestaff and students must have one day off per week, averaged over the 4-week rotation.

D. Uncovered Oncology Service

1. Up to 15 beds for patients admitted for routine chemotherapy or XRT
2. Patients admitted and followed by Fellow and Nurse Practitioner
3. Cross-covered by long call and night float intern

E. Night Float Team (2 week rotation)

1. 1 resident, 1 intern: 8p - 8a, Monday - Saturday
2. Cross-coverage and admitting after 8pm
3. Night float admissions transferred to the next day's short call teams; night float team resident and intern do work rounds with the accepting services and must attend morning report.
4. Friday night float is covered by the Geriatric team.
5. All clinics are cancelled during Night Float rotation.

August, 2003