Core Curriculum

Floors

Floor rotation is the major rotations for PGY 1 and PGY 2. It is divided into eight teams, 4 hospitalist with one resident , two interns and one student, 4 Harvey teams with one resident and one student. It is a 6:30am to 3:30pm regular days, 6:30am to 6:30pm on call days which is every fourth day and one overnight Friday call per block. The team will take care of both floor and telemetry patients. Each team is assigned to present morning report once every block.

Night Float

Night float is composed of two teams that take care of floor, telemetry and pulmonary – cardiac step down unit. It is a 12 hour shift 6:30pm-6:30am, 6 days a week.

Medical Intensive Care

This is composed of 6 residents - 4 during the day, 6:30am – 6:30pm; 2 overnight, 6:30pm – 6:30am. This is the rotation meant for comprehensive learning in advanced ventilatory management, IV drips, and manage critical and complicated cases.

Cardiac Care Unit

PGY 2s and PGY 1s run this unit. It's a close unit composed of 1 PGY 2 and 1 PGY 1 during day time and 1 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 the cardiac cath conference once per rotation.

Emergency Room

PGY 1 and PGY 3 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. PGY 1 rotates in geriatrics, Palliative Care and PGY 2 rotates in pulmonary. The rest of the rotations will be distributed to PGY 3. (See the schedule)

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

MOD/MON: 7AM-7PM Shift, one PGY-3 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: 6:30PM-6:30AM Shift, Team of 4, 2 PGY-2 and 2 PGY-1. 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 PM to 5:30 AM 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 6AM from Monday to Friday. Team of 2, 1 PGY-2 and PGY-1. This team does the routine floor admissions from 6 AM- 2:30 PM 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 AM- 6:30 PM on Monday, Thursday and Friday. Monday and Thursday are “call days” in which the senior carries the Team C lists and the Junior carries the Team A and Team B lists from 3:30-6:30. Additionally, during those call days, they will do IMP-1 admissions between 2:30 - 6:30. Friday is a 24-hour call. The team will have a break from admissions between 2:30 - 6:30 pm. 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 AM-3:30 PM. Floor A is on-call Tuesday and Saturday, and Floor B is on-call Wednesday and Sunday. On weekday calls, the Floor Team will do all Routine Admissions from 2:30-6 PM 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 AM- 6 PM and signs out at 6:30 PM to NF. Team must respond to all rapids and codes between 6:30 AM to 6:30 PM on call days. Juniors are expected to see your patients before endorsements at 6:30AM with the seniors while receiving admission endorsements from NF.

Floor C: This is a team consisting of one PGY-2 resident and an Attending supervising. The cap for the PGY-2 is 12 patients and the rest of the team is managed alone by the Attending. Thursday is the call day for Team C and they do the first two admissions between 2:30 PM-6:30 PM and then alternate with MAR. Admissions between 2:30-6:30 will solely be admitted to Team C. Saturday is also a call day where the resident will hold their own list and manage their patients. During the weekend call day shift, the resident will admit IMP-1 patients only. The resident must respond to all rapids and codes between 6:30 AM to 6:30 PM on call days. Non-call days end at 3:30PM, endorse to Junior A on call.

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

Consult Services

  • PGY-3 residents cover Cardiology, Neurology and Renal during the weekday.
  • PGY-1 consult resident will cover cardio, neuro and renal on Saturday with a cap of 10 consults.
  • All consult services are resident-run from 7AM to 3PM.
  • On Sunday, there will be no consult resident. Consults should be called to the consultants directly. Consultants will do their own consults.

CCU Day: 6:30AM-6:30PM Shift. The team consists of one PGY-2 and one PGY-1. Every day is a call day from 6:30 AM to 6:30 PM. 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 pm. The PGY-2 resident will be off Saturday and the PGY-1 resident will be off on Sunday. They are expected to respond to all CODE HEARTS during their shift.

CCU Night: 6:30PM-6:30AM 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, 1 PGY-3 and 1 PGY-2 and 1 PGY-1. There will also be an ICU fellow. Every day is a call day from 6:30 AM to 6:30 PM.PGY-3 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 pm. There is no cap on admissions in critical care. The PGY-3 and PGY-1 will be off on Saturday. The unit will be covered by a covering PGY-3 (renal) and PGY-2. The PGY-2 will be off on Sunday.

ICU Night: 6:30PM-6:30AM Shift, covered by one PGY-3 and one PGY-2 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 PGY-3 resident will have their day off on Saturday night. The PGY-2 resident will have their day off on Friday night.

Electives

Residents will have elective blocks (PGY-1 and 2: three blocks, PGY-3: 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 4+2 block structure. They will spend two weeks of ambulatory exposure every other month, completing 10 weeks in total by the end of the academic year (5 blocks).