On our ward service, you will not have overnight call tacked onto the end of an already busy day. Interns complete a month of Internal Medicine Nights-- inpatient medicine with a dedicated curriculum and consistent nocturnist faculty. The intern evaluates and “admits” up to 5 patients per night under the supervision of a 2nd or 3rd year medicine resident, then discusses it with the ward attending. We have an attending in house 24 hours per day so there is plenty of supervision while allowing for autonomy in training. The intern is responsible for writing all orders, planning and arranging diagnostic tests, discussing the case with the consultants, assuring timely interventions, and arranging for discharge and post-hospital care. On-call interns also cross-cover patients for their “Partner” interns from the other teams.
ICU interns and residents are assigned a block of night shifts during their rotations. In the ICU, you’ll typically admit 2-4 patients a night and cross-cover about 5-10 patients. The intern is first in line for all necessary procedures, including intubations, central lines and ventilator management. You are supervised by a senior resident, with ICU staff available for questions at all times. You are also part of the hospital-wide code team.