What to expect intern year

All four interns start on pediatrics

Rotate with your class all four years

Start ~1 week earlier than medicine counterparts intern year

Get 1 week of unpaid vacation at the end of intern year

Holidays

On outpatient rotations, federal holidays are usually off

On inpatient rotations, federal holidays are covered by weekend staffing

Both medicine and pediatrics utilize holiday coverage for Christmas and New Years -- working one of the holidays and off for the other

Three weeks of vacation per year

Additional five days of time off around the winter holidays

General Inpatient Pediatrics

Color teams (Red, Green, Blue, Purple, Silver).

Generally 2 week blocks, off sequence with seniors by a week

Morning sign-out at 6 AM, senior sign out at 7 AM

2 interns, 1 senior resident, usually 2 medical students +/- AI

No formal cap, numbers vary based on season

Interns split up days short/long call

Short you get out when your work is done

Long call stays until sign out at 7 PM

Color teams have a specialty service that is too small to have their own service that it admits to

Purple ➡️ Eating Disorders

Red ➡️ Rheumatology

Green ➡️ Toxicology

Blue ➡️ Genetics

Subspecialty Inpatient Pediatrics 

Heme/Endo, Renal/Pulm, GI, Neurology, Oncology

Functions the same as general pediatrics

Combined services usually have two AM rounds and two teaching times

Weekends

Three weekend shifts (7AM - 7PM Saturday, 7PM - 7AM Overnight, 7AM - 7PM Sunday)

Cover sister teams, one general pediatrics + one subspecialty (i.e. Red + GI)

Interns preround on all patients, attendings write notes

No 24 hour shifts for interns on pediatrics!

Emergency Department

Two week rotation at CHP ED

Cover medium acuity rooms, with some overflow for high acuity rooms based on census

NICU 

One month rotation at Magee Women's Hospital

Inpatient care of babies admitted to the NICU

Arrive at 6:30AM for sign out

Sign-out to overnight APP at 4PM

Newborn Nursery 

One month rotation at Magee Women's Hospital

Arrive at 7AM for pre-rounding

Bedside rounds at 8AM

Afternoons at Newborn Clinic in Oakland (12:45-5PM)

Split weekends with group of 3-4 other interns

Free garage parking for Med-Peds residents at CHP

Small breakfast provided at morning conferences

Fed lunch at noon conference at CHP

Gym at CHP with discounted rates for employees to workout there

Starbucks at CHP 

Conferences

Morning

M-W: 8:15-9AM Morning Report

Th: 8-9AM Pediatrics Grand Rounds

F: 8-9AM Zitelli Rounds

Afternoon

Everyday 12-1PM Lectures or Intern Bootcamp

Med-Peds Ambulatory (MPA)

One month of outpatient medicine/pediatrics at our Turtle Creek clinic

Focus on interdisciplinary education and understanding how to be a PCP

Special sessions with diabetes educators, physical therapists, phlebotomy

Often when PGY-1s take STEP/COMLEX 3

Inpatient Medicine

Two months of inpatient medicine floors at Montefiore Hospital ("Monte")

All interns start on Monte together for their first block of Medicine

Teams by geographical location within a hospital

Generally cap team at 14-15 patients

One senior resident and two interns

Resident independent rounding for 4 days of the week

Daily Schedule

Arrive at 6:45 AM for sign-out

Rounds at 9AM  

Leave at 6PM for sign-out to night team

No nights or 24 hour shifts

Work one weekend day each week of the block

Inpatient Cardiology 

One month of inpatient adult cardiology at Presbyterian Hospital (Pavillion or "Pav")

Two weeks of general cardiology, one week of advanced heart failure, one week of nights

One intern and one resident paired per team, cardiology fellow and attending

Daily schedule similar to inpatient medicine floors

No 24 hours shifts for interns

Medical ICU 

One month of adult medical ICU at Shadyside Hospital (SHY ICU)

Proximity to Hillman Cancer Center, will see many oncology patients

Three weeks of day shifts, one week of nights

Roughly two 28 hour shifts for interns during this month

Team caps of 9-11 patients 

Daily schedule similar to inpatient medicine

Free garage parking for Med-Peds residents at all adult hospitals (at top of hill)

Bus line right by all adult hospitals

Fed lunch at noon conference while on Monte floors

Starbucks at Presbyterian = Real Starbucks

Starbucks at Monte = We Proudly Serve Starbucks

Conferences

Mornings

No morning report for interns, this begins starting PGY-2 on medicine

Afternoons

Weekdays 12-1PM noon conference lectures or Department of Medicine Grand Rounds

Pediatrics

X+Y+Z scheduling with continuity clinic four half days each week while on Z block

No continuity clinic when on inpatient rotations, ED, or ICU

Medicine

One continuity clinic day per week when on medicine electives

No continuity clinic when on inpatient medicine or ICU