Intern/Resident Schedule Information

First Year Resident (R-1)

Wards

Each R-1 rotates through University Hospital and the Veterans Administration Medical Center. Rotations are generally 4 weeks in length.  ICU rotations include 4 weeks in the Medical ICU at Crouse Hospital ansd 2 weeks in the Medical ICU at Unviersity Hospital.

Emergency Room (ER)

Each R-1 spends four weeks in the University Hospital ER. There are some 41,500 patient visits to this ER per year. While the R-1 primarily manages patients with medical problems, he or she has the opportunity, if desired, to handle minor surgical problems.

Typically, the R-1 is on duty for 12 hours per shift and works about 60 hours per week. The ER is staffed by full-time attendings. Consultation in the ER is available at all times.

Preliminary R-1s are not required to rotate through the ER, but may choose it as an elective.

Continuity Care

Each categorical intern will devote 1/2 day per week (except when on vacation) to a primary care clinic experience at University Health Care Center and/or the Veterans Administration Medical Center.

Ambulatory Care Block

All categorical R-1's participate in a 4 week block rotation in ambulatory care settings. Clinic assignments include low back, stress testing, orthopedics, diabetes, allergy, preoperative evaluation, women's screening and others.

Preliminary Year

Individuals who will participate in the Preliminary Internal medicine year as a pre-requisite for other training programs (such as Radiology, Ophthalmology, Anesthesiology) will rotate through virtually all the same assignments as the 3 year Categorical interns.  Differences are allowed in choice of electives and Ambulatory experiences.  Total elective time is generally 4-6 weeks more than the Categorical interns. Continuity clinic is at University Health Care Center only.

Patients and Workloads

Our residents experience a wide range of patient presentations: acute emergencies, urgent admissions for subacute conditions, elective admissions for diagnostic evaluation, a few recurrent admissions for therapy, and some long-term problems. Patients admitted to medicine come from all socioeconomic classes. A higher percentage of "subspecialty" problems are referred to University Hospital than to the Veterans Administration Medical Center or Crouse Hospital.

During ward rotations, only the R-1 on the service may write orders, after the appropriate discussion with the senior resident or the attending physician. All emergent and urgent admissions are screened through an admitting resident. It is expected that each R-1 assigned to a ward rotation will be the primary physician for approximately 12 patients.

Illness Coverage

If, due to illness or other circumstances, a house officer cannot fulfill his/her responsibility on a ward or ER rotation, it may be necessary to assign another resident to the vacant position. A system of JEOPARDY call and a plus-minus points are kept to ensure equity in coverage.

Typical Resident/Intern Schedules

Typical R-1 Schedule

Our schedule is based upon 13 four week blocks. Vacation can be taken in 2 two week blocks or 1 four week block. A typical intern schedule is listed below:

Typical R2 Schedule

Typical R3 Schedule