St. Paul University Hospital (SPUH)

The teaching ward service will be composed of 5 teams, each with one resident, one intern, a fourth year medical student, and 2 or 3 third year medical students.  Each team will take “long call” every fifth night.  On the day after the post-call day, the team assumes care of patients admitted by the night float resident (so-called “short call”).

In addition to these teaching services, a non-teaching service (NTS) will exist at SPUH, which will admit patients in rotation with the teaching service and will take all admissions above the designated ACGME “cap.”  This service will be staffed by board-certified/eligible internists.  In addition to these admitting responsibilities, these physicians will provide overnight coverage and cross cover.

PGY-1 Ward Schedule:

• Take overnight, in-hospital “long call” every fifth night
• On weekday (Su-Th) call, admit patients with team resident (PGY-2 or PGY-3) from 7:00 am to 9:00 pm, then admit patients with night float resident (PGY-2 or PGY-3) from 9:00 pm to 12:00  midnight 
• On weekend (Fri-Sat) call, admit patients with team resident (PGY-2 or PGY-3) from 7:00 amto 7:00 amthe following day. 
• PGY 1 stays overnight for cross-cover purposes
• Leave hospital by 1:00 pmon post-call day
• One half-day continuity clinic per week (always at same hospital as ward rotation)
• One day off per week

PGY-2 and PGY-3 Ward Schedule:

• Take “long call” every fifth night
• On weekday (Su-Th) call, admit patients with team PGY-1 from 7:00 amto 8:30 pm; sign out to night float resident at 8:30-9:00pm; go home; return to hospital post-call morning at 7:00 amand work full post-call day
• On weekend (Fri-Sat) call, admit patients with team PGY-1 from 7:00 amto 7:00 amthe following day and spend night in hospital; leave by 1:00 pmon post-call day.   
• One half-day continuity clinic per week (alternates among PHHS, St. Paul, and DVAMC)
• One day off per week

Night Float Schedule:

• One night float resident (PGY-2 or PGY-3) each night Su-Th
• Take sign-out from on-call resident at 8:30-9:00 pm
• Admit patients to on-call team with on-call PGY-1 from 9:00 pm to 12:00 midnight
• Admit patients to next day's call team from 12:00 midnight to 7:00 am; sign these patients out to oncoming short-call team at 7:00 am
• Present patients admitted with on-call team at post-call attending rounds at  7:30 am
• Leave hospital by  8:00 am
• Two days off per week