Internal Medicine Floors

Rotation Site:

Henry Ford Hospital, Main Campus

Options:

• General Medicine
• Cardiology
• Hematology-Oncology
• Infectious Diseases
• Nephrology
• Pulmonology

The inpatient services allow for a wide exposure to care for hospitalized patients. A broad spectrum of pathology is encountered. Carefully selected senior staff rounders are assigned to each house officer team. Residents have the majority of responsibility for patient care. Senior staff are responsible for overall supervision of patient care and teaching for the rotation. Teaching rounds are conducted daily. Complete ancillary services ensure that residents obtain a focused medical education and experience.

Each TY resident will have 2-3 months on General Medicine and the rest of specialty floors, with a schedule customized to future specialty (e.g. Radiation Oncology bound residents will have rotations on the Hematology-Oncology floor).

Daily Schedule

6:30 - 8 a.m. - Pre-round, pick up patients from night float
8 - 11 a.m. - Teaching rounds
11 a.m. - noon - Post-round work, seniors do collaborative rounds with nurses & social work
noon - 1 p.m. - Noon conference
1 - 3 p.m. - Follow up on consults, labs, new admissions, etc.
3 - 4 p.m. - Evening patient-focused rounds, short didactic, signout for non-call resident
8 p.m. - Night float arrives, sign out process begins*

* Transitional Year Residents do not take overnight call on IM floors. Transitional Year Residents do participate in one 2-week block of night float during their residency training.

General Medicine Floors (B1/B2/F1):

On general medicine floors, house officers encounter a variety of medical conditions and take a primary role in patient management.

Subspecialty Floors:

Subspecialty floors offers house officers more in-depth exposure to subspecialty based conditions, although there is still wide exposure to general medicine. Senior staff rounders are subspecialists with advanced expertise.

Cardiology Telemetry Floor (I5)

Commonly encountered conditions include acute coronary syndrome, congestive heart failure, syncope, arrhythmias, and valvular disease. The attending physician is a cardiology specialist.

Hematology/Oncology (P2)

Commonly encountered conditions include: oncology emergencies, cord compression, febrile neutropenia, leukemia/lymphoma, solid tumors, bone marrow transplant and infections in an immunocompromised patient. The attending physician is a hematology/oncology specialist.

Infectious Diseases (F6)

Commonly encountered conditions include: Endocarditis, Meningitis, HIV disease and tuberculosis. The attending physician is an Infectious Disease specialist.

Nephrology (H2)

Commonly encountered conditions include acute and chronic renal failure, malignant hypertension, and complications of ESRD (End Stage Renal Disease), dialysis, and kidney transplant. The attending physician is a Nephrology specialist.

Pulmonary (F2)

Patients with cardiorespiratory problems and VTE are the most frequent. The attending physician is a Pulmonary specialist. Common diagnoses: pneumonia, asthma, COPD, VTE, pulmonary hypertension, and lung transplant.