For the R2 and R3 residents, this rotation is essentially a night shift rotation without daytime or weekend responsibilities. The senior float resident works as the admitting senior resident from 6 PM to 7 AM Monday through Friday. We believe there are significant advantages to this system. The daytime senior residents on the house staff services pull two nights of call during the month allowing greater time for reading. An active contingent of cardiologists and cardiovascular surgeons has made Spokane a prominent center for the diagnosis and treatment of cardiovascular disease.
Residents work with one of the teaching cardiologists.
For the R1, this is a hospital service with both ward and CCU patient management experience. A broad spectrum of clinical GI problems is covered although obviously patients are more acutely ill than would be seen on an elective outpatient-based rotation that can be taken later. Management of patients on the service is the responsibility of the resident with supervision and direction from the attending gastroenterologist. On this hospital rotation, the R1s work with a faculty oncologist. The residents manage patients admitted to the oncology service under the supervision of the oncologist.