Residents caring for patients in the hospital follow them after discharge in their own clinic. There are four months of general medicine in the first year, two in the second, and three in the third year. In addition, each third year resident usually elects to spend four weeks practicing in a rural community. This includes the opportunity for an overseas elective. The team consists of two junior residents and a senior resident working under the supervision of intensivists.
Residents learn a multisystem approach to managing critically ill patients.
A greater concentration of experiences needed to perform invasive procedures occurs on this rotation. This rotation occurs at SHMC, the busier of the two centers. R1 residents provide float coverage for those R1s who were on duty the preceding night. Coverage begins at noon after the float R1 has spent the morning in the ambulatory clinic. For the R2 and R3 residents, this rotation is essentially a night shift rotation without daytime or weekend responsibilities.