We are a completely unopposed, full scope program. Therefore, interns rotate with his/her fellow residents or alone with attendings on all rotations. There are 6 total inpatient months during the first year. Four of these are on the family medicine inpatient service(includes adult medicine, ICU, newborns) and two are on the pediatric wards. In response to resident feedback, our program changed the inpatient schedule in 2012 to make sure everyone has plenty of rest. Checkout is at 6am and 6pm. You will check out to the night float team.
The learning opportunities are tremendous at our hospital as we see a wide variety of patients from all demographics-uninsured, underserved, refugees, better-insured,etc. Our ER is one of the top five busiest ERs among private hospitals in Texas. We have an “open” ICU, in which we remain the primary team for any of our patients that are admitted or tranferred to the ICU. We receive excellent training from our upper level residents, attendings and our pulmonologist and intensive care attending, Dr Henderson.
We perform the majority of the procedures needed for our patients, including central line, arterial line and chest tube placement, rapid sequence intubation, mechanical ventilator changes, joint aspiration, I&D, thoracentesis, EMB, paracentesis and circumcisions among others. We attend ALL code blues in the hospital. Interns are never alone on Night Float as third year residents are paired with each intern.
The inpatient months are spaced out well among lighter, outpatient rotations and “vacation blocks.” The three vacation-eligible blocks during intern year are Surgery, Gynecology and Orthopedics during which you may take one full week vacation at a time for three total weeks throughout the year.
There are two OB months in which interns work with second year residents on Labor and Delivery. Our hospital regularly has 100+ deliveries each month, and we are fortunate that all of the private obstetricians allow us to work with them and help care for their patients while in the hospital. Interns deliver LOTS of babies and begin assisting on C-sections during the first week of the block. Depending on one’s interest, there is ample opportunity to gain experience as the primary surgeon on C-sections.
Interns are given a relatively small continuity clinic panel and usually have 1 half day of clinic weekly. The panel and the number of weekly clinics increase throughout the 3 years of training as the number of inpatient rotations each year decrease. Interns are able to care for continuity OB patients after they have at least begun their first OB block.