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Greenwich Hospital

Click here for pdf version of Internal Medicine Residency Brochure 2008

Inpatient Medicine 

Team Composition
One PGYII or PGY III resident
Two PGY I residents and two students
One teaching attending
An additional PGY I resident (Night Float)

PGY I Patient Load
Average: 8-10

PGYI Call
One overnight call per week.
Day Float/Night Float team covers Friday p.m. to Monday a.m.

Teaching Rounds
Monday through Friday 8:30-9:45 a.m.
The Program Director rounds weekly with each team.

Orders
All orders are to be written by house staff using computerized order entry.

Electronic Medical Records
Both outpatient and inpatient medical records are fully computerized. Residents document histories and physical exams, progress notes and clinical resumes online.

Procedures
Residents are expected to perform all routine procedures on their patients (including arthrocenteses, paracenteses, lumbar punctures, thoracenteses and central line placement) under the supervision of attending physicians and senior residents.

Evaluation and Feedback
Formal, written evaluations by teaching attendings each month. Periodic chart reviews and feedback from the Program Director. Continuous, informal evaluation and feedback from faculty and senior residents.

Student Education
Medical students from Yale and New York Medical College and PA students from Quinnipiac College train at Greenwich Hospital.

MSICU/Telemetry 

Team Composition
One PGY II or PGY III residents
Three PGY I residents
Two teaching attendings

PGY I Patient Load
Average: 5-7
Half on MSICU, half on Telemetry

PGY I Call
One overnight call per week.
Day Float/Night Float team covers Friday p.m. to Monday a.m.

Teaching Rounds
The Medical Director of the MSICU, an Intensivist, rounds four times a week.
The Program Director rounds weekly.
A Cardiology teaching attending rounds daily.

Orders, Procedures, Evaluation and Feedback
Identical to Inpatient Medicine, training is also provided in ventilator management, Swan Ganz lines, arterial catheterization, dialysis and cardiac pacing.

Electives 
Electives in all subspecialties are available at Greenwich Hospital and at Yale-New Haven Hospital. Sixty percent of the PGY II and PGY III electives may be scheduled at Yale. A $500 per month travel stipend to Yale is provided. Funds are available for research. Electives also are available through the Yale International Health program and in areas other than Internal Medicine as approved by the Program Director.