Family Medicine Inpatient Service

During your first year, you’ll begin your service with a four-week rotation at Millard Fillmore Suburban Hospital, a suburban hospital with the full complement of clinical inpatient departments.

Your subsequent rotations take place at Olean General Hospital, a regional referral center with an excellent case mix and a family medicine-friendly culture. Your inpatient service will be held at this location for the remainder of your residency.

During these rotations, you’ll gain ample inpatient experience by:

• conducting initial and repeat evaluations
• admitting patients
• deciding on care plans
  
• performing basic procedures
• consulting with other specialists
• planning for your patients’ discharge and continued care

Supervised by our faculty, you’ll care for patients throughout OGH, including the medical/surgical, behavioral health and pediatric units, the ICU/CCU, emergency department and newborn nursery.

You’ll consult with a wide range of specialists during this rotation, gaining new knowledge of when to consult and how to use consultants’ information.

As you progress through residency, you’ll advance from delivering care while under direct faculty supervision to delivering care independently. Your caseload will increase, and you’ll be charged with more critically ill or challenging patients.

On this service, you’ll:

• interpret ECGs and radiologic/diagnostic imaging
• perform venous puncture and place IV catheters
• perform arterial punctures and arterial blood gas
  
• place central venous lines
• insert urinary catheters and nasogastric tubes
• perform paracentesis and thoracentesis
• perform cardiopulmonary recuscitation and ACLS protocols on unstable patients

You’ll learn how to manage common hospital conditions, including:

• acute coronary syndrome
• acute renal failure
• acute respiratory failure
• atrial fibrillation
• congestive heart failure
• COPD exacerbation
• delirium/dementia
• diabetes complications
• electrolyte abnormalities
• GI bleed
• hip fractures
• HIV/AIDS
• pancreatitis
• pneumonia
• pulmonary embolism
• sepsis
• stroke

PGY-1, 2 and 3

12 weeks each year