Hospital-Inpatient Medicine

Rotate on inpatient services in all our affiliated hospital systems, gaining expertise in managing a variety of patient bases and working with multiple professional environments and electronic health records systems.


Erie County Medical Center Floor Rotation

Team structure:

Medicine A General Medicine

Will contain one senior resident and two day interns and one night intern in addition to 1-2 fourth-year medical students and 1-2 third-year students.

Medicine B Stroke and General Medicine

This team will be supervised by hospitalist certified in stroke diagnosis and treatment. Therefore, residents on this team will have an exposure to treating TIA and stroke.

Medicine C

Will contain one senior resident and three day interns and one night intern.

Medicine D

Will contain one senior resident and three interns; will also have a renal fellow.

Senior Resident Responsibilities

  1. Coordinating the day-to-day function of the team and directly supervising Interns and sub-interns (Med A&B).
  2. Responsible for patient distribution to interns and assuring that patient load do not compromise patient care and educational goals.
  3. Responsible for supervising the entire admission of new patient, including reviewing all intern orders as well as writing addendum to intern’s note as needed.
  4. Responsible for teaching subinterns and their reviewing their work, notes and writing addendum (MedA&B).
  5. Senior residents will serve as the medicine consult during weeknights, weekends and holidays. They are required to discuss the Stat Consults with the attending on service for that module (can alternate between the two service attendings).
  6. Senior residents are responsible for adequate communication of patient care issues among members of the team, including attending physician and fellow (Med D).
  7. Responsible for providing written evaluations of the attending physician, interns, subinterns and third-year students (Med A& B).
  8. Responsible for case presentation and mortality review.
  9. Responsible for death summaries.
  10. Responsible for being on time with their team for medical conferences.

Intern Responsibilities

  1. All responsibilities and clinical privileges of the intern are under the guidance and supervision of the attending and resident physicians.
  2. Responsible for writing daily progress notes and for reviewing and writing addendums to medical students’ daily notes on all patients assigned to them
  3. Responsible for cross covering all medical patients on the floors when on call. This includes: responding in a prompt and professional manners to all nursing questions and concerns, completing assigned patients tasks by the primary teams, evaluating acutely sick patients and writing progress notes to explain events. The on call resident is available at all times to aid the intern in the management of these patients. The intern is responsible for communicating in person the acute events to the primary team or the night float team.
  4. Responsible for supervising and teaching and supervising third-year medical students.
  5. Responsible for discharge summaries for each patient within 24 hours of discharge.
  6. Responsible for EBM with help of medical students.

Years Taken and Length of Rotation

  • PGY-1 (intern): three modules (4 weeks each)
  • PGY-2: two modules (4 weeks each)
  • PGY-3: one module (4 weeks)
  • PGY-4: one module (4 weeks)

Clinical Sites