Yearly
​Schedule

PGY-I

• Gen Med Floor: 4-5 mo
• MICU: 1-2 mo
• Night Float: 4-6 wks
• Electives: 3-4 mo
• Observation unit: n/a
• Vacation: 4 wks

PGY-II

• Gen Med Floor: 2-3 mo
• MICU: 1-2 mo
• Night Float: 4-6 wks
• Electives: 3-4 mo
• Observation unit: 1-2 mo
• Vacation: 4 wks

PGY-III

• Gen Med Floor: 2-3 mo
• MICU: 1-2 mo
• Night Float: 4-6 wks
• Electives: 3-4 mo
• Observation unit: 1-2 mo
• Vacation: 4 wks

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Associate Program Director, Dr. Chadaga, teaching on rounds

General Medical Floors

• 3 traditional floors teams, each consisting of:
  • Faculty attending physician
  • 1 managing senior resident and 2 interns
  • 2 - 3 medical students
  • 1 additional dedicated "Teaching Resident"
• 1 Senior Resident floor team simulating a hospitalist schedule (7 days on, 7 days off)
• No overnight (24-hour) call for any intern or resident
• Strict adherence to all ACGME caps and restriction
• An average daily census of 10 - 15 patients per team
• Unique "Drip-Distribution" admission system designed to decrease burn-out
• 1 day per week incorporated as a non-admitting day
• Dedicated pharmacists and social worker for resident teams

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​Medical Intensive Care Unit

• Two ICU teams, each consisting of:
  • 2 senior residents and 3-4 interns
  • Critical care attending
• Residents are exposed to a wide array of complex pathology in one of the nation’s busiest Medical Intensive Care Units
• An abundant opportunity for procedures performed by residents
  • Central venous line and hemodialysis line insertion
  • Arterial line insertion
  • "Code Blue" cardiopulmonary arrest & resuscitation
  • Endotracheal intubation
  • Thoracentesis and chest tube insertion
  • Bedside transthoracic echo & ultrasound
  • Pulmonary artery catheter insertion (Swan-Ganz catheter)
  • Transvenous pacemaker placement
  • Paracentesis
  • Lumbar puncture
  • And more...
• Procedure/simulation workshops for invasive procedures and airway management training
• Daily multidisciplinary rounding with intensivists, pharmacy, respiratory care, therapy services (PT, OT), nursing, & nutrition support
• Dedicated ICU lectures by intensivists, medical subspecialists, and pharmacists
• No overnight (24-hour) call for any intern or resident

Taylor Bedsworth (Alumnus) intubating alongside Critical Care attending, Dr Sunbuli

Joe Adams (Chief Resident) placing a central line

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​​Night Float​

• 3 teams: General Medical Floor,  ICU, and Observation unit
• Residents and interns are on a schedule of 6 nights/week for 2 week block (total of 4-6 weeks per year)
• General Medical Floor team consists of 1 senior resident and 2 interns
• ICU team consists of 2 senior residents and 1 intern
• Observation unit team consists of 1 senior resident
• Intensivists on-site 24 hours for teaching and procedure supervision

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​Observation Unit

• Outpatient medicine with the robust resources of an inpatient hospital setting
• Encompasses the management of select patients for up to 48 hours to assess their need for inpatient admission
• Common conditions cared for: CHF exacerbation, DVT/PE, atrial fibrillation, chest pain, dizziness, syncope, TIA, back pain, nausea/vomiting, viral gastroenteritis 
• 1 team consisting of 4 senior residents, where 2 residents work per day while 2 residents are off
• In a 2 week period, each resident works:
  ​5 weekdays and 2 weekend days

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Former Program Director, Dr. Krikorian, rounding in a Covid Unit

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Continuity Clinic at Adult Medicine Center

• State-of-the-art outpatient clinic facility
• Residents and interns see patients in the clinic
  ​1 half-day per week
• 4:1 resident to attending ratio
• Full complement of ancillary staff to minimize non-educational duties
• Epic EMR for easy prescribing/orders
• Dedicated on-site nutritionist and behavioral health support

Adult Medicine Center Staff, Faculty, and Residents

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Sub-specialty and Elective Rotations

• Core subspecialty rotations all done on-site at ACMC
• Optional elective experiences available in a variety of other subspecialties including:
  • Advanced Heart  Failure, Transplant Cardiology and Pulmonary Hypertension 
  • Echocardiography & Interventional Cardiology
  • Dermatology 
  • Interventional Pulmonology
  • Anesthesia
  • Ultrasound
  • Diagnostic & Interventional Radiology
  • Wound Care 
  • Physical Medicine &Rehabilitation 
• No home call and full 2-day weekend on all subspecialty and elective rotations
• 1 half-day off per week for protected study time
• Opportunities available for elective rotations at outside institutions

Chad Morreale (ACMC alumnus) performing paracentesis