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A Day in the Life

Daily Schedule

6a-7a

Interns arrive, receive sign out from night float

7a-9a

Interns and Resident complete “Work Rounds”, often with pharmacy team member

9a-10a

Morning Report

10:30a-12p

Attending Rounds (including rotation specific teaching, radiology rounds)

12p-1p

Noon Conference; Medical Grand Rounds on Friday

1p-6p

Admissions, discharges, note writing, and opportunities for med student teaching

6p

Interns sign out to night float

6p-7a

Night float coverage

*Long call is every fourth night; intern and resident admit until 8pm

**MICU call schedule is self-contained.  The MICU call schedule includes every fourth night 24 hour call for R2’s and R3’s.  There is no 24 hour call for interns.  
Residency terms

Conferences:

Morning Report utilizes live polling technology to create a broad range of differentials from audience participation

9a-10a Mon-Fri
Goal is to enhance house officers’ problem solving skills.  Most involve Case Presentations in an interactive forum 
Also include: Morbidity & Mortality Conferences aimed at Quality Improvement
Journal Club
Friday Morning Report - supervised by Dr. Jerome Kassirer, former Vice Chairman of the Department of Medicine and Editor-in-Chief of the New England Journal of Medicine

Noon Conferences
12p-1p Mon-Thurs
Includes: Intern Boot Camp during summer months
Ongoing Radiology, EKG, and Critical Care series
Remainder of conferences are dedicated to a variety of subspecialty and general medical topics  
Many designed for board preparation

Medical Grand Rounds
12p-1p Fri
A mix of guest lecturers, Tufts Medical Center faculty, and house staff present a wide variety of topics at Medical Grand Rounds.

Intern Academic Half Day
12:30p-2:30p Wed
Interns’ pagers are held by their respective residents while they attend dedicated 2 hours of teaching time.  Topics include ultrasound curriculum, bread and butter clinical topics, clinical reasoning, code/rapid response course, etc.

Other Conferences
Separate primary care conference schedules exist for house staff on clinic block rotations. These include some led by a practice based pharmacist.
All subspecialties have clinical conferences to which house staff are welcome.