|Subspecialty Wards (Bone Marrow Transplant, Cardiology, Gastroenterology, General Medicine, Geriatrics, Heart Failure, Infectious Disease, Oncology, Pulmonary, Renal)
|ICU (MICU, CCU)
|Elective (Sub-specialty Clinics, Consult Services, Research, Health Disparities Elective, QI Week, Health IT Elective week)
|General Medicine Clinic
|Night Float (Cross Coverage Only)
The interns have a “3+2” structure throughout the year, where they have a three-week inpatient block, followed by a two-week block of ambulatory clinics, elective time, or back-up. The inpatient experiences include ward rotations at Tufts Medical Center on the Cardiology (General Cardiology, Electrophysiology and Advanced Heart Failure), Nephrology, Pulmonary, Infectious Diseases, Hematology/Oncology, Gastroenterology, Bone Marrow Transplantation/Leukemia, and General Medicine services (including General Medicine and Geriatrics) and General Medicine at Newton Wellesley hospital.
In general, interns admit on long-call days until 7 pm every fourth day during most ward rotations. There are no 24-hour shifts. Interns also get several weeks of intensive-care time in both the medical and cardiac ICUs. When rotating on night float, interns are responsible for cross-covering already admitted patients, and do not admit new patients overnight.
During “Plus-two” weeks, interns are scheduled for their continuity general medicine clinics and elective time, where they can request rotating through any of our consult services. We can also create more specific elective opportunities if interns are interested in rheumatology, palliative care, allergy, and nutrition. All interns participate in a 1-week Patient Safety/Quality Improvement rotation and they also have the chance to rotate in our health-informatics or health disparities electives. We now have a dedicated back-up system, where each intern will be on back up for 3-4 weeks, where they come in for morning report and noon conferences but have no other clinical responsibilities unless called in to cover a co-intern on service.
Intern year starts about ten days before July 1 to facilitate the house staff transition. Interns have four weeks of vacation, one of which is scheduled for the last week of intern year.