Internal Medicine Residency Program Questions every applicant should ask

1
Internal Medicine Residency Program Questions
every applicant should ask
Chief Residents Patricia Henry D.O. Utkal Patel
M.D. Imran Shariff M.D. Jad Skaf M.D.
2
Welcome to Cooper!
3
Outline

• Daily Schedule
• Yearly Schedule
• Services/Calls
• Conferences
• Research
• Social Activities

4
Question 1How much do I really have to work?
Will I be worked into the ground?Is there
enough clinical exposure?
5

• We take duty hour caps very seriously.
• Less than 80 hours per week
• Any violation is looked into in detail.
• NF system on Floor rotations.
• Self logging on www.new-innov.com

6
Typical intern day on the medicine floors

• 630 to 7 AM get sign-out from on-call team
• 700 730 am ? Sees acutely ill patients, new
  patients, discharges and chronic patients.
  Resident usually comes at 645 700. Discuss
  any acute issues with resident.
• 730 830 am ? Resident attends Morning
  report,
• 730 900 am intern finishes the remaining
  work, can come to Morning Report if time permits
• 900 am 1000 am ? Work rounds with the senior
  resident and other members of team.
• 1000 1200 am ? Teaching rounds with the
  attending.
• 1215 100 pm ?Noon conference (Mandatory for
  everyone)
• 100 330 pm ? follow-ups, discharges,
  communication with the primary care physicians,
  family meetings, resident presentations etc.
• 330 400 ? sign-out rounds
• Expected to leave usually 430 - 500 pm
• Interns are required to attend all conferences
  except Morning Report if not on electives

7
Rotations
8
PGY1

• Medicine floors 3 months
• ICU 1 month
• Elective 1 - 1½ months
• CCU/Cardiology floor 2 months
• Hem Onc ½ month
• Neurology ½ month
• Medicine Consults ½ -1 month
• Ambulatory ½ month (Prelims will have
  additional elective time)
• Night float 1½ months (in 3 separate ½-month
  blocks)
• Vacation 1 month (two 2 week blocks 5 days
  during holidays 8-10 days at the end of
  internship)

9
PGY2

• Medicine floors 3 months
• ICU 1 month
• CCU 1 month 2 weeks CCU Night float
• Electives 3 months
• Hem/onc 1 month
• Senior admitting resident (SAR) ½ month
• Night float 1 month
• ER 1 month
• Vacation 1 month

10
PGY3 Goal Directed Year

• Medicine floors/consults 1-2 months
• Neurology 1 month
• Senior admitting resident (SAR) 1-1½ month
• Ambulatory 1 month
• Research 1 month
• System Based Practice 1 month
• Vacation 1 month
• ICU 1 month or CCU-NF 2 weeks
• Electives 4 months
• PODS 1 month
• Geriatrics ½ month
• Psychiatry
• Womens Health

11
Medicine Floors

• All patients admitted to medicine are distributed
  to 7 teams
• 4 teaching services HA, HB, HC, HD, HP
• 3 non teaching services HH1, HH2, HH3
• 1 private service Camcare
• The geographical distribution of the teams
  patients improves communication, efficiency,
  follow-up and subsequently provides optimal
  patient care
• HB 10th floor
• HC 9th floor/Pavillion
• HD 7th/8th floor (telemetry)
• HH1 7th floor
• HA and HH2 floaters
• HP non-geographical (private firm)

12
Medicine Floors

• HA, HB, HC, and HD
• 1 hospitalist, 1 resident, 1 intern
  students/Sub-I
• Guidelines for caps on the medical floors
• Interns see 6 patients in the beginning, goal is
  to see 8-10 patients. Cap is 10 patients.
• Residents and Intern together can carry a census
  of 14 patients.

13
Medicine Floors

• HH1, HH2, HH3 Non teaching services
• Non teaching firms created to control resident
  workload.
• Team of attending student.
• Covered by non-teaching on call
  hospitalists/moonlighters
• Camcare Private service
• Private attendings
• 1 resident (PGY3) and usually 1 intern.
• Same caps.

14
Ambulatory

• ½ month of Ambulatory experience for all
  categorical interns in IM outpatient clinic
• Prelim interns can get these two weeks as extra
  elective time in the specialty of their choice.

15
Night Float

• 800 pm to 800 am
• 4 member Night float team works Sun-Fri
• Consists of 1-2 Residents and 2-3 interns
• SAR and MAI are responsible for admissions from
  800 pm to 700 am.
• In-house evening hospitalist
• If Admission cap is exceeded, then third year
  overflow residents are on call.
• Moonlighters available.
• Team 1 and Team 2 interns cross cover patients on
  floor. They also help with admissions if needed.

Night float team presents 1 interesting case for
the first half of morning report 3 times a week.
The other two days of the week discuss admissions
and any overnight interesting issues with Dr.
Rajput over breakfast.
16
The Cardiology ExperienceOur CCU/PCU

• CCU 1 intern, 1 resident 1 cardiology fellow.
• PCU 2 medicine interns, 1 ER intern 1
  cardiology fellow.
• Intern in the CCU
• Capped at 6 patients.
• Gets sign-out at 700 am
• Rounding with the attending between 900 and
  1130 am.
• Signout at 400 pm.
• Intern in PCU
• Get signout at 700 am.
• Pre-round with the fellow 930 am
• Round with the attending at 1100 am.
• Signout at 400 pm.
• CCU Resident
• CCU Resident 7 am 7pm
• CCU NF Resident 7 pm 7 am
• Weekends off

Electrophysiology Echo Catheterization
17
CCU/PCU

• Conferences
• Daily noon conference.
• Conference with fellows three times weekly at
  100 pm.
• Weekly cardiology conference.

18
The Critical Care Experience ICU

• 2/3rd of the month will be day shift, 1/3rd
  month on night shift.
• Total of 3 ICU teams
• 2 Day teams each consisting of 1 intern, 1
  resident and 1 ICU fellow.
• 1 Night team consisting of 1 intern, 1 resident
  and 1 ICU fellow.
• Day teams
• Usually come at 615-630 am.
• Rounds with the attending 900 am 1200 pm.
• Alternates leaving at 300 pm and 700 pm.
• Cap Intern- 6 patients, Resident- 6 patients.
• Night shift
• From 700 pm to 700 am.
• Off one day a week
• PGY3 and Elective Intern take overnight Friday
  night call.

19
Question 2

• What are the calls like?

20
Call schedule during internship

• Medicine floors, Hem/onc, Neurology, and Medicine
  consults
• Short calls every 4 days from 4 to 8 pm
• 1 Saturday 24-hour call per month
• 1 Sunday 12-hour call per month
• ICU 2 to 3 short calls per week from 3 to 7 pm,
  and 1 Friday night call covered by intern on
  elective.
• CCU Overnight call every fourth night for
  Interns only.
• Electives Call-free for 1 month, may have a
  Friday ICU night call
• On Jeopardy for 1 month spread throughout the
  year

21
AMION

• All schedules published on www.amion.com.
• Rotation schedule for the entire year published
  in June.
• Monthly call schedules published one month in
  advance.

22

• Resident Electronic Signout System

• We have a great electronic sign-out system!

23
What Types of Conferences Will We Have?

Question 3
24
Conference Schedule
Day 730 830 900 1000 1100 1200 1215 100
Monday
Tuesday
Wednesday
Thursday
Friday
Chief Rounds
Noon Conference
Morning Report
Noon Conference
Morning Report
Noon Conference
MKSAP QA session
Grand Rounds
Housestaff Meeting, MM conference, Journal club,
Monthly resident exam.
Subspecialty/Ambulatory/ ICU Morning Report
Noon Conference
25
Conferences

• All conferences and morning reports are mandatory
  for PGY2 and PGY3 except on ICU, CCU, ER, MAR
  rotations
• All noon conferences are mandatory for all
  residents except in ICU, CCU or NF
• Chief rounds are mandatory for all house staff
  except in ICU, CCU, ER,NF or MAR-D
• 80 attendance required
• During the ICU rotation Critical care
  conferences 4x/week.
• During CCU/PCU rotation Cardiology conferences
  3/wk.
• Journal club and MM once a month
• Monthly resident exam Based on the previous
  months conferences followed by a discussion of
  the answers.

26
Are There Any Research Opportunities?

Question 4
27

• Bench research UMDNJ labs and Coriell institute
• Clinical research.
• NIH Grants
• Multicenter trials
• Mentorship
• Every Resident is involved in Research
• Excellent Statisticians/Library resources

28
After ResidencyWhat?
Question 5

Primary Care, Hospitalist, Competitive Fellowship
or..
29
Places Matched at 08-10

• Cooper
• Harvard
• UPenn
• Johns Hopkins,
• George Washington,
• Jefferson,
• UMDNJ New Brunswick
• Deborah Heart and Lung,
• Beth Israel, Newark
• Univ of Iowa
• Univ of Oklahoma
• Univ of Michigan

• Number of Fellowship spots after IM at Cooper
  21
• Number of PGY-3 spots 15

30
Resident-Faculty interaction?
Question 6

OR
31

32
Will I have a social life?
Question 7

33
Social events!
34
Work-Life BalanceWelcome to the Cooper Family
35
Where do residents live?
Question 8

Besides Cooper of course.
36
(No Transcript)
37
Question 9

• What is it like to work in Camden?

• Translation Do I need to pack some heat?

38
(No Transcript)
39

Camden, N.J., named most-dangerous city Detroit
relinquishes title just days after NBA melee The
Associated Press Updated 139 p.m. ET Nov. 22,
2004 TRENTON, N.J. - Camden has been named the
nations most-dangerous city, snatching the top
spot from Detroit, according to a companys
annual ranking based on crime statistics.

Camden, N.J., named most-dangerous city Detroit
remains number two The Associated Press Updated
1128 p.m. ET Nov. 21, 2005 CAMDEN, N.J. (AP)
For the second year in a row, this destitute city
has been named the nation's most dangerous,
according to a company's annual ranking based on
crime statistics
11/20/2013
39
40

Overall rankings (354 cities) Overall rankings (354 cities) Overall rankings (354 cities) Overall rankings (354 cities)
  SAFEST   MOST DANGEROUS
1. Newton, MA 1. Camden, NJ
2. Brick Township, NJ 2. Detroit, MI
3. Amherst, NY 3. Atlanta, GA
4. Mission Viejo, CA 4. St. Louis, MO
5. Clarkstown, NY 5. Gary, IN
6. Lake Forest, CA 6. Washington, DC
7. Thousand Oaks, CA 7. Hartford, CT
8. Colonie, NY 8. New Orleans, LA
9. Cary, NC 9. Richmond, VA
10. Dover Township, NJ 10. Birmingham, AL

41
Now that youve seen the bad side of Camden

• This is what Camden has to offer!!!

42

11/20/2013
42
43

11/20/2013
43
44

44
45

11/20/2013
45
46

and Philadelphia is just across the river!!!

11/20/2013
46
47
Who lives here besides

• Thugs, slugs, bugs and residents????

48
Walt Whitman Moves to Camden
Walt Whitman (1819-1892) was Americas poet. He
moved to Camden in 1873 to live near his brother
George. His brother was a pipe inspector who
worked on the water system in Camden.
Source http//www.cyberenet.net/kelta/whitman.h
tml
11/20/2013
48
49
Walt Whitman Moves to Camden
Walt Whitman is buried at Harleigh cemetery near
Lourdes Hospital. His house is a museum on
Mickle Street.
Source Right photo by Jeff Brenner and
http//www.findagrave.com/pictures/1098.html
11/20/2013
49
50

Campbells Soup Brings Canned Soup to the Masses

Joseph Campbell and Abraham Anderson form a
company in 1869 to can fruits and vegetables from
South Jersey.
Source http//www.campbellsoup.com/center/histor
y/default.cfm
11/20/2013
50
51
Victor Talking Machine Company Brings Recorded
Sound to the Masses
Eldridge Johnson was a young machinist who owned
a workshop in Camden, New Jersey. He invented a
spring which allowed for the mass production of
gramophones and later started the Victor Talking
Machine Co.
Source http//www.edisonnj.org/menlopark/birthpl
ace/johnson.asp
51
52

RCA Buys Victor Talking Machine Company

In 1929, RCA bought Victor Talking Machine
Company and began producing radios in Camden.
They would also add wireless radio stations to
the company.
Sourceshttp//home.istar.ca/townsend/cd_review/i
ndex/rca_victor_graphical.htm
11/20/2013
52
53

A Trip to Camden Shopping, Banking, Politics,
and Leisure

Roosevelt visits Camden!!!
Source http//www.southjerseynews.com/millen/mil
l0302a.htm
11/20/2013
53
54
Obama Visits Camden!!!
( April Saul / Staff Photographer ) www.philly.com
55
Question 10

• What are the strengths of the program?

56

• Camaraderie
• Research
• Teaching/Great Academics
• Faculty
• Full Night Float System
• Great Fellowship opportunities
• Diversity in Pathology
• Time off during Xmas/New Years
• Only Tertiary Care Center in South Jersey

57
Question 11

• Will I get to see Kelly Ripa?

58
Conclusion Cooper RocksHard.
59
Misc

• Free parking
• Money for On-call meals
• 1200 extra stipend
• Research that is presented at conferences gets
  reimbursed
• Computerized Order Entry/Medical Records
• And

60
(No Transcript)
61
SOLICITED SOLUTIONS
Questions?
?