Rotations are one month in duration. During the inpatient service, residents work in teams consisting of two senior residents, four interns and a variable number of medical students. An attending physician is assigned to each inpatient service, serving as a mentor and conducting daily patient rounds and formal teaching rounds. Calls are every fourth night and end at 10 PM.
As a PGY1, responsibilities include accepting primary decision making for patient management in collaboration with the senior resident and attending physician. The intern is expected to write all orders, document care in the chart, perform daily work rounds and attend all conferences.
As a PGY2, the main responsibility is supervising the PGY1 residents with the management of patients. Senior residents are expected to ensure quality of care for each patient, take leadership roles during work rounds, and participate in all conferences. They also play a major role in the education of students, present patient case reports, and conduct Journal Club sessions and Morbidity and Morality conferences during this year.
As a PGY3, the main responsibility is to assure appropriate functioning of the entire team, with an accent on scholarship. The senior residents are expected to ensure quality of care for each patient, to lead work rounds, participate in all conferences, and supervise the education of students. During this year, you will be presenting a Senior Research Project. As an intern you would have chosen a mentor, researched a topic, and developed a project over the course of your residency in a topic of your interest. Most of our Senior Presentations are of true Grand Rounds quality!
The medical intensive care unit (MICU) rotation involves exposure to critical care patients under direct supervision of the MICU medical director. You also will interact with many of the subspecialists. The MICU team consists of three residents and three interns who cover approximately 10-14 beds. There are opportunities to acquire and become certified in the ABIM required procedures such as central line placement, arterial lines, lumbar punctures, thoracentesis and paracentesis. In addition, you will gain experience in managing mechanically ventilated patients.
The coronary care unit (CCU) and progressive care coronary unit (PCCU) rotation involves direct exposure to inpatients with a diverse spectrum of cardiovascular diseases. One of the cardiology faculty attendings will directly supervise the team during the month along with a cardiology fellow. The team consists of three residents and three interns. During the PCCU month you will become familiar with stress testing, Holter monitoring, and managment of transvenous pacemaker and pulmonary artery catheters, as well as intra-aortic balloon pumps.
During elective rotations, residents learn by working directly with board-certified physicians and fellows in the subspecialty areas of medicine.
In the Cardiology rotation, as PGY1 you will see inpatient consultations and will have broad exposure to cardiology-related tests (i.e. ECG, echocardiograms, stress tests, coronary angiograms, electrophysiology procedures, etc.). As a PGY2 or PGY3, you will be assigned to a very active inpatient consultation service, working with one the cardiology fellows and under the supervision of one of the cardiology faculty attendings. You will be exposed to a diversity of cases and procedures, which will be a perfect complement of your experience in the PCCU/CCU.
The Pulmonary Medicine rotation is another very active, inpatient consultation service. Under the supervision of one of our pulmonologists, you will be doing daily rounds on patients with underlying pulmonary problems. Daily radiology rounds improve your familiarity with interpretation of different imaging techniques.
During the Infectious Diseases rotation you will be exposed to a wide spectrum of patients with underlying infectious problems, learning how to diagnose and manage these conditions. You also will be exposed to a variety of HIV/AIDS patients, and will become familiar and comfortable with their complex and ever-changing medical management.
During the Gastroenterology rotation you will have the opportunity to observe procedures in the GI lab, and will be an active participant in gastroenterology consultations on patients with a wide variety of diease processes.
The Geriatrics rotation is mainly an outpatient-based rotation under the supervision of the chief of geriatrics. You will join him in his very active practice and will do inpatient rounds with him in our acute care geriatric unit, as well as gain experience in managing patients in the setting of a skilled nursing facility.
During Nephrology rotation, you will have the opportunity to work under the supervision of the chief of nephrology, and join him in the inpatient consultation service, as well as their outpatient practices. As part of you rotation you will have the opportunity to do once a week rounds at a dialysis center.
Illinois Masonic has its own cancer center, with a very active outpatient and inpatient program. The Oncology rotation will provide you with the opportunity of outpatient practice at the cancer center, along with some inpatient consultations. This rotation is complemented by the Pain Service rotation, where you will join the pain service team (an anesthesiology attending, an anesthesiology resident, and a clinical nurse specialist) on their inpatient rounds and consultations.
During the Neurology rotation, another inpatient-based consultation service, you will have the choice to work with several groups of neurologists on staff at Illinois Masonic. It is an active consultation service, with exposure to EMG and EEG interpretation, as well as sleep studies.
You will be required to do an Emergency Medicine rotation once during your residency. During this month you work alongside the ER residents and attending physicians performing acute care visits, doing minor procedures and learning the decision making process for appropriate disposition and follow-up.
The Hospital Administration rotation is offered to our PGY3 and preliminary PGY-1 residents. During the month, you gain exposure to the process of hospital accreditation, quality improvement, and patient saftey initiatives. You also have the opportunity to improve patient care processes by developing an independent quality improvement project.
Residents also can choose other rotations such as endocrinology, hematology, rheumatology, pathology, psychiatry, or radiology, and are able to use one elective month for research.