What is a typical day like?
From a resident....
Inpatient medicine (service)
As an intern, my service day starts at 7:15 a.m. This gives me enough time to print off our inpatient list and get a cup of coffee. I am in love with our coffee kiosk. Morning report starts at 7:30 a.m. and consists of sign out on how our patients did overnight and reports on any new patients that came in overnight. Our pharmacist and social worker are available at this time for any questions that come up, and there is usually something new to learn every day. After report and splitting the list between the intern and second year, it is time to go see my patients. This varies depending on how busy we are. We can see anywhere from two to eight patients. Afterwards, I meet up with the rest of the team for group rounds with our attending. Next, I either get started on discharges and patient follow-up or grab lunch. If possible, I try to meet up with other residents in the hospital at this time. After lunch, it is time to check on patient care, messages from the office, or maybe work on a new admission. At 6:30 p.m. it is time for evening sign out, and our nocturnal counterparts come in. By 7 p.m., the day team heads home.
It’s baby time! After grabbing breakfast from the cafeteria, OB service starts off with sign out at 7:30 a.m. Next, after checking to see if there are any active labor patients or scheduled c-sections, I do rounding on postpartum couplets. It’s my favorite time of the day when I get to hold the new babies. If any of those babies are male and need circumcisions, it’s time to head to the circ room. This is followed by a discussion about an OB topic with the attending and fellow team members. Anytime throughout the day I may need to check on and write a note for a labor patient. If not, I usually grab some lunch with the service team at this time. After lunch, one of the OB’s may need help with a labor patient or c-section. I often spend my afternoons reassuring first-time moms over the phone or checking patients in triage to see if they are in labor. At 6:30 p.m. it's time for sign out and to head home for dinner.
What is the call schedule like for interns and residents?
Interns: Some Saturday night 12-hour shifts that are spread out over the modules.
PGY-2’s and PGY-3’s: 24-hour calls in the Chronic and Preventive modules.
What are my responsibilities while on call?
The intern on call is responsible for admitting any of our Family Medicine Center patients (generally through the Emergency Department), as well as patients who do not have a physician, or patients whose physician does not admit to our hospital.
Who will help me out when I’m on call?
Using the team-based model of night float, your senior resident is always present to provide backup. There is also another resident on home call who is available to come in if the demands of the night are excessive. In addition, on-call faculty are just a phone call away to answer any questions you may have. Onsite, there is an OB and nocturnist in house overnight to help with any emergencies.
Does your program offer opportunities for residents to get involved in the community?
This is definitely one of our strong points. Our hospital and program are actively involved in many community outreach programs. Our residents and faculty teach classes in breast and testicular self-exam and rotate through a bi-weekly free clinic at a nearby food pantry. Other optional activities that many of our residents and faculty participate in include performing skin cancer screenings at local businesses, working with our school-based health clinics, and involvement with victims in a domestic violence program.
What types of practices do your residents go into after graduation?
While some graduates go on to fellowships or academic medicine, most go directly into practice after graduation. Most go into a traditional family medicine career, although many are working as emergency or urgent care physicians. Some have focused their practices around their areas of interest, such as sports medicine or alternative medicine. We have graduates in solo practices and in large multi-specialty groups. Most remain in Indiana or the Midwest, but many are in practices across the country from coast to coast, and a few have chosen to practice in underdeveloped regions outside the U.S.
Do you have other elective opportunities?
A variety of other elective opportunities are available locally, regionally, nationally and internationally. You also can propose elective months to tailor your residency experience to your educational needs.
What about research?
Residents will participate in quality improvement projects that fulfill the scholarly activity requirement as a part of their team time during the Chronic and Preventive Modules. Faculty will facilitate these projects. Residents are expected to present their projects locally or regionally.
What if I have other questions?
Please contact our residency program coordinator via e-mail or by phone at 317-355-2643. If she cannot answer your questions, she will direct you to a faculty member or resident who can help you.