Ambulatory Blocks

• Four sessions - General Internal Medicine clinic
• Five sessions - subspecialty clinics (i.e., Cardiovascular Medicine, Dermatology, Gynecology, etc.)
• Attending to resident ratio of 1:1 or 1:2

Continuity Clinic

• One half day per week during all rotations except night float
• Attending to resident ratio in office practice of 1:1 or 1:2
• Same attending preceptor for duration of training (three years )
• Pre-clinic conference one day per week dedicated to a specific topic relevant to general medical practice precepted by an attending.

Wards

• Team - two interns; one resident (PGY 2 or 3); third or fourth year medical students; and an attending physician
• Long Call is every fourth day until 8 pm. (night float coverage after; no overnight call)
• Long call - maximum three admissions
• Short call - maximum three admissions
• Interns total census averages eight to ten patients, 10 maximum

CCU

• Team- intern, two residents (PGY 2 or 3), Cardiovascular Medicine fellow and attending physician
• Eight bed unit and Cardiology floor
• Call every third night (overnight with either PGY 2 or 3 resident)

MICU

• Team - intern, two residents (PGY 2 or 3), Pulmonary & Critical Care Medicine fellow and attending physician
• Twelve bed unit
• Call every third night (overnight )

ER

• Work directly with an ER attending physician
• See the full range of ER patients, including medical, surgical, trauma and pediatric
• Work four days followed by two days off

Night Float

• Two, 15 day blocks
• 7 pm to7 am, six days per week (off Saturday or Sunday)
• Intern night float responsibility confined to cross coverage of hospital.
• Intern night float responsibility confined to cross coverage of Housestaff patients in the hospital.

Electives

•  Encouraged to complete electives within Lahey network, but other sites are available
• No overnight call or weekends

Geriatrics (PGY 2)

•  Lahey-affiliated sites, including nursing homes, geriatric medicine/psychiatric units, geriatric assessment outpatient clinics and the Veterans
• Administration Hospital in Bedford, Mass.
• Multidisciplinary approach, inpatient and outpatient
• No call during this rotation.

Research (PGY 2 and PGY 3)

• Select a research mentor and project during intern year. Two week rotation.
• Present project or submit it for publication by senior year (required)
• No overnight call or weekends

Medical Consults (PGY 2 and PGY 3)

• Learn the role of a consultant, including how to recognize and treat medical problems in surgical patients
• Work directly with hospitalists
• No overnight call or weekends

Neurology (PGY 3)

• Outpatient and inpatient consultative Neurology experience as a senior resident.

Shattuck Hospital (PGY 1)

• Ward based rotation in Boston focused on underserved population and public health.

Program Breakdown

• Three year distribution of experiences (excluding three months' vacation and five months of elective)
• 44 percent outpatient
• 56 percent inpatient
• If all electives are completed in an ambulatory setting, then program is 52 percent outpatient.