Inpatient rotations
General Medicine Wards
This video highlights a day in the life of residents on the wards service.
- Teams consist of two interns, one resident, one attending (hospitalist or general internist)
- At the start of the year, each intern is paired with one resident for 1:1 supervision to ensure a supportive transition to residency, a new institution, a new role and a new EMR.
- 6 a.m to 6 p.m shifts
- Census up to eight patients (hard cap)
- Drip system, one admission per day per intern except on intern’s day off
- Can sign out to long call team earlier than 6pm
- No overnight call, night float rotation present
Night float
- Team consists of two night float interns cross covering inpatient teams.
- Supervision is provided by a senior admitting residents, and a Nocturnist
- 6 p.m. to 6 a.m. shift
- Friday night off
- Separate CCU/ICU night float to cover units with an in-house intensivist
Liver and Heme/Onc
- Combined resident subspecialty services
- Liver team consists of one intern, one resident, GI fellow, Heptaology attending
- Hem/Onc team consists of one intern, one senior resident and oncology/hematology attendings
“Junior Hospitalist” rotation
- Special rotation done at the beginning of PGY2 year
- PGY2 works one-to-one with a hospitalist attending for 3-4 weeks
- Designed to consolidate clinical knowledge, develop managerial skills, and ultimately prepare residents to be able to oversee PGY1s on the Wards
CCU/Cardiology Service
This video highlights a day in the life of residents on the CCU/cardiology service.
- Team consists of two interns, two residents, one cardiology fellow, one cardiology attending
- CCU unit plus cardiology telemetry floor and progressive care unit
- CCU patients are taken care of by PGY2/3 early on in the year, with interns taking on CCU patients mid-way through the year once they are more independent
- No overnight call – night float resident present
- Cap of 16 patients (soft cap – as teaching CCU is only cardiac critical care unit in the hospital)
- One PGY2/3 does a 24 hour call on Friday, with the weekend off
ICU
This video highlights a day in the life of residents on the MICU service.
- Team consists of two interns, two residents, one PCCM fellow, one PCCM attending
- Closed ICU unit (16 bed unit split between ICU and CCU teams)
- No overnight call, night float rotation present
- One PGY2/3 does a 24 hour call on Friday, with the weekend off
Lemuel Shattuck Hospital, a safety-net, public hospital in Boston, including a prison ward
- Four-week rotation for categorical interns
- Team of four interns from different hospitals, one senior resident, one attending
- Provide care to a vulnerable patient population – inmates, substance abuse, psychiatric patients
Outpatient rotations
General Internal Medicine Continuity Clinic, every fifth week
- Categorical residents only
- Residents work with a designated group of preceptors in General Internal Medicine clinic every fifth week
- One session is in a subspecialty clinic of choice for PGY2 residents to allow for career exploration
- Monday is designated as a WIN (What I Need) day off
- Tuesday and Friday are full day clinics
- Wednesday is a half day afternoon clinic. Residents can use the morning for research, scholarship, etc.
- Thursday is a full educational day. Mornings are dedicated to GIM teaching and quality improvement overseen by an associate program director.
- A comprehensive Evidence Based Medicine lecture is conducted mid-day, taught by Dr. Sheri Keitz, our Chair of Medicine
- Simulation covering a variety of medical scenarios and procedures is conducted in the afternoon
Ambulatory Subspecialties
- Outpatient rotations in all medical subspecialties in one to two week blocks
- Categorical residents rotate through all required over the course of 3 years
- Preliminary interns can rotate as an elective
Electives
- Wide variety of inpatient rotations available to rotate through including traditional medical subspecialties as well as non-medical subspecialties such as Radiology, Blood Bank, Dermatology, etc.
- Away electives can be arranged, including international electives with a recognized organization that does overseas work. Past residents have traveled to locations such as Jordan and Bolivia.
Elective Jeopardy
- Elective rotation that is also designated as sick call
- One Jeopardy day off a week
Emergency Medicine
- Four weeks for prelim interns
- Two weeks/year for categorical (PGY2/PGY3) residents
- Lahey is a level-one trauma center with a busy and newly renovated emergency department which means that our residents get exposed to a wide variety of medical, surgical, and neurologic emergencies and pathology
Geriatrics
- 2 week rotation at the Bedford VA Hospital overseen by a Geriatrician
- Outpatient neuro geriatrics
Neurology
- 2 week rotation split between outpatient clinic and inpatient consults
- Work directly with various attendings who specialize in different fields like movement disorder, epilepsy, and stroke