A Day in the Life of a 1st Year
Ethan Hansen, MD
Intern Medicine Rotation
Monday-Friday: Boise VA Medical Center Inpatient Ward
PGY-1 is divided into six months of psychiatry rotations (inpatient and emergency psychiatry) and six months “off-service” on internal medicine (both inpatient and outpatient experiences), neurology, and emergency medicine rotations.
While on internal medicine wards, the psychiatry intern is fully integrated with internal medicine and family medicine residents. Teams are usually composed of an attending physician, a senior resident, an intern, and a medical student. Much of the IM rotation takes place at the Boise VA Medical Center, though there are also opportunities to rotate at community hospitals.
Morning: Upon arrival, the day begins by checking in with and receiving sign-out from the night float team between 6:30 and 7:00 am. Next, I review vitals, lab results, etc., and pre-round on patients. We then round as a team, bedside. Breakfast, lunch, and dinner are available for free to residents on wards, so there is often time for a quick bite in the morning!
Mid-morning: After rounds, we place orders, process discharges, and work on notes, before heading to (or logging onto, depending on pandemic conditions) Morning Report and Noon Conference. Morning Report features case-based learning, and Noon Conference (with a provided lunch) features didactic lectures by attendings.
Afternoon: During the afternoon, we follow up on consults and results, write notes, call family members, and perform procedures. Admissions are shared between two teams on a 4-day rotating schedule, such that a given team is on-call for admissions two days in a row, then off-call two days in a row, and so on (with an average of one day off per week). On admitting days, admissions are alternated between the two on-call teams, and we sign out to the night team at 7:00 pm. On non-admitting days, there is often time for teaching from an attending or senior resident in the afternoon, and we typically sign out to an on-call team between 3 and 5 pm.