Develop an understanding of common clinical problems seen in the hospital.
PGY-1: Understand the basic principles of assessing and managing common presentations of disease in hospitalized patients.
Competency: Patient care, Medical Knowledge
Understand the differential diagnosis of common clinical scenarios.
PGY-1: Develop a basic differential diagnosis for common clinical scenarios in hospitalized patients.
Competency: Medical knowledge
Learn pharmacological management of common clinical problems.
PGY-1: Learn the common medications utilized for the management of common clinical problems in hospitalized patients.
Competency: Medical knowledge
Effectively admit patients to the inpatient service, develop, and execute assessment and management plans.
PGY-1: Learn the steps required to admit a patient and initiate admission orders. Recognize how to prioritize patient problems.
Competency: Patient care
Effectively perform overnight management of patients
PGY-1: Learn the steps required to manage patients overnight, including responding to calls form nurses and other members of the health care team.
Competency: Patient care, Professionalism, Interpersonal and communication skills.
Transitions of Care
PGY-1: Learn to summarize patients’ overnight events and progress to provide safe and effective transition of care to the daytime medical team.
Competency: Interpersonal and communication skills, professionalism, systems-based practice, patient care
Developing diagnosis skills
PGY-1: Learn how to effectively use bedside clinical examination.
Competency: Patient care, Medical Knowledge
Developing diagnosis skills
PGY-1: Rational ordering of lab tests and imaging studies
Competency: Practice-based learning and improvement, Medical Knowledge
Familiarity with the electronic health record and optimization of its use
PGY-1: Develop a basic understanding of The EHR and its core components.
Competency: Systems-based practice
Communication and teamwork
PGY-1: Recognize the core members of the patient care team to include nurses, patient technicians, unit clerks, consulting services.
Competency: Professionalism, Interpersonal and communication skills
Recognizing and responding to medical error
PGY-1: Understand the basic principles of medical error that can result in diagnostic errors or management errors.
Competency: Practice-based learning and improvement
The night float block for interns covers Parkland wards and VA CPICU nights. 3 interns will be allocated the night float block at any one time. The graphic below shows sample coverage of 2 rotations (yellow and green) by 3 interns over a 14-day period.
Work hours:
Arrive at 7 PM and leave at 9 AM after presenting overnight admissions. If there are no overnight admissions, the night intern may leave at 7 AM after handing off cross-cover to the day teams.
Please refer to your individual schedule on QGenda to determine your call schedule. Days that are not labelled with call (red moon) are protected days off. Every intern should have at least 1 day off in 7, averaged over the entire rotation. Please note that this rotation may require you to work the last night of the rotation and into the following morning.
Duties:
The night float intern should be first call on all patients excluding those on the call team. The role of night float is to cross-cover on non-call team patients and take overnight admissions together with the call resident. The night float intern should NOT be asked to perform triage or unsupervised admission/management of patients.
Rounding rooms/ Call rooms:
The Parkland wards night float intern will meet the call team in their rounding room and take handoff on cross-cover from the interns on day call. Please refer to QGenda to determine which team is on long call for the day and visit the residency website at imweb.swmed.edu/imweb for rounding room locations.
The VA CPICU night float intern will obtain signout from the VA Wards academic teams (A/B/C and E) and then meet with the VA CPICU call team in the common CPICU rounding room (5b-600, door code 1430#) to assist with admissions.
Night Intern Survival Guides: Please see Knowledge Center for night survival guides at all three hospitals.