The intern is the primary care physician for his or her patients and is the interface between the patient, the family and the medical team. From the initial history and physical exam, interns are responsible for guiding their patients through the in-hospital diagnostic and therapeutic course, as well as for subsequent out-patient follow-up. Together with residents, fellows and attendings, they draw up and execute a treatment plan which is documented in daily progress notes. The year is one of intense clinical exposure and education.

Increasing responsibility for patient care is assumed as the intern gains experience in an atmosphere of support and guidance. The in-depth exposure to a diverse range of clinical problems provides the ground work of clinical and technical knowledge which will, in the succeeding years of training lead to the development of an efficient, competent and humane physician.

The junior residents assume a supervisory role, applying their experience to teaching medical students and the interns and to coordinate patient management. On elective rotations, junior residents have the chance to interact closely with subspecialty services, expanding their knowledge while acting as consultants for medical patients on services other than medicine. On the wards, they are responsible for the admissions of interns and present cases directly to the Director of Medicine or his designate at the morning report.

Residents in the third year of training assume maximum responsibility for patient care and the training of junior housestaff and medical students. One month is spent as team leader of the ICU. Another month is spent as medical consultant, providing preoperative evaluations and advice on the management of medical problems for all of the non-medical services of the hospital. On call nights the senior resident leads the cardiac arrest team and oversees all admissions to the medical, intensive and coronary care units.  Three Months are dedicated to Primary care rotations. Part of the year is spent on elective rotations with ample time to pursue individual interests, engage in research and prepare for the Internal Medicine Board Exam.

NF = Night Float, Vac = Vacation, ER = Emergency Room, MAR = Medical Admitting Resident, MC = Medical Consult, Neuro = Neurology elective