New poster here. I know Hopkins has a slightly different schedule, at least for interns, since they didn't make the switch to night float. Can someone give me a breakdown of the call cycle during intern year and beyond? Thx.
Hopkins wards schedule
- Thread starter UMIMapp
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Did they not cover this on the interview day? Seems like the sort of thing everybody would want to have some idea about.
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Did you make note of contact info for any of the people from your interview day? Ask one of them.
Both of my interviewers and some of the residents I met seemed more of the opinion that, with the advent of work hour rules, resident schedules across the board have become too light. I thought I'd just use the anonymity of the Internet to try and get more nitty gritty details.
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Do you need more information than what is provided from the PDF found here (?): http://www.hopkinsmedicine.org/Medicine/hstrainingprogram/overview/curriculum.html
Yeah, if I recall, their call cycle is called q5, but it still differs from the more typical call schedule of programs with the more traditional night float system. This is the question I was hoping to have clarified.
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That's funny, because 2 years ago at my interview there, they ALSO failed to make a note of it.
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The Hopkins system preserves the best of the old system while moving to the new work hours.
Day 1: NIght call
Don't come in during the day.
Come in at 830pm.
Admit from 830pm to 2am
Day 2: Post call day (you were here overnight)
Work rounds on your old patients at 730
Present your new patients on ACS rounds and leave around 1130
Day 3: Day call
Come in prior to work rounds at 730 and round on your patients.*
Work rounds @ 730 then ACS rounds @ 930
Admit from 11-430
Day 4: Coverage day
Preround on your olds and the call person's patient
Present on work rounds
Listen on ACS rounds
Day 5 Clinic day
Work rounds 730 (only your patients)
ACS rounds at 930
Sign out and go to clinic at 1pm (this is going to change)
So next year they are going to a 4 week/2 week schedule where you do 4 weeks of inpatient with no clinics during that time. After that you will do 2 weeks of clinic.
Day 1: NIght call
Don't come in during the day.
Come in at 830pm.
Admit from 830pm to 2am
Day 2: Post call day (you were here overnight)
Work rounds on your old patients at 730
Present your new patients on ACS rounds and leave around 1130
Day 3: Day call
Come in prior to work rounds at 730 and round on your patients.*
Work rounds @ 730 then ACS rounds @ 930
Admit from 11-430
Day 4: Coverage day
Preround on your olds and the call person's patient
Present on work rounds
Listen on ACS rounds
Day 5 Clinic day
Work rounds 730 (only your patients)
ACS rounds at 930
Sign out and go to clinic at 1pm (this is going to change)
So next year they are going to a 4 week/2 week schedule where you do 4 weeks of inpatient with no clinics during that time. After that you will do 2 weeks of clinic.
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double post
Instatewaiter, is this definitely going to happen? On my interview day, Dr. Desai said they were still working on it. What are your thoughts on this change and how it will affect the rigorous intern year that Hopkins is well-known for?
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Realistically I am not very invested in the changes for next year (since I won't be Osler housestaff anymore) so I haven't been keeping up with the day to day changes. I think it's not definite yet.
There are pros and cons. I am for it, personally.
I think the ability to separate inpatient responsibilities and clinic is nice. Realistically, it is tough to get all of your work done and get to clinic on time during your clinic day. You always feel rushed and sometimes get to clnic a bit late and then feel rushed there too. So to split them up, I think it will enrich both experiences.
The downside is that you are going to have much less in-patient time. Since most people who come to the Osler program are looking to go to fellowship, that is a bit of a downside. However, we have tons of inpatient time already.
