Typical day of IM resident

[LGMD]

Hi, I'm interested in IM and probably pursuing a fellowship. I would like to know what is a day like for an IM resident. Do you round on patients all day and prescribe meds, or are there procedures to be performed?

---

Members don't see this ad.

 

[JayneCobb]

It's all program dependent. The typical day for me on General in-patient IM does not include a lot of procdures as we are on the general floors. But the IM residents who are in the unit do get lots of lines, intubations, a few chest tubes, and -centesis. And if you want procedures, while being on call is a great time to get them.

If you want more specifics about a certain program, or area to obtain suggestions about what programs to look into, feel free to ask.

 

[fang]

5:00 -- get in and print progress note templates
5 - 6 -- Fill in vitals and the labs that are back, fill in a skelleton plan by issue
6 - 6:15 -- go by MAR's and fill in meds
6:15 - 7 -- go see pts
7 - 8 -- Get nightfloat patients, try to learn about them, get final labs and adjust plans on old patients (very hectic)
8 - 11 Attending rounds, get notes in charts and enter orders.
11-12 AM report
12 - 12:30 madly try to get some work done before...
12:30 to 1:30 noon conference
1:30 - ??? Get more work done and admit new patients and discharge old patients
Long call -- leave around MN to 2 am
Short call -- leave around 9 or 10 depending on # of admits and active pts
Precall -- leave around 7

Occasionally the "work" involves culturing a wound, doing a thoracentesis, placing a ppd...

 

[glorytaker]

5:00 -- get in and print progress note templates
5 - 6 -- Fill in vitals and the labs that are back, fill in a skelleton plan by issue
6 - 6:15 -- go by MAR's and fill in meds
6:15 - 7 -- go see pts
7 - 8 -- Get nightfloat patients, try to learn about them, get final labs and adjust plans on old patients (very hectic)
8 - 11 Attending rounds, get notes in charts and enter orders.
11-12 AM report
12 - 12:30 madly try to get some work done before...
12:30 to 1:30 noon conference
1:30 - ??? Get more work done and admit new patients and discharge old patients
Long call -- leave around MN to 2 am
Short call -- leave around 9 or 10 depending on # of admits and active pts
Precall -- leave around 7

Occasionally the "work" involves culturing a wound, doing a thoracentesis, placing a ppd...

Boy, you got it worse than I do.

5-6am arrive and check list of patients (old pts still there or new ones added)
?-8am pre-rounds
8-9am Morning Report
9-12 Rounds with attending
12-1 Lecture
1-??? discharge, do admits, call family, etc
Signout at 5 and go home if not on call

Of course the afternoon may also be filled with codes, intubations and the occasional procedure (central line, etc).

 

[morphinator]

damn thats brutal...heres mine:

6-8am: preround
8-9am: morning report
9-1230: rounds w/attending, start writing orders
1230-130: conference
130-5ish: finish work, signout

I feel for you guys staying til 7 or 8 on a non-call day. jeez.

 

[souljah1]

Intern:

6:30-8: Preround
8:00 - run the list or work round with resident
9:00-12:00 - get work done and at some point during that time depending on the service - touch base or round with the attending
1:00-2:00 - intern report M-F
2:00-5:00'ish - get more work done and sign out

Resident:
7:30-8am - get sign out on O/N events from on call resident
8am - run the list/work round/teach at beside
9am -12 - touch base with attending or round with attending with interns, rest of time help interns out if they need it
12pm-1 - Resident Report M-F
1-2: hold intern cellphones so they protected time at intern report
2:00-5:00 help out interns, teach med student, etc. Sign out

Call: 7am to 12 or 1pm following day

Work includes In addition to rounding and teaching, work also includes Dispo planning, Dispo paperwork, Social work rounds, etc. Procedures most interns get a lot of by the end of the year include central lines, art lines, paracentesis, thoracentesis, lumbar puncture and an occasional tap of a joint

 

[sluggo]

You all have it bad:

Non-call days:

6:30-7:30 pre-round
7:30-8:00 say hi to attending
8:00-9:00 do work
9:00-9:30 say hi to attending
9:30-12:00 work
12:00-1:00 noon conference with food
1:00-3:00 work
Gone, daddy, gone