0515 Wake up, brush up, breakfast (1-hour commute to work)
0630 Arrive hospital and review patient’s chart
0700 Recieve sign out from overnight resident, including nurses’ pages, new medications that were given, or codes called
0730 Start charting by pending notes, review all latest vitals and labs for each patient
0800 Preround on all patients, starting with the most complicated ones. Get updates from all the nurses who care for the same patients
0900 Second round with the team attending, co-residents, and medical students. It is also the time to order additional labs and consult or get all updates from specialists if not done earlier during preround
1015 Attend interdisciplinary rounds that involve the entire care team: physicians, nurses, pharmacists, case managers, social workers, physical therapists, occupational therapists, speech therapists. This is the time where we discuss as a whole team to ensure patient safety, manage care coordination and ensure all patients have all the required resources from the day they got admitted to the day they are ready for discharge, etc
1100 Complete attending rounds if not completed, otherwise begin charting
1200 Protected time for noon conferences, held 4 days a week (M, T, R, F). These conferences constitute the core didactic training
1300 Return to the wards to complete charting and see newly admitted patients (that will include a throughout examination, H&P, discuss with attending regarding final treatment and plan, and consult specialists if appropriate)
1430 Afternoon reports, held 3-4 times a week, include all attending and residents on service. Usually led by attendings or residents to present a case.
1530 Complete all charts, will round on patients multiple times a day, more if complicated patients. Respond to all the pages (can be from specialists, nurses, case managers…)
1900 Sign out to on-call night resident and ready to head home