Internal Medicine Residency Curriculum - Critical Care Medicine
One resident and three interns work together with critical care nurses, respiratory therapists and a pulmonary-critical care intensivist to provide care to critically ill patients in a 10-bed ICU. In this setting, residents develop expertise in managing sepsis, respiratory failure, toxic overdoses and doing invasive procedures, and also in caring for families in crisis and negotiating goals of care in ethically and medically complex situations. Because there are no critical care fellows, residents assume a significant amount of autonomy in the care of patients and work directly with the attending physician to make decisions and execute plans of care.
The day begins at 8 am with signout from the night ICU team to the day ICU team. Work rounds are led by the intensivist and begin at 9 am. The overnight team, consisting of one resident and one intern, is responsible for preparing updated assessments and plans and for presenting each patient on morning rounds. The night team signs out and leaves at 10 am. At the conclusion of rounds, the tasks of patient care are undertaken by the day team, including any procedures, consults, transfers, and new admissions. The day team consists of one resident and two interns. Depending on the demands of patient care, time each afternoon is carved out for dedicated resident teaching, led by the intensivist. Signout is given to the night team at 8 pm each evening.