Our inpatient teams assume primary responsibility for both general pediatric and medical subspecialty inpatients. Some surgical subspecialty patients are followed by pediatric residents in co-management, allowing exposure to these fields. Our residents partake in family center rounding on each team as the standard of care. Our residents have the opportunity to care for all levels of acuity and complexity during their inpatient rotations.

Residents participate on five inpatient teams:

• Purple and Blue: provides care for mostly general pediatric patients supervised by hospitalists
• Silver: provides care primarily for pulmonology, cardiology and neurology
• Green: provides care primarily for gastroenterology and nephrology
• Red: primarily provides care for hematology and oncology and general pediatric patients

All medical subspecialities are cared for by our residents and not limited to the ones above. They are distributed based on team censuses by floors.

Most teams include a senior resident and two PL-1 residents or intern equivalents (family medicine interns or sub-intern medical students). Medical students are present on all inpatient teams and residents are primary contacts for education and clinical skills. Our teams are distributed by floor to facilitate rounding.

We have instituted caps per intern and by team total to ensure safe patient care and to balance education and service. Interns can carry a maximum of 8 patients at a time during week days. Resident Team Assistants (RTAs) are present on Monday through Friday to help with administrative tasks such as scheduling CT scans, getting medications filled, and setting up outpatient follow-up appointments.

Residents have a noon report conference series every Monday through Wednesday to supplement their education while on the inpatient medical surgical services. On Thursdays from 12-1 pm residents have a protected evidence based conference series which includes case management, journal club and quality improvement/safety rounds. Friday afternoon, most inpatient are protected for academic half day.