Inpatient education is based primarily at Waterbury Hospital and provides trainees with a broad exposure to the breadth and depth of internal medicine.
Inpatient Wards
The teaching service consists of three day teams and 1 night team. Areas of particular emphasis of the general medicine teams include bedside rounding, the role of the physical examination in clinical care, and transitions of care. Each day team consists of an attending physician, resident, intern, and students. Our inpatient teaching teams take care of patients triaged to the general medical floors, telemetry floor and our step down unit. Ample teaching and charting space is available. Patients admitted to the medical service encompass the full range of age, socioeconomic status, and disease spectrum of internal medicine.
Medical Intensive Care Unit
The Medical Intensive Care Unit team is comprised of Pulmonary/Critical Care attendings, interns, PGY II and PGY III residents, and advanced practice registered nurses. Clinical care is complimented with daily case discussions and a core intensive care unit curriculum. The goal of medical training in the intensive care units is to educate residents in the diagnosis, evaluation and management of patients with a wide range of critical illnesses. The resident is expected to become knowledgeable about the indications, contraindications, risks and benefits of common ICU level procedures. Residents have the opportunity to be trained in a variety of procedures such as arterial puncture and arterial blood gas interpretation, arterial line and central venous line placement. Inherent in the care of critically ill patients is the management of psychiatric, social and family concerns which are heightened in these intensive care settings and are addressed by residents as part of a multidisciplinary team. Patients are transferred to the medical ward teams when discharged from the intensive care units.
Conferences
Our program has a wide range of educational conferences. Each morning residents have the opportunity to participate in chief resident-led and faculty-attended morning reports. Each week we host noon conferences and Grand Rounds with faculty in the Bizzozero Conference Room. Our curriculum also includes annual conference series including journal club, high-value care discussions, medical jeopardy, medical humanities and ethics, research and quality improvement, peer teaching, intern support group, board review, morbidity and mortality conferences, and multi-disciplinary case conferences.
