Call Schedule
Scott & White Internal Medicine Residency Program
The Internal Medicine Residency Program is designed to be a quality educational experience with attention to scheduling which allows time for reading and studying.
In the PGY-1 year, interns will do four weeks of Night Float split into two two-week blocks. The Night Float responsibilities include taking house officer calls (no admissions) on the patients admitted to the teaching teams. During the first year, residents will also have three blocks in which they will do “Night Medicine” for a few nights during the blocks. This entails arriving at 8 p.m. and admitting up to five patients. The residents will then round early with the team the next day and leave afterwards.
The call in the second year includes three blocks of every fourth night (q4) and one block of ICU night float split into two half-month blocks.
The third year has no overnight call responsibilities, which allows more time for board preparation. During the rotations of Scott & White Wards the call will be outlined below, with two early-call days, one mid-call day and a late-call day. On the weekends, each team will take five patients on one of the days with their paired team. A Team and C Team are paired and B Team and D Team are paired. So, over the weekend, each team will get five new patients.
Our department is committed to following the ACGME duty hour regulations while maximizing the learning experience for residents on call. Interns will never do more than 16 hours in a row within the 12+4 hour rule. Upper-level residents who are "post call" after an overnight in-house call are relieved of duties the following day within the 24+6 hour rule. Residents are allowed to alternate weekend responsibilities so that they average at least one day out of seven out of the hospital. Our ICU night float rotation is also designed to comply with the duty hour policy. We have many non-teaching inpatient medicine teams staffed only by hospitalists to comply with RRC-IM admission limits.
