General Medicine Wards

Tinsley Harrison (UH) and VA Ward

Teams are comprised of a PGY-3, two PGY-1s, and two medical students. Residents admit patients on a Q5 cycle, with a night float (PGY-3 and PGY-1) admitting from 8pm-7am.

Subspecialty Ward

Gastroenterology/Hepatology, Oncology, Nephrology

Teams are comprised of 1-2 fellows, two PGY-2s and 3-4 PGY-1s. Call schedule is variable but never exceeds a Q4 cycle. PGY-1s work 1-2 weeks of night float. PGY-2s work 24 hour shifts only when their designated call day falls on a weekend.

MICU/CCU

Teams are comprised of one fellow, 2-3 PGY-2s/PGY-3s and 2-3 PGY-1s. PGY-1s take call during the day until 8pm Sunday-Thursday and take call at night from 8pm-8am on Friday-Saturday.  Residents work 24 hour shifts on their designated call days. A resident night float arrives at 8pm Sunday-Thursday to relieve the PGY-1 on call.

Subspecialty Consults

Gastroenterology/Hepatology, Hematology/Oncology, Pulmonary, Nephrology, Cardiology, Rheumatology, Infectious Disease, Endocrinology

A fellow and several residents from all levels work together to provide subspecialty consultative care under the direction of subspecialty faculty.

Ambulatory Block

Block months are rotations devoted to ambulatory training. This allows for concentrated time in ambulatory medicine without inpatient responsibilities. The resident has the opportunity to work one-on-one with an attending physician in various clinics chosen by the resident such as Gynecology, Allergy, Breast clinic, HIV clinic, Osteoporosis clinic, Dermatology clinic and various other internal medicine subspecialty clinics.

Inpatient Block

Rotation for all PGY-1s that includes procedural and ultrasound training as well as educational assignments and didactics covering topics such as health disparities, cost conscious care, and patient safety. PGY-1s also work shifts with the Medical Emergency Team (MET) in the hospital. 

Elective

Residents can participate in elective rotations to further pursue their particular interests. These include the following:

  • Global Health: PGY2 and PGY3 residents can spend up to a month on an international rotation that they receive funding for through the residency program. Over the past 5 years residents have gone to Cameroon, Honduras, India, Jordan, Kenya, Panama, Peru, and Zambia. Residents can also request exposure to pertinent clinics during their block month, such as Travelers Health Clinic, the 1917 HIV Clinic, and Tuberculosis clinic among others.
  • Medical Education: The medical education elective is a one-month rotation that aims to give residents a solid background in effective teaching. It is offered to PGY2/PGY3 residents. The course explores the history of medical education and the principles of adult learning. Residents will then participate in a number of interactive discussions, didactics, demonstrations, exercises, and practice teaching sessions aimed at making them more effective and efficient medical teachers. 
  • Health Care Disparities: The Health Care Disparities selective is a one-month tailored experience in learning about disparities in care among different patient populations. The rotation includes clinical work, didactics, and scholarly activity. Clinical work is done at Cooper Green Hospital, VA homeless clinic, and the Jefferson County Health Department. Didactics include one half day per week workshops in various subjects such as health policy, reducing physician bias, and disparities in health outcomes. The scholarly activity is conducted with one of the advisors for the rotation
  • Quality Improvement/Patient Safety: The QI/Patient Safety selective is a rotation offered to PGY2/PGY3 residents. This one-month rotation gives residents exposure to various aspects of quality control. Residents attend multi-disciplinary patient safety conferences, join a hospital patient safety team assisting with root cause analyses, perform patient safety rounds, and assist with Internal Medicine MMI conference
  • Women's Health: The Women's Health (WH) Scholar Selective is rotation offered to provide residents a one month experience in Women's Health. Residents rotate through the Gynecology and Women's Health clinics at BVAMC and UAB, evaluate landmark studies in Women’s Health, attend the WH journal club and create a scholarly project with guidance from the Women's Health Track faculty.
  • Other electives include: Research, Medical Genetics, Allergy, Inpatient Hematology, Hospitalist Elective, Community Preceptorship