Inpatient Rotations 
Hospital Medical Service: There are 4 Hospital Medical Service (HMS) teams that consist of 2 interns, 1 senior level resident, 1 attending physician and medical students. The day starts at 6:30AM with sign-outs provided by the Night Float team. Each team has a daytime admitting shift every 4^th day. Admissions after 4PM are done by the Swing Shift and Night Float residents to allow the admitting team to complete their tasks and leave the hospital by 7PM. Teams not on their admitting shift are typically able to leave the hospital by 5PM. Each resident on HMS has 1 day off each week. When the senior resident is off, coverage is provided by the Cross Cover senior resident. Our teams are capped at 14 patients, with any additional patient load diverted to hospitalist physicians. This allows for each intern to follow up to 7 patients. 

Swing Shift: The Swing Shift resident works 4PM-12 midnight to assist with admissions at the busiest time of day, allowing the HMS admitting team to leave the hospital by 7PM.  

Night Float: Night Float residents consist of an intern and senior resident performing admissions from 8:30PM-6:30AM as well as a cross-cover resident to handle issues arising on HMS patients overnight.  

ICU: There are 5 daytime residents and 2 Night Float residents assigned to the ICU at any point in time. All residents assigned to the ICU have 2 days off per week. 

Outpatient Rotations
Longitudinal Continuity Experience 
Residents develop a continuous, long-term therapeutic relationship with a panel of general internal medicine patients at the St. Peter’s University Hospital

Adult Family Health Center (AFHC) facility, located a few miles from the hospital at 123 How Lane New Brunswick, NJ. Residents are scheduled to rotate every 5th week, for the entire week, in their longitudinal continuity clinic as part of our 4+1 schedule.  

At the AFHC, each resident serves as the primary physician for a panel of patients, with responsibility for chronic disease management, acute health problems, and preventive health care for their patients. There is direct supervision by faculty; however, progressive autonomy is extended to residents as their training advances. Nurses, social workers and ancillary staff work alongside the residents to ensure excellent patient care is provided. 

The patient population cared for are from diverse ethnic groups and present with a variety of acute and chronic medical conditions. Cultural sensitivity and social determinants of health training are integral to providing excellent care. Senior residents also rotate in subspecialty outpatient practices for cardiology, nephrology, endocrinology, pulmonary and others. 

A half-day didactic teaching session occurs weekly, every Thursday AM, for residents assigned to the longitudinal continuity clinic. The first part of the session is dedicated to instruction in our state-of-the-art Simulation Lab. A critical care attending physician instructs residents on various procedures with the safety of mannequin-based simulations. Additionally, at this session, a designated topic is reviewed by a resident based on an online learning module from the Johns Hopkins Internet Learning Center.  
 
SAMPLE OF ROTATIONS

1. Please note rotations are subject to change as our residency program evolves.
2. Subspecialty Electives consists of: Cardiology, Dermatology, Endocrinology, Emergency Medicine, Geriatrics, Gastroenterology, Infectious Diseases, Nephrology, Neurology, Psychiatry, Pulmonology, and Radiology, Rheumatology.