The hospital service “team” will consist of at least two residents, usually a first, and a second, or third year resident and a student and the attending on hospital service. Five months of inpatient medicine service are required.

R-1 Duties are as Follows:

1. To complete a full history and physical on all admissions and to dictate that history and physical within 24 hours of admission, including a structural exam.
2. To take primary daily duty responsibility for all inpatients except those in Critical Care Units.
3. Upon discharge, to write a brief discharge note on the chart, dictate the discharge summary, notify the Family Practice secretary of the discharge, and submit patient discharge summary sheet to the FPC.
4. To keep problem lists updated on inpatient charts.
5. To write daily progress notes on all patients and keep track of all results on ordered tests.
6. To write daily orders.
7. To present cases concisely.
8. To initially evaluate ER patients, at the discretion of the upper year resident and Attending on service.

1. To complete a full history and physical on all admissions, write a brief admission note on the chart, and review the admission with the R-1 and Attending.
2. To provide teaching and guidance to the R-1.
3. To review all orders written by the R-1.
4. To act as “R-1 backup” when the first year resident is in the office.
5. To do all consults including Mental Health Unit consults.
6. To evaluate all ER patients, possible admissions and discharges.
7. To call all consulted physicians with specific requests.
8. To review all inpatient charts daily, “including labs, radiographic studies and consultant recommendations.”
9. Share discharge summary dictation responsibilities with R-1 as need arises.
10. To oversee the daily workings of the hospital service.

On rare occasions there may be only one resident on hospital service. Backup will be provided as best it can by using the backup protocol.

Medical students who are assigned “inpatient Family Medicine” experience may act as “interns” on hospital service. They will be the direct responsibility of the upper year resident and Attending physician and NO orders written by them may be “taken off” until co-signed by the upper year resident or attending.