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Department of Medicine

Department of Medicine

   Internal Medicine Residency Program

Rotations and Clinics




 

Intensive Care Units (ICU's)

During their training, residents may rotate through the following intensive care units (ICUs): the Medical Intensive Care Unit (MICU), the Coronary Care Unit (CCU) at the University of Pittsburgh Medical Center (UPMC), and the Veterans Administration Intensive Care Unit (VICU) at the Veterans Administration Medical Center (VAMC). All ICUs are closed units and have a dedicated fellow assigned to assist the housestaff teams.

The MICU is a 24-bed unit located in UPMC Presbyterian Hospital. The MICU serves as a tertiary center accepting patients from the tri-state area (western and central Pennsylvania, West Virginia, and Ohio), from other local hospitals, and from the UPMC Presbyterian emergency room. These are some of the most severely ill patients in the region, with a varying array of critical illnesses. This rotation continues to be a favorite among housestaff, allowing the residents and interns to develop technical skills in line placement and patient management. The housestaff members truly enjoy learning from our esteemed faculty as they care for critically ill patients.

Team Structure: there are four teams, each consisting of one intern and one resident. One team staffs the night float system, and each team rotates weekly as the night float team

Supervision: two pulmonary attending physicians along with two pulmonary/critical care fellows

Teaching: there are didactic teaching sessions every weekday morning in addition to the teaching that occurs on rounds

The CCU is a 10-bed unit located in UPMC Presbyterian Hospital. The resident teams get a tremendous exposure to a broad variety of cardiac problems, including arrhythmias, ST elevation myocardial infarctions (STEMIs) with and without complications, severe left- and right-sided heart failure, cardiac transplants, cardiac arrest patients undergoing our hypothermia protocol, and valvular abnormalities. All of the attending physicians are among our best clinical teachers, many with research backgrounds in areas such as invasive technology, noninvasive care, electrophysiology, heart failure, or pulmonary hypertension.

Team Structure: there are three housestaff teams, each composed of one resident and one intern. Two teams care for patients during the day and one team cares for the patients at night, with each team rotating as the night float team weekly.

Supervision: there is one attending assigned to the CCU, and there is a dedicated cardiology fellow present in the CCU throughout the day and night.

Teaching: there are didactic teaching sessions every weekday morning in addition to the teaching that occurs on rounds

The VICU is located at the nearby VA Medical Center and functions as a combined MICU and CCU. It is a closed 14 bed unit. The VA Medical Center in Pittsburgh serves both the local veterans and is a referral center for outlying, smaller VA hospitals. The residents in the VICU get experience with a variety of critical illnesses and cardiac diseases, and the autonomy the residents get while working in the VICU is a strength of the experience.

Team Structure: there are 5 residents per block. Residents will rotate through 1 week of night float. Day time residents will take overnight call every fourth day.

Supervision: one Pulmonary/Critical Care attending and one Cardiology attending, as well as a Pulmonary/Critical Care fellow.

Teaching: there are didactic sessions on critical care and cardiology topics every weekday morning in addition to the teaching that occurs on rounds

The SHY MICU offers another distinct ICU experience. Because of this hospital's connection with the University of Pittsburgh Cancer Institute and the Hillman Cancer Center, it offers residents the opportunity to care for patients with emergent hematologic/oncologic problems and critical complications.

Team Structure: There are three teams that our residents rotate between: a resident and two intern team, a two resident team and resident-intern night float team.

Supervision: A pulmonary or critical care medicine attending physician along with a pulmonary/critical care fellow

The PUH MICU is a 24-bed unit located in UPMC Presbyterian Hospital. The MICU serves as a tertiary center accepting patients from the tri-state area (western and central Pennsylvania, West Virginia, and Ohio), from other local hospitals, and from the UPMC Presbyterian emergency room. These are some of the most severely ill patients in the region, with a varying array of critical illnesses. This rotation continues to be a favorite among housestaff, allowing the residents and interns to develop technical skills in line placement and patient management. The housestaff members truly enjoy learning from our esteemed faculty as they care for critically ill patients.

Team Structure: there are four teams, each consisting of one intern and one resident. One team staffs the night float system, and each team rotates weekly as the night float team

Supervision: two pulmonary attending physicians along with two pulmonary/critical care fellows

Teaching: there are didactic teaching sessions every weekday morning in addition to the teaching that occurs on rounds