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Elective Rotation: Inpatient medicine – ICU and hospitalist

Contact: Roseann Day, Maggie So (hospitalist and assoc program director at CPMC internal med residency)

Location: Sutter Santa Rosa ICU, Sutter CPMC

For my elective selective I spent mornings in the ICU working with Dr. Stafford and Dr. V, and afternoon in clinic. I rounded on non-resident patients and did procedures as the came up, as well as did some formal teaching with each of them. The days were hit and miss in terms of how much was going on in the ICU, but if it was slow I would go to the OR and intubate with the anesthesiologists. Because I had to leave for clinic I didn’t get to manage patients as much as I’d hoped, but it was still overall helpful for getting familiar with some of the ICU basics and getting a few procedures down.

For elective away I went to CPMC in San Francisco and worked 1 on 1 with a hospitalist to see what that career would be like. Although it’s a teaching hospital with an internal medicine residency I worked with the hospital, Dr. Bhalerao, on a non-teaching service. It was a great way to see what the work flow is like for a hospitalist and I learned a lot of medicine. I was lucky that the hospitalist I worked with was an excellent clinician and teacher. I got to attend the resident morning and noon conferences which were high quality. It’s a good place to see hospitalist medicine outside of our own hospital, while still being easy to set up since it’s in the Sutter system.

During my elective away I also spent three days at the UCSF HIV/AIDS care conference, which was absolutely excellent.

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