General Medicine Wards
The general medicine ward service at Los Angeles General Medical Center consists of 12 teams, each comprised of an attending physician, one resident (PGY-2/3), at least two interns (PGY-1), and usually a medical student. Admissions are accepted on an 8-day call cycle with Long call being every 8 days. Most patients are admitted through the Emergency Department.
Educational Goals & Overview
Important Information
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Please arrive to sign out promptly at 6:30 AM in designated area (typically Conference Room B).
You will receive inpatient admissions from 6:30 AM until the admissions day book closes (usually around 5 PM) every day including holidays and weekends.
You will provide direct patient care from 6:30 AM until you sign out to night shift
Morning rounds typically start from 9-9:30 and will end 11-11:30 AM.
Every patient is expected to be seen by either an intern and/or a senior resident prior to morning rounds.
Some attendings prefer bedside rounds, some will do table rounds
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Residents are expected to attend morning reports, lectures and conferences while on service.
Daily/Weekly educational conferences: PGY 1 Morning reports are Tuesdays and Fridays from 8AM- 9AM (location is typically Conference Room B or GME office but can vary).
Senior morning reports are Monday, Wednesday and Thursdays (location is typically Conference Room B or GME office but can vary - please look at calender for location).
Multidisciplinary conferences: Grand Rounds, Morbidity and Mortality Conferences and other educational conferences are from 12 PM to 1 PM on select days during the week to be coordinated by the Chief Residents.
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Please arrive promptly for sign out at 6:30 AM. After getting sign out, please huddle with your team while you chart review the patients and discuss the plan for that morning.
During the early morning, it is helpful to touch base with the assigned team care coordinator. They can help move the patients’ care along with help expediting studies, arranging follow-up, coordinating with social workers/other ancillary staff, etc).
Every patient on the list is expected to be seen by either an intern or a senior resident before attending rounds.
As you go and examine your patients, if there is a patient that is acutely ill, please inform attendings and senior residents.
Your attending will let you know what time rounds will begin, typically around 9:30 AM.
Unit huddles are at 11:30 AM. Each team is assigned a unit to huddle to (please refer to Multi-Disciplinary Huddle Schedule for assigned units). The senior resident and/or attending are expected to attend and provide brief updates for the nursing and social work staff on that unit.
After rounds and unit huddles, please prioritize discharge logistics and placing consults.
Afternoon rounds time will be announced by the attending.
Please be prepared to sign out to the nightfloat at 5:30 PM with a fresh list for the nightfloat resident.
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Please use MS Teams for frequent communication with your team, consultants, and other staff.
Please prioritize sick patients, new patients, and discharging patients as your first patients you see in the morning.
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All patients assigned to your team must have one note per day (H&P, Progress Note, Discharge Summary).
You should carefully review your entire note daily, removing any information that is no longer relevant or accurate.
Notes must be sent to sign (not review) to the attending daily.
Discharge summaries for jail patients and some skilled nursing facilities may be required prior to the patient leaving the hospital.
Procedures Team
Safer
At Home
Safer at Home is new model of acute care delivery, developed here at Los Angeles General Medical Center, through which patients receive protocolized, concierge, out-of-hospital care for conditions that would otherwise normally be managed in the inpatient setting. Hospital Medicine has played a central role in both the development and implementation of this novel, first-in-nation program, and furthers our mission of providing high quality, patient-centered, integrated, innovative, and culturally sensitive care to our communities.
For more information, Email: SaferAtHome@dhs.lacounty.gov
Click Here to evaluate if your patient would be qualify for S@H
The procedure service is committed to providing high quality bedside procedures, including paracenteses, thoracenteses, lumbar punctures, and peripheral and central line placements.
The service is responsible for inpatient procedures, and the outpatient procedure clinic. In addition, we provide a high level of education to residents on when to perform a procedure, how to perform a procedure, and how to manage complications that may arise. The service was developed in August 2020 and has improved rates of patient satisfaction, as well as resident satisfaction in improving their confidence in performing and understanding procedures. The service is available Monday through Friday from 8am to 4pm.
Resident Rotation Schedule
Residents at all levels of training rotate through the service for one-week assignments. During a typical day, residents work in the clinic with our Procedures team in the morning and attend to inpatient consultations in the afternoon.
This rotation offers comprehensive procedural experience in a supervised learning environment designed to build clinical competence and confidence.
To place a consult, contact the Procedures Attending on Procedures Viop or Teams
The Attending on Call is listed on Amion