Inpatient Medicine
Clinics and Services
Each intern will rotate a total of 4 months on inpatient medicine units (No ICU months) at Stanford and/or the Palo Alto VA (See Department Of Medicine web-site for further information). During this rotation, interns function a full member of a ward team. Each team is composed of two interns, one resident, one fourth year medical student and one attending physician. Wards teams can carry between 7 and 20 patients/day. The intern workload on this rotation is a maximum of 7 patients per day. Residents on this rotation spend the majority of their time doing and learning primary care skills, taking care of medically ill patients: evaluating patients in the Emergency Room, care of patients in the intermediate care and cardiac units, inpatient ward experiences involving a variety of disease processes including cardiac care management, cardiac pulmonary and renal diseases as well as use of chemotherapy treatment for oncology patients on a regular basis. They also have significant exposure to and experience with gaining a formal education from specialists in various fields. In addition, residents spend 6-8 hours weekly in seminars and conferences plus 4-5 hours weekly in team rounds, Attending rounds and morning report. The seminars and conferences consist of 1-hour noon conferences and medical grand rounds.
Stanford Hospital - Inpatient Medicine
Medicine: Stanford University Hospital (SUH) The General Medical Services include patients referred by both university and community physicians which provides experience with patients who present a broad spectrum of common and rare diseases. Admissions originate from the Hospital's general medicine and subspecialty clinics, the SUH ER, the Stanford Medical Group (a Hospital-based group of internists), the offices of community physicians, and from referrals throughout Northern California and neighboring states and outside the U.S. As the contract provider for MediCal (California Medicaid) patients in the area, Stanford provides care for general medicine patients for whom you are the primary physician, as well as to diagnose and manage diseases of patients referred for tertiary care. The distribution of diagnoses in this population is approximately 38% Cardiac, 18% Pulmonary; 12% Hematology/Oncology; 9% Gastroenterology; 9% Infectious Disease; 8% Vascular Disease; 4% Other; 2% Endocrine Disorder.
VA Palo Alto Health Care System, Palo Alto Division - Inpatient Medicine
The PAVA Hospital, located four miles Southeast of the School of Medicine, is one of the largest referral centers in the VA system. It has 1264 beds, including sixty internal medicine beds which are staffed by 4 medicine teams. As a referral hospital in the VA system, the PAVA also provides the opportunity for residents to see both the common diseases of the VA population and unusual tertiary care problems. At the VA, residents provide the primary care for all ward, CCU, ICU, ER and clinic patients. The VA patient population is 95% male, 5% female; mostly from lower socio-economic strata. The ethnic distribution is 35% African-American, 20% Hispanic, 40% Caucasian, and 5% other. The majority of patients are 40 years of age or older.
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