SCHOOL OF MEDICINE • DEPARTMENT OF MEDICINE

Structure
Sunday, Monday, Tuesday, Wednesday (no Thurs, Fri or Sat)
2 interns – 7PM-8AM cross coverage, admit 1 patient
2 PGY2 - 8PM-8AM admit maximum of 8 patients each
1 PGY3 - 8PM-8AM admit maximum of 4 patients

Average number of total admissions = 15-20
7:00 PM intern sign out rounds (Lerner tower 5 conference room)
6:30 AM patient presentations and patient assignments (5^th floor conference room)

Student role
1 week, Sun, Mon, Tues, Wed 7PM-8AM
Admit patient with intern, write-up H&P
Oral case presentation to PGY2 or 3 during night, to KBA, chief resident AM
Cross coverage with intern, including writing clinical event note
Log of patients admitted
Log of follow-up data on admitted patients
Log of cross coverage incidents
Participate in patient hand-offs evening and morning
H & P to chief resident which is returned next morning to student with comments
Student reflection piece regarding strength/weakness of handoff

Assessment
pass/fail
CAS report (or card) to resident and intern
H & P – 4 minimum (initialed by chief resident)
Clinical cross coverage event report – 2 minimum (initialed by intern)
Patient follow-up specific data – minimum 2 reports (initialed by intern)
Part of the overall medicine clerkship grade

Goal
Workup 4 undifferentiated patients
Learn about and provide acute care of cross coverage patients
Observe, participate in and comment upon handoff procedures in medicine
Feedback on 4 written H&P’s

Pager
UH Cleveland Medical Center pager number is 36615
The Louis Stokes Cleveland VA Medical Center pager number is 36500
to access a pager in-house, dial 222, out of hospital dial 216-207-7244

UH Cleveland Medical Center Pager numbers: