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Inpatient Rotations

The curriculum for the ICU, CCU and Ward rotations at Inova Fairfax Hospital are structured in a competency-based format and include information on didactics, conferences, methods of evaluation and recommended reading lists.

Curricula are reviewed and updated by the Academic Committee at least annually. The Department of Medicine is fully compliant with all the institutional Graduate Medical Education policies at Inova Fairfax Hospital.

Internal medicine ward rotation
Supported by a strong academic infrastructure, this rotation universally receives high marks from medical students and house staff. There are eight ward teams comprised of a lead resident, one to two interns, one to two acting interns and one to three third-year medical students. Our staff hospitalists serve as ward attendings, guiding combined teaching and management rounds on a daily basis. These patient care activities are supplemented by morning report, chief of service rounds, physical diagnosis rounds, medical grand rounds, educational grand rounds, medicine-pathology-radiology conference, morbidity and mortality conference, journal club, noon conference lecture series, and a resident lecture series. Also, interns and acting interns participate in procedure simulation modules twice a month.

Integrated MICU teaching service 
This educational and rewarding rotation for house staff and medical students allows participation in the care of truly critically ill patients with diagnoses including septic shock, respiratory failure and massive gastrointestinal bleeding. Our staff intensivists lead an integrated critical care service comprised of house staff, medical students and physician's assistants. Combined management/teaching rounds occur daily. Patient care activities are complemented by our ICU lecture series, which is delivered by staff intensivists.

Coronary care unit rotation
A full house staff team of residents and interns helps care for our critically ill cardiac patients in our 18-bed coronary care unit. Board-certified cardiologists participate in combined management and teaching rounds on a daily basis. Typical cases encompass management of patients with acute coronary syndrome/ST segment elevation myocardial infarctions, mechanical complications of myocardial infarction, life threatening arrhythmias, and cardiogenic shock. Many patients are intubated, on vasopressors, and have intraaortic balloon pumps. Community-based cardiologists give a lecture series on core cardiology topics.

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