What is your RRC accreditation status?

We have a full 11-year ACGME accreditation cycle -- the longest cycle available.

Do you conform to all the RRC regulations regarding admissions, duty hours and working environment? Do you have all the curricular elements required by the RRC?

By being fully accredited, we abide by all RRC regulations for curricular content and duty hours, including the new rules that went into effect in July 2011. We enforce a strict 5 admission cap for first year residents, have a night and day float system, ensure adequate sleep and rest while on call, among many others. We have implemented an extensive night team and cross coverage system to ensure that all residents work less than 80 hours/week on average over the month, have 4 full days off each month, and have 8-10 hours off between duty shifts.

We reduced our shifts to 28 hours (24+4) in 2009 -- a full 18 months ahead of the ACGME's new changes for July 2011. Interns are limited to 16 hours of clinical duty and do not have overnight call. A full night float team and day floats ensure that we are fully compliant. Interns take their last admission at 6 PM when on long call and at 6 AM while on night float. 

We use a "drip method" for the last two hours to ensure that interns have enough time to complete their work during their shift.  We have numerous opportunities for moonlighting which also helps the teams meet their clinical responsibilities. We track work hours monthly to ensure we are 100% compliant. In addition, we ensure that all teams do not exceed their caps for individual and team patient census.

Our written curriculum is competency-based, comprehensive and encompasses all elements required by the RRC. We implemented the ABIM Milestones as the foundation of our evaluation process in July 2013.  This allows our residents to track their skills as they progress through their training. In addition, we have added several curricular items targeted at areas that we feel are important, such as an extensive simulation program, international electives, palliative medicine, evidence based medicine and research design and methodology.  

What physical changes have you made?

We have a brand new Resident Lounge where residents can relax, work on the computer or watch our wide screen TV.  The Department has renovated the call rooms, making the facilities attractive, quiet and safe, and have attractive space for our daily conferences. In addition to our Departmental changes, there have been absolutely spectacular physical changes at UMMC, including the Weinberg Building with our 29-bed MICU. The outpatient center of the Greenebaum Cancer Center provides state-of-the-art NCI comprehensive cancer care for ambulatory patients. An Intermediate Care Unit (IMC) opened in 2009 and is non-teaching service staffed by hospitalists. A new critical care tower that is part of Shock Trauma opened in 2013.

What library facilities are available to the residents?

The Health Sciences Library is a modern state-of-the-art facility with over 2300 journals. Through the use of Up-to-Date, Ovid and Medline, residents have access to pertinent literature through enhanced searching capabilities in an evidence based medicine format. Access is available from any computer on campus.

What recreational facilities are nearby for residents?

Our Campus Center is located right across the street from the hospital. There you will find cafes with healthy food options, lounges and conference space. A full service gym with group classes, cardio equipment, Pilates, weight equipment, and pool is open to our residents for a reasonable monthly fee.