The University of Maryland Medical Center, a private not-for-profit hospital, is a major tertiary and primary care facility with approximately 750 beds and over 38,000 admissions each year.
The medical services consist of over 200 beds divided among a variety of general medicine and subspecialty services.
In all units, doctors, students, nurses, clinical pharmacists and support staff work as a team to promote unified and comprehensive care for every patient.
First year residents are responsible for the day to day evaluation and management of their patients. Upper level residents are the leaders of each team and have significant clinical, supervisory and teaching responsibilities.
Resident teams are assisted in their daily work by an interdisciplinary team, including a case manager, physical and occupational therapists, social workers, phlebotomy and IV teams, substance abuse counselors, child life specialists and respiratory therapists. Discharge coordinators assist residents in preparing patients for discharge and improving efficiency. Residents use EPIC as their EMR which can also be accessed from their smart phones, tablets and their home via a VPN system. Resident enjoy the efficiency of our Dragon voice recognition.
Medical Inpatient Units
There are 10 medical teams at UMMC, including 4 general medical services, an ID service, 2 MICU Teams, 1 CCU/Telemetry Team, an Advanced Heart Failure Service, and a Cancer Center Service (leukemia and hematologic malignancies). Teams are structured with the senior resident as team leader supervising interns, subinterns and third year medical students. Attending rounds are held daily.
General Medicine and Med-ID Teams
The non-ICU services consist of 4 General Medicine services (Med 1-4) and an Infectious Disease service (Med-ID). Med 1-4 consist of one resident and 2 interns. The Med-ID service has ID faculty and fellow supervision, with 1 resident and 3 interns. Third and fourth year medical students are members of all teams.
A fully staffed 7-day/week Night Team System covers all the floor teams. Interns and residents on general medicine and ID services take admissions using a "drip method" with their last admission at 6 pm so that residents can leave by 9 PM and have 8-10 hours off between duty shifts. Nocturnists and intensivists are present throughout the night shifts and assist with patient care and supervision.
MICU, CCU and Advanced Heart Failure Teams
The Medical Intensive Care Unit (MICU), Cardiac Care Units (CCU) and Advanced Heart Failure Service comprise the mainstay of the resident's training in critical care medicine at UMMC.
- The MICU consists of 2 teams, each with an intensivist, 1 fellow, 2 residents, 4 interns and 1 subintern. Our state-of-the-art 29-bed MICU has 24/7 intensivists in the MICU at all times.
- Patients with cardiac disease are admitted to CCU/Telemetry team (PCS - Primary Cardiology Service). This service focuses on caring for patients with ischemia heart disease, MI's, valvular heart disease and arrhythmias. The PCS team cares for patients in both the CCU and telemetry unit. The PCS team consists of a cardiology attending, 1 fellow, 4 residents, 4 interns and 1 subintern.
Upper level residents rotate through the Greenebaum Cancer Center, where they care for patients on the Acute Leukemia Service.
Our Emergency Department is comprehensive and state-of-the-art clinical service, staffed 24/7 by outstanding EM faculty. Approximately half the patients on the medical services are admitted through the ED, where over 50,000 patients are evaluated and treated annually. First year residents do a 2-week rotation in the ED caring for patients with diverse medical conditions under the supervision of full-time faculty. Maryland Express Care, an integrated consultation and critical care transport system for patients from all points within the state and region, adds patient diversity to the educational experience.
Pediatric Inpatient Units
The University of Maryland Children's hospital has over 120 beds and over 150 attending physicians in more than 25 specialties. The medical teams include 2 ward teams, 1 PICU team, 3 NICU Teams, 1 Cardiac ICU team and a dedicated Pediatric Emergency room with >15,000 visits per year. Teams are structured with the senior resident as team leader supervising interns, sub interns and third year medical students. Attending physicians are available in the hospital 24/7 to support residents.
General Pediatric and Subspecialty Teams
The non-ICU services consist of a General Pediatric service and a Subspecialty service. The general pediatric service consists of two residents and 3-4 interns. The Subspecialty service has Heme/Onc and Cardiology patients and is staffed by two residents and two interns. In addition, there is a wing capable of IMC level care and several epilepsy monitoring beds. A fully staffed 6-day/week Night Team System covers all the floor teams. General Pediatric and PICU Attending physicians are available in the hospital 24/7 to support residents.
NICU, PICU and Advanced Heart Failure Teams
The Neonatal Intensive Care Unit (NICU), and Pediatric Intensive Care Unit (PICU) comprise the mainstay of the resident's training in critical care medicine at UMMC.
- The level IV NICU consists of 2 teams, each with an intensivist, 1 fellow, and 3 residents and 1 subintern. A 3rd team consists of a fellow and nurse practitioners. Our beautiful new state-of-the-art 52-bed NICU has incredibly support services to provide the highest level of care for the tiniest patients.
- Patients with severe medical and cardiac disease are admitted to the PICU. There is a general medical team and a cardiac critical care team covering 19 beds and handles over 1,100 admissions per year. We have a busy cardiac surgery team and have been named a as a Best Children's Hospital for Cardiology & Heart Surgery by US News & World Report.
Full Term Nursery
As second years, our residents rotate through the Mercy Full Term Nursery, with part of their month spent in the Full Term Nursery at the UMMC children's hospital.
Pediatric Emergency Department
The Pediatric Emergency Department is staffed 24/7 by a multi-disciplinary team of Pediatric/EM attendings, nurses, child life specialists, social workers, and others who are specifically trained in treating ill and injured children. The ER has 20 pediatrics beds plus 2 resuscitation rooms, and is a sexual abuse referral center. Med-Peds residents rotate here during the 1st, 3rd and 4th years to gain exposure to a wide variety of pediatric complaints and emergencies.