Our residents rotate through a wide variety of inpatient rotations that offer them an opportunity to work with master clinicians and specialty experts at 3 inpatient hospitals: Hospital of the University of Pennsylvania (HUP), Penn Presbyterian Medical Center, and the Philadelphia VA Medical Center (all walking distance from each other). We are honored to care for a diverse patient population.

Our inpatient teams are comprised people from many different disciplines including of faculty, residents, medical students, pharmacists, social workers, respiratory therapists and many others. Our culture emphasizes team-based care and academic rigor. Our residents play important roles in teaching and mentoring medical students on their inpatient rotations.

We are also excited about the Penn Pavilion. This innovative hospital houses 500 private patient rooms and 47 operating rooms in a 1.5 million square foot, 17-story facility across from the Hospital of University of Pennsylvania and adjacent to the Perelman Center for Advanced Medicine.

Rotation Specifics

Cardiology:
Residents rotate through the Cardiac Intensive Care Units at HUP (the Cardiac Intensive Care unit). Many patients are part of the advanced heart failure and mechanical circulatory support program that coordinates with the heart transplant program.

Inpatient General Medicine:
Residents and interns participate in general medicine rotations at each of our three hospital sites, sharing the common themes of a generalist service but with distinct flavors at each site. The general medicine rotations all offer excellent opportunities for teaching core clerkship students. At HUP, the Martin teaching service (named for a former program director) cares for a broad range of patients with undifferentiated presentations under the direction of our academic hospitalist group. These patients include some patients followed by HUP specialists who are admitted for unrelated concerns, and may therefore have some more unusual diagnoses along with their active concerns. At Penn Presbyterian, the general medicine teams serve our local West Philadelphia community. Patients typically have a variety of common general medicine diagnoses, and many attendings are from our academic outpatient practices. At the VA, the general medicine services have a focus on intensive teaching, and the VA is the main home of the medicine sub-internship. We are happy to serve the veteran community from the wider Delaware Valley including those needing subspecialty care.

In addition to general medicine rotations, our residents rotate through the Acute Care of the Elderly (ACE) unit at Penn Presbyterian where they focus on caring for an inpatient geriatric population. There is a strong emphasis on interdisciplinary team management and care as part of a caregiver team on the Acute Care for the Elderly unit.

Oncology:
Residents have oncology rotations at HUP where patients are divided into teams focused on Liquid malignancies. Residents care for patients who receive cutting edge care for all types of hematologic cancers including leukemias, myelodysplastic syndromes, lymphomas, and plasma cell dyscrasias. Supervising attendings are frequently leaders of translational research initiatives that constantly advance the therapeutic options for our patients.

Hepatology:
Residents have the opportunity to rotate on the Hepatology inpatient service, primarily focused on treating patients with cirrhosis, medical complications from prior liver transplantations, and other liver diseases.

Infectious Diseases:
The Infectious Diseases (ID) service is staffed by our world-class expert attending in ID and primarily care for patients with HIV. Residents on this service also get to provide care for patients withour HIV who are being admitted for other ID diagnoses inclduing endocarditis, endemic mycoses, any parasitic infections, epidural abscesses, tuberculosis, fever in a returning traveler, and fevers of unknown origin.

Pulmonary:
This service takes care of patients with obstructive airway diseases, interstitial or cystic lung diseases, non-cystic fibrosis bronchiectasis, pneumothoraxes, pulmonary hypertension, and cute on chronic hypoxemic or hypercarbic respiratory failure due to neuromuscular diseases.

MICU:
The Medical Intensive Care Unit at HUP is the main site for critical care. This rotation has been our most highly rated for most of the past two decades, and is staffed by pulmonary and critical care attendings who have won many of our most prestigious teaching awards. The MICU often cares for patients receiving other advanced care (solid organ transplantation, cancer chemotherapy or immunotherapy), and features complex multidisciplinary care provided alongside fantastic nurses, clinical pharmacists, and other colleagues.

Jeopardy:
The program is fully committed to providing prompt coverage for residents who are sick or who have urgent personal or family needs. There are residents assigned as the primary full-time ‘jeopardy’ residents, able to cover for the majority of unanticipated needs. A small fraction (about 1/5) of residents on elective are also designated for “jeopardy” coverage for one of their two weeks on elective. These residents carry on with normally scheduled elective activities unless needed for urgent coverage.

Inpatient Rotations

Rotation Specifics