Family Medicine Residency at Morton Plant Hospital

Coverage of our two inpatient service lines is split into a day and night model with cross coverage on weekends to ensure appropriate time off is provided to all our residents. There is no required 24-hour call within our general curriculum.

PGY-1 Coverage

• Day call (6:30a-6:30p) is split by the 2 interns on the Inpatient Medicine rotation. The short call intern will either be permitted to go home for the afternoon or will complete the assigned ½ day in continuity clinic per week.
• Saturday night coverage (6:30p-8:15a) is randomly assigned to any PGY-1 resident not on Night Float or the Inpatient rotation. On average there are two shifts per month with flexibility to trade with other PGY-1 residents if weekend time off is needed.

PGY-2 and PGY-3 Coverage

• Day call (6:30a-6:30p) for PGY-2 and PGY-3 residents is handled by the Medicine Service senior resident and Turley Service resident Monday-Saturday. Call is divided between the two residents based on afternoon clinic schedules and individual need each week. The senior residents complete morning rounds and patient care requirements and then sign out their respective service to the on-call senior resident for the duration of the call shift.
• Saturday night (6:30p-8:15a) and Sunday day call (6:30a-6:30p) are randomly assigned to any PGY-2 and PGY-3 not on the Night Float, Medicine, or Turley rotation. Again, there is permitted flexibility to trade shifts with other PGY-2/PGY-3 residents if weekend time off is needed.

PGY–1 Night Float

• Each PGY-1 will do three two-week blocks of night float throughout the year.
• The night float shift is from 6:30 p.m. to 6:30 a.m. Sunday through Friday (six days).
• The PGY-1 on night float has no daytime responsibilities (other than to go home and sleep!)
• Responsibilities include doing admissions to the hospital, overnight monitoring and care for patients on our two inpatient service lines, and to provide assistance with codes in the hospital.
• Backup is provided by a Senior Resident who is on site and by our Medicine and Turley Family Medicine faculty by telephone.

PGY–2 and PGY–3 Night Float

• Senior residents have a night float system that includes three one-week blocks for the entire year.
• Night float weeks are from 6:30 p.m. to 6:30 a.m., Sunday through Friday (six days).
• Both second- and third-year residents are considered seniors; thus, either a PGY-2 or PGY-3 resident is in-house with the night float PGY-1 for call.
• Responsibilities include direct oversight and assistance with hospital admissions and signing them out to the day team, answering triage phone calls from Turley Family Health Center patients, caring for any of our OB patients who present to the hospital overnight, and providing assistance with any codes in the hospital.

More information on our weekend cross coverage model:

• The call team consists of one senior resident and one intern resident that provides primary coverage of the Medicine inpatient service with the addition of cross coverage for the Turley inpatient service later in the day.
• The Turley Service resident is responsible for morning rounding and patient care plan completion for the Turley inpatient service line. Upon completion the resident will sign out to the weekend day call senior resident.
• The Saturday night call team is responsible for longer shift coverage to ensure appropriate transition of care with our randomly assigned Sunday senior resident and typically signs out directly to the inpatient attendings and day team residents.