Residents
Residents on Medicine Consult elective: Residents are expected to evaluate one preoperative patient per half day of clinic, and follow their patients postoperatively. Patients should be staffed with the attending who follows the patient. Residents may see new inpatient consults as their schedule allows. Traditionally, residents give a short talk at the end of their rotation on a subject of their choosing.
Night Float and Medicine Ward R3s: Residents are first call for new medicine consults on weekends, and after 5 pm on weekdays. Consult requests must be documented in the chart. A note should be written for every new consultation. Staff consults with the Medicine Consult Attending the following morning. Call early (8 am) and ask for the Medicine Consult Attending on call through the paging operator. For consultations that require urgent staffing when the Medicine Consult Attending is not available, please staff the consult with your ward medicine attending.
Medicine Consult Attendings are available from 8 am to 5 pm on weekdays, and round on the inpatient service on weekends.
Click here for the Medicine Consult Attending Call Schedule.
(UWNetID restricted. Select MED CONSULT under U-MEDICINE, then click "CONTINUE" to view the schedule)
Overview of the Medicine Consult Service at UWMC:
We see patients at the request of another provider
• Our role is to:
(1) Risk stratify patients prior to surgery. (AVOID the term “cleared for surgery”).
(2) Provide preoperative recommendations to optimize a patient’s condition prior to surgery and to anticipate perioperative events.
(3) Provide postoperative advice with regard to a patient’s medical problems.
(4) Perform consultations for nonsurgical services to address problems pertaining to general internal medicine.
Transfers:
We are not a transfer service--occasionally the other teams are not clear on this. For transfers:
- Medicine inpatient service: Must contact the Medicine F attending from 8 am to 11 pm and the inpatient chief medical resident from 11 pm to 8 am.
- MICU: Evaluated by the MICU pulmonary fellow.
- SICU: The primary surgical service should contact the SICU service for transfer.
Level of involvement:
Students
Welcome to the Medicine Consult Service! We are delighted to work with you. Medical students are expected to see and evaluate at least one preoperative patient per clinic day, preferably a patient who will have his or her surgery during the time that you are on the service. You will follow your inpatients until they are discharged and review your assessments and plans with your attending.
