Our inpatient rotations include the following:
Our ward structure at UNC is unique because each is organized by subspecialty. Subspecialists, along with general internal medicine physicians, attend the wards. While these services also care for general medicine patients, the majority of patients on the subspecialty services have diseases relevant to that discipline. Our residents learn from experts in the subspecialty fields which leads to mastery in that organ system. We feel this is the most effective way to learn medicine and engenders relationships with established faculty to promote career development.
The nephrology service cares for renal disease of all types with management including renal transplant, ESRD, ANCA vasculitis, lupus nephritis, and acute renal failure.
The pulmonary service manages pulmonary transplant, pulmonary hypertension, cystic fibrosis, bronchiectasis, COPD, pulmonary fibrosis and pleural diseases.
While on the infectious diseases team residents will care for patients with HIV, endocarditis, osteomyelitis, tuberculosis, and infections in immunocompromised hosts, among other diagnoses. Owing to our status as a referral center, we routinely care for patients with manifestations of AIDS and unusual infections.
The geriatrics service focuses on issues related to care of the elderly including syncope, dementia, delirium, infections in the elderly, medication de-escalation, and optimization of end-of-life care.
General Internal Medicine
These two services care for patients with any of the above diagnoses in addition to patients with end-stage liver disease, GI bleeds, and new diagnoses of malignancy.
This service cares for any malignant hematologic disease, predominantly leukemia and lymphoma. Residents routinely manage oncologic emergencies including blast crisis, differentiation syndrome, and neutropenic fever.
This service focuses on the complications of malignancy including neutropenic fever, uncontrolled pain, pleural effusions, ascites, chemotherapy side effects and end-of-life care.
- Med E2 Rotation Objectives (onyen log-in)
We have two cardiology services, a heart failure service, and a dedicated cardiology Intensive Care Service that manages acute coronary syndromes, advanced heart failure, heart transplant, and LVAD patients.
The Medical ICU rotation is consistently one of the most highly rated rotations among residents. On this rotation residents learn how to manage critically ill patients including ventilator management and procedural skills.
Opened in 1961 as the Memorial Hospital of Wake County, WakeMed Health and Hospitals in Raleigh, North Carolina, is a 941-bed, private, not-for-profit health system serving the population of Raleigh and surrounding communities. WakeMed exposes our residents to a complex tertiary community hospital system with stand-alone EDs, a medical staff of employed and private physicians, and a strong history and tie to the neighboring community. With just over 53,000 discharges in 2018, WakeMed also challenges resident to deliver efficient and effective medical care. Medicine residents typically spend 4-8 week each year at WakeMed and rotate though one of four general medicine teaching teams. As the region’s safety net hospital, WakeMed serves a large portion of the uninsured and underserved, which comprise a significant portion of a heterogeneous patient population on the housestaff teams. Residents also have exposure to a significant number of neurology cases, new diagnosis of malignancy, and alcohol-related disease including complicated withdrawal at WakeMed. Three of the medicine teams are composed of one resident and one intern and staffed with WakeMed hospitalist attendings. The fourth team, the Resident-Attending Service, is composed of a single resident and is designed to provide PGY2 and PGY3 residents an opportunity to practice with significant autonomy and a minimal supervisory role. WakeMed nights are staffed by a resident and intern.
There are electives available to second and third year residents at WakeMed and the surrounding community. These include a hospitalist rotation, ambulatory medicine rotations, and an ICU elective.
WakeMed’s faculty has trained UNC students and residents for over 45 years. Approximately thirty percent of the WakeMed medical staff have had some aspect of their training at UNC, and there is great loyalty and commitment to the training program. The medicine resident teaching program is led by the medicine chief resident and associate program director.
Med M is a procedure and consult service run by a second or third year resident. Consults focus on perioperative medicine and medical management of patients not on a medicine service. Med M also performs procedures including CVC placement, thoracentesis, paracentesis, lumbar punctures, joint aspiration for medicine and non-medicine services. The goals of the service are to teach consultative medicine and to learn procedures under supervision of a skilled attending.
Interns will rotate in the Observation unit and work closely with a hospitalist attending. This provides our interns with exposure to a high volume of admissions and discharges.