FMIS Night Float: Senior

Rotation Liaision


Himabindu (Hima) Ekanadham

Goals and Objectives

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FMIS NF Overall Goals and Objectives

These are goals and objectives for the whole intern year. You are not expected to master these skills in 2 weeks. 

FMIS First Quarter Goals and Objectives

Before Rotation Begins

Get sign out on your patients from the intern before you (ie. Intern A to Intern A)

Rotation Schedule

Family Medicine Inpatient Service 1

Schedule Specifics 

Daily Schedule:

~6am  Pre-round on existing patients 

- Starting time depends on patient volume (recommended ~30min per patient)

- Get signout about overnight events from the overnight senior resident

- Review labs/vitals/telemetry, see/examine your patients

- Write “Medicine Follow-Up Free Text Note” on each of your patients. Assessments and plans should be updated daily, avoid copying forward.


8:30am  Attending Rounds*

- Notes should be complete by this time

- Overnight admissions presented by overnight senior resident

- Interns present existing patients (usually starting with day admission from previous day)


9:50am   Interdisciplinary Team (IDT) Rounds

- Present patients to social work and care coordination team and nursing focusing on discharge needs

- Ex: 60yo F presenting with SOB likely CHF, EDD to SAR in 2days pending O2 wean and PT eval

Time remaining before noon conference should be prioritized for calling consults and completing urgent patient care tasks.


Admissions: Each day 1 intern is considered the admitting intern. The admitting intern will admit 1 patient during the admission window (8:30am-5pm). The admitting intern will accept 1 additional admission if the extra patient is a “bounce-back” (patient previously on the family medicine inpatient service (FMIS) readmitted while the intern who managed/discharged the patient is still on service) or ICU transfer back to the team within 24 hours. The maximum number of admissions for the day shift is 2 patients. The admitting intern also assumes care of both overnight admissions.