Northwestern Memorial Hospital
Our inpatient medical service goals have led us to implement online inpatient notes and orders. Universal access to patient charts and ordering inside and outside the hospital has yielded significant enhancements in patient safety and medical care efficiency. A highly extensive collection of online references is also available to assist in clinical decision making. In fact, Northwestern Memorial Hospital was recently named one of America's "100 Most Wired" hospitals by Hospitals & Health Networks. The ability to access charts and resources from anywhere in the hospital, wirelessly, from call rooms and from home has made this a success.
Northwestern remains a center for tertiary care exposing residents to patients with rare pathology. The hospital also exists in one of the busiest urban areas in the country providing exposure to all of the 'bread and butter' medical conditions. Northwestern is committed to community service, dedicated to indigent health care and provides more charity care than any private hospital in the Chicagoland area.
The Northwestern Service
Resident physicians are assigned to this service. Each team is comprised of a single attending physician, one PGY-2 or PGY-3 resident, two PGY-1 residents and medical students. Residents present new cases to the attending at the bedside on morning rounds. Northwestern service teams cover all patients admitted to three 30-bed units at Northwestern Memorial Hospital.
Geographic localization of patients allows for close working relationships between resident physicians, nurses, social workers and discharge planners. This team approach to patient care is a highlight of the residency program. Structured Interdisciplinary Rounds occur daily. At this session, all members of the healthcare team meet to ensure that all healthcare providers share the same mental model and goals of care for each patient.
A new multidisciplinary conference series was recently created at NMH. Physicians, nurses, social workers and other staff members came together for Interdisciplinary Medical Grand Rounds. Topics include readmissions in patients who are medically nonadherent. Facilitated by Kevin O'Leary, Associate Chair for Quality of the Department of Medicine, this forum is available for quality management and improvement incorporating patient perspectives into care coordination.
Attending physicians are selected to teach on the inpatient medicine service based upon prior teaching evaluations and expertise in inpatient medicine. Patient demographics extend to all ages, socioeconomic status, ethnicities and medical conditions making the teaching comprehensive. The Northwestern Service affords residents the opportunity to provide clinical care for conditions which are complex, acute and intellectually stimulating.
Residents gain tremendous experience and education on one month inpatient subspeciality rotations including Cardiology, Heme/Onc and Hepatology. Team structures remain the same as on the general medicine services but with a subspecialist attending. These services remain a core feature of the curriculum.
Jesse Brown and West Side Veteran's Affairs Hospitals
The residency program and medical school are affiliated with the Chicago Veteran's Affairs Hospital system. This consists of the Westside Location and the Lakeside Location on the Northwestern campus. The Northwestern Medical Service at the VA consists of over 100 beds including those in the CCU and MICU. The Northwestern medical service at the VA has approximately 4,000 annual admissions to the medical service, and all medical subspecialty services are available, including cardiac catheterization and percutaneous transluminal coronary angioplasty. The VA maintains one of the premier electronic health records and allows for nationally recognized patient safety and quality improvement initiatives.
While inpatient services occur at the Westside facility, approximately three miles from the main campus, outpatient activities occur at the Lakeside facility which is adjacent to Northwestern Memorial Hospital and the Feinberg School of Medicine. Shuttle service is every 30 minutes between campuses and takes less than 15 minutes. The VA experience provides outstanding exposure to urban healthcare.
Residents gain tremendous experience and education on one month inpatient subspeciality rotations.