Massachusetts General Hospital | Department of Medicine
MGH Medical Housestaff 2006

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Inpatient Medicine | Intensive Care Units

The Medical Service covers two Intensive Care Units (ICUs) with a total of 34 intensive care beds and a Step-Down Unit (SDU) with 35 beds. ICU rotations provide house officers with broad exposure to the acute management of life-threatening medical illnesses through hands-on experience with ample supervision by fellows and attending physicians.

Medical Intensive Care Unit (MICU)

Two teams staff the Blake 7 Medical Intensive Care Unit (MICU) which has 18 beds and serves as the primary care unit for critically ill non-cardiac patients. Interns take call in 16 hour shifts overnight supervised by junior residents who take 14 hour call shifts every fourth night. The teams are made up by 1 senior resident, 2 junior residents and 3 Interns. Senior residents supervise the teams but do not take overnight call. The teams have a pulmonary-critical care fellow and attending assigned to them for supervision and education. Overnight there is a teaching senior resident as well as an overnight Intensivist to supervise admissions and help care for acutely ill patients. Rounds in the MICU are team based and nurses are integral in patient care and rounds.

Composition of a MICU Team

Interns (PGY-1)Juniors (PGY-2)Seniors (PGY-3)Pulmonary/CC FellowAttending Physician

Coronary Care Unit (CCU)

The Ellison 9 Coronary Care Unit (CCU) has 16 beds and serves as the major unit for critically ill cardiac patients. Junior residents take overnight call every fourth night. A day intern or an additional junior works with the 4 junior residents to help with admissions and procedures without taking call overnight. An overnight cardiology junior night float resident is present to assist the junior resident overnight and a dedicated Cardiology ICU Senior teaching resident is also available for supervision and education in both the CCU and the SDU overnight. The MICU patients who are admitted to the CCU are staffed by an Intensivist who rounds with the Team daily ate set times. Patient care rounds are held in the CCU seven days a week and a lecture series focusing on cardiac and critical care topics is given Monday-Friday before rounds every morning.

Composition of a CCU Team

Interns (PGY-1)Juniors (PGY-2)Seniors (PGY-3)Cardiology FellowAttending Physician

Step Down Unit (SDU)

The Ellison 10 SDU has 35 beds and primarily serves as a unit for monitoring and treatment of cardiac arrhythmias. Junior residents follow individual patient lists and take overnight call every fifth night. Residents on call arrive at noon and leave at noon the following day. A short call resident assists the on-call resident with admissions and patient care. Teaching rounds are held five days a week followed by a lecture focusing on topics related to cardiac arrhythmias and ischemic heart disease.

Composition of a SDU Team

Juniors (PGY-2)Seniors (PGY-3)Attending Physician

For more information about other inpatient rotations, please click on the following page links below:

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