A Day in the Life:
A look at the facilities our residents rotate to and what a typical day for them looks like at each.
The Internal Medicine – New Orleans Residency Program serves a diverse group of patients with a wide range of medical and social issues. Residents in our program experience pathology that others can only read about in textbooks. At University Medical Center, we typically see underinsured and underserved patients, while at Touro Infirmary and Ochsner Medical Center-Kenner, we care for a mix of private, insured and uninsured patients. Click the videos below to hear from our residents about a typical day at each rotation site.
University Medical Center New Orleans
In August 2015, we relocated our primary teaching location to the newly built, state-of-the-art University Medical Center of New Orleans. UMCNO is a massive, $1.3-billion, 446 bed, Level I Trauma Center located across the street from the LSUHSC campus. Residents rotate on wards services in teams of three (one senior resident with two interns) with call shifts every fourth night. Subspecialty rotations include Gastroenterology, Nephrology, Rheumatology, Endocrine, Infectious Diseases, Pulmonary, Hematology/Oncology, Palliative Medicine and Cardiology. UMCNO is the primary site of our outpatient clinics. Categorical residents rotate through our dedicated Medical ICU, providing a strong background in caring for critically ill patients. Residents attend outpatient medicine continuity clinic one morning per week. Noon report is held Monday-Thursday and all residents attend Medicine Grand Rounds on Friday.
Ochsner Medical Center - Kenner
Ochsner Medical Center - Kenner is a private institution where our Hospitalist Medicine Group (all LSU faculty) admits Medicare and private patients. Rotations here give residents the opportunity to see how medicine is practiced in a facility more geared towards privately-insured patients. Care is provided in conjunction with social workers and case managers. Average monthly admits are between four and eight per night. Kenner has an "open" ICU policy. Subspecialty rotations include Infectious Diseases, Gastroenterology, Pulmonology and Geriatrics. Morning report is held daily.
LSU residents run a Medicine service for self-pay and Medicaid patients. Touro Infirmary provides an opportunity to rotate outside the Charity system. Since Hurricane Katrina, the patient volume has consistently remained high, with an average of 120-140 admits each month or between four and eight admits per night for the Hospital Medicine service. Touro also has an "open" ICU policy. Residents rotate with LSU faculty at this facility and attend morning reports run by the Director of Internal Medicine at Touro, Dr. John Amoss, who also serves as the team physician for the New Orleans Saints.
History of Charity Hospital
In 1856, a group of New Orleans physicians founded a new medical school, the New Orleans School of Medicine, located at the corner of Common Street (now Tulane Avenue) and Villere Street, opposite the gates of Charity Hospital.
Their leader was Erasmus Darwin Fenner (1807-1866); Fenner and his faculty introduced the clinical clerkship to America. Their medical students were required to interview and examine patients daily at Charity Hospital, to keep a written record of their observations from patients’ admission through discharge, and to present their findings regularly to their professors. The introduction of the clinical clerkship was truly revolutionary at the time and gained for the New Orleans School of Medicine a national reputation for innovation.
The New Orleans School of Medicine was the predecessor of the Louisiana State University School of Medicine. Prior to Hurricane Katrina, our two campuses, University Hospital and Charity Hospital served nearly 1.3 million citizens.
Both the faculty and residents are committed to Dr. Fenner’s spirit of innovative progress and service to the citizens of New Orleans. Resident education remains a priority on the wards and in our conferences.