Minneapolis VA Health Care System
Clearly, the Minneapolis VA Health Care System (MVAHCS) is one of the largest and loveliest VA hospitals around. We offer a unique experience that is an integral part of Internal Medicine residency training at the U of MN. Here, the majority of patients are elderly males, but many are surprised to learn we have a comprehensive women’s health center on site. At the VA, you will have ample opportunity to fine-tune your clinical skills and treat “bread and butter” medical diseases. However, one must also be able to recognize and treat the zebras, since we are the tertiary referral center for patients in the Veterans Integrated Service Network (VISN) 23, which includes 390,000 square miles across the states of Minnesota, North and South Dakota, Nebraska, and portions of Illinois, Wisconsin, Kansas, Missouri, and Wyoming.
MVAHCS: a beautiful spacious facility which cares for our Minnesota veterans and also serves as a tertiary referral base for other VA medical centers in the Midwest. Because of this, you will see bread and butter medicine as well as a few “zebras”. Residents especially enjoy the state of the art cardiology service, where teaching and patient care are top notch. Residents have a great amount of autonomy while rotating through the VA on both inpatient and consultant services.
Inpatient services at the VA consist of 5 general medicine teams, 2 cardiology teams, and 1 MICU team, plus a medicine night float resident and a cardiology night float team.
- General Medicine Teams: Consist of 1 senior resident, 1 intern, and 1 third-year medical student. We have a night float system, so the teams rotate through an admission cycle, either taking early or late admissions. The night float resident provides cross cover and alternates admissions at night with the night float cardiology residence and our licensed house physician.
- Cardiology Teams: Consist of 1 senior resident and 1 intern. The teams alternate admissions every other day. The night float team is responsible for overnight cardiology and MICU admissions as well as cross cover on the cardiology and MICU teams.
- Medical ICU Team: Cares for critically ill patients and consists of 1 senior resident, 1 intern, and 1 fourth year medical student. The ICU is a closed unit for medicine, but open unit for Cardiology teams (i.e. the Cardiology team currently cares for their own patients requiring ICU level care). The MICU admits during the day Monday through Friday and in the morning on the weekends. Cross-coverage is provided by the cardiology night float team.
|8:15 - 9:00 AM||Morning Report||Morning Report||Morning Report||Morning Report||Morning Report|
|Noon||Core Curriculum||Core Curriculum||Morbidity and Mortality||Research Conference||Grand Rounds|
Morning Report consists of multiple different styles including:
- A classic Morning Report led by chief residents consisting of a rare diagnosis, important differential, or unusual presentation of disease
- Radiology Rounds led by the head of radiology
- Salt and Water rounds led by a nephrologist
- Ventilator rounds led by one of our pulmonary/critical care staff
- Ambulatory Morning Report highlighting diagnosis and treatment in the outpatient setting
- Medical Student Morning Report led by a group of medical students currently on wards
- Journal Club led by one of our consult residents and attending by one or more of our staff physicians in the area being discussed