Cardiology:
Residents rotate through the Cardiac Intensive Care Units at both at HUP (the Cardiac Intensive Care unit) and Penn Presbyterian (the Heart and Vascular Intensive Care Unit). While each unit will have a mix of patients, each has a distinct curricular focus. At Penn Presbyterian, many HVICU patients are flown in from around the region as part of a large heart rescue program, and a focus is on ischemic heart disease. At HUP, many patients are part of the advanced heart failure and mechanical circulatory support program that coordinates with the heart transplant program.

Inpatient General Medicine:
Residents and interns participate in general medicine rotations at each of our three hospital sites, sharing the common themes of a generalist service but with distinct flavors at each site. The general medicine rotations all offer excellent opportunities for teaching core clerkship students. At HUP, the Martin teaching service (named for a former program director) cares for a broad range of patients with undifferentiated presentations under the direction of our academic hospitalist group. These patients include some patients followed by HUP specialists who are admitted for unrelated concerns, and may therefore have some more unusual diagnoses along with their active concerns. At Penn Presbyterian, the general medicine teams serve our local West Philadelphia community. Patients typically have a variety of common general medicine diagnoses, and many attendings are from our academic outpatient practices. At the VA, the general medicine services have a focus on intensive teaching, and the VA is the main home of the medicine sub-internship. We are happy to serve the veteran community from the wider Delaware Valley including those needing subspecialty care.

In addition to general medicine rotations, our residents rotate through the Acute Care of the Elderly (ACE) unit at Penn Presbyterian where they focus on caring for an inpatient geriatric population. There is a strong emphasis on interdisciplinary team management and care as part of a caregiver team on the Acute Care for the Elderly unit.

Oncology:
Residents have oncology rotations at HUP where patients are divided into teams focused on Liquid malignancies. Residents care for patients who receive cutting edge care for all types of cancers and blood-related disorders. Supervising attendings are frequently leaders of translational research initiatives that constantly advance the therapeutic options for our patients.

MICU:
The Medical Intensive Care Unit at HUP is the main site for critical care. This rotation has been our most highly rated for most of the past two decades, and is staffed by pulmonary and critical care attendings who have won many of our most prestigious teaching awards. The MICU often cares for patients receiving other advanced care (solid organ transplantation, cancer chemotherapy or immunotherapy), and features complex multidisciplinary care provided alongside fantastic nurses, clinical pharmacists, and other colleagues.

Jeopardy:
The program is fully committed to providing prompt coverage for residents who are sick or who have urgent personal or family needs. There are residents assigned as the primary full-time ‘jeopardy’ residents, able to cover for the majority of unanticipated needs. A small fraction (about 1/5) of residents on elective are also designated for “jeopardy” coverage for one of their two weeks on elective. These residents carry on with normally scheduled elective activities unless needed for urgent coverage.