Internal Medicine Resident Handbook

Last Revision: 06/30/2021

Contents
Wards 3
General Guidelines 3
Admission and transfer rules: 4
Interns 5
Seniors 5
Case management rounds and Discharge Planning Huddle 5
Call Days 6
Sub-Intern Team 7
24-hour Weekend Call 7
Wards – Scenarios 8
ICU/CCU 9
Interns 10
Seniors 10
Consult Resident 10
Night Float 11
Outpatient 12
Electives 13
General Guidelines 13
Jeopardy 13
Ambulatory 14
Cardiology 15
Emergency Department 17
Endocrinology 18
Gastroenterology 19

1
 Geriatrics 20
Heme/Onc 21
Infectious Disease 22
Medical Consult Resident (Intern) 23
Nephrology 24
Neurology 25
Pulmonology 26
Rheumatology 27
Unique Orders 28
Covering Chief 28
Miscellaneous 29
Dragon 30
Addresses 31
Maps – Lounge 32
Maps – 2N 33
Maps – 3N 34
Maps – 5N 35
Maps – 6N 36
Maps – MICU 37
Our pagers 38
Phone Numbers and pagers 39
Plans for the future updates: 44

2
Wards

General Guidelines

● “New Patient” definition

o defined as “any patient that you complete an H&P” or
o any new patient that was assigned to your team during the morning signouts
o Any patient that you received, that has not been followed up by your team the day prior
(Transfer patient)
● “Transfer patient”:
o patient that has been transferred to a different floor or from a different team (ie: ICU
downgrade; transfer from from 5N to 6N; transfer from surgery team as primary to
medicine etc.) and is now under the care of a new team
● Patient Distribution
o geographical distribution (Telemetry: 3N, 5N – General Medicine: 2N, 6N)
▪ patients should be divided evenly amongst teams in the morning
o latest time the call team may assign a floor team a patient
▪ weekdays: noon
▪ weekends/holidays: 10:00am
● Sign-outs
o Weekdays: 3:30pm
o Weekends: 11:00am
o https://sinaichicago.sharepoint.com/teams/depts/imresidents/Sign%20Outs/Forms/AllI
tems.aspx?viewid=e2b6d013%2D8f81%2D4190%2Daea5%2D41f579e4d257
● Off Days will be averaged 1 per 7 days (average)
● Working hours
o no more than 80 hours per week
o at least 14 hours off post 24-hour call
● Log all duty hours in MyEvaluations (www.myevaluations.com)
● Notes
o Progress notes must be written for every new patient and transfer
o If patient is new and does not have H&P note done, then H&P note should be opened.

3
Admission and transfer rules:
● Observation Patients
o All observation patients during the day should be admitted by the Family Medicine team
or Hospitalists if FM is capped.
o Overnight you can admit observation patient.
● MSU Patients
o All MSU admissions from ER or transfer of patients to MSU from floors will be either
under MICU team or IM team as primary.
▪ Ex: if primary attending is FM, Lawndale or Dr. Bhagavan, the IM team will take
over patient care
o After the downgrade from MSU to TELE or GMF, previous primary attending will
continue to follow this patient
▪ Ex: Lawndale patients downgraded from MICU/MSU to telemetry/GMF, should
be endorsed to Lawndale physician
● Lawndale patients:
o If patient was seen by Lawndale team during previous hospitalization or has PCP at
Lawndale Christian, patient should be admitted to Lawndale physician
● Dr. Bhagavan’s patients:
o Dr Bhagavan’s ER unassigned call every Monday 7 am to 12 noon and every Tuesday 12
noon to 5 pm.
o Patients with Dr. Bhagavan as PCP or patients discharged by him, who need readmission
within 30 days should be admitted to his service.
o Unassigned patients discharged from his service beyond 30 days of discharge should be
admitted to IM service.
o Dr. Bhagavan’s patients downgraded from MICU/MSU to telementry/GMF, should be
endorsed to Dr. Bhagavan if they were admitted under Dr. Bhagavan within this
admission
● Family medicine patients –patients who are seeing these PCP, should be admitted to FM service
only or by the hospitalist if FM is capped:
o Dr Michael Malone: SMG South State Clinic
o Dr Tessa Qualkinbush, South State
o Dr Laura Niiro: SMG Cicero
o Mr Josue Nunez: FNP Cicero
o Ms Colleen Grandowski: FNP Pilsen Convenient Care
o Ms Brenda Ruiz: FNP Pilsen Convenient Care
o Dr Tariq Butt, FP @ Access
o Dr Cullen Salad, FP @ Access Madison
o Dr. Pilvi Innola @Access Sinai
o Dr. Sukhveer Wahi @Access
o Dr. Sara Saraband @SMG
o Dr Teresa Cvengros @Access Sinai
o Dr Yacob Gawo @Access Sinai
o Dr Kenneth Bretts @FM Clinic Access at La Villita
o Dr Daniela Dittmar @SMG Antillas
o Dr Dennys Vera @ SMG

4
Interns
I. PGY-1 number of new admissions in 24 hours is 5.
II. The maximum number of patients that will be followed in a non-emergent basis on general
medicine ward or consultative service (aka: intern cap)
● 10 patients

Seniors
I. PGY-2/3 number of new admissions in 24 hours is 10
II. The maximum number of patients that will be followed in a non-emergent basis on general
medicine ward or consultative services (aka: senior cap)
● 20 patients

Case management rounds and Discharge Planning Huddle

 Seniors (interns when senior is off) need to round with case manager every day at 10.00 AM for
5N and 6N teams and 10.30 AM for 3N teams. Please call, based on their assignment list.
To get the most recent list, you can email Eraida Musa to request one Eraida.Musa@sinai.org
(Ext-5211, pager 16391)

 Also you need to call for Discharge Planning Huddle at 2.30 PM Monday- Friday and 11.00 AM
on weekends. Phone 773-475-4778 Call ID: 8841675
Only patients who is planning to be discharged the next day must be discussed there.

5
Call Days
● Call Days are every 5th day
● Cross-coverage begins once teams sign-out
● Team responsible for responding to codes (code blue, code triage) and rapid responses.
● Intern 1: 2,3,6N pager (26597) and responding to all pages
● Intern 2: holds 5N pager (26956)
 ask senior for assistance if unsure of proper management
● Intern cap: 5 new patients
● Senior cap: 20 total (includes all new patients and transfers)
● Clinic
○ if your call day falls on the same day as your assigned primary care clinic, you will be
responsible for rescheduling your clinic day at least 1 week in advance
● Latest time the on-call team may be assigned a new patient or transfer: 5:45 pm
● Maximum of 2 patients may be assigned between 5:30-5:45 pm
● Code Blue / Rapid Response - the on-call senior is responsible for writing the “Code Blue” and
“Rapid Response Note”
● Intern Responsibilities during RRT:
○ bring computer to room (or ask a medical student); quickly and efficiently review
patient’s history, labs and medications; provide information to senior running the RRT;
place orders instructed by senior running the RRT
● Intern Responsibilities during a Code Blue - be ready to do CPR.

6
Sub-Intern Team
● Admitting cap: 10 patients
● Zero sub-I students: team cap 16 patients
● One sub-I student: team cap 18 patients
● Two or more sub-I students: team cap 20 patients
o Please note: if you lose your subi students (ie: end of rotation) and you begin the next
work day with >16 patients, you will continue to follow all of your patients but will not
be allowed to take any new patients until you have a census <16.

24-hour Weekend Call

● Shift is from 7am to 6-7am the following day

○ please note, you will not be required to round with your attending the morning after the
end of your 24h call day
● Senior staying overnight must personally keep track of their own new admissions during the
hours of 6am – 6pm.
● Their personal cap in 24h is 10 new patients (even if senior’s team capped with 20 patients, but
Less than 10 new patients were admitted, senior still can see patents at night)
○ Example:
 During a call day, the sub-i team admits 8 new patients from 6am – 6pm.
 The 24h senior’s personal number of new admissions would be 4 (because the
new admissions should be divided evenly during the day)
 Therefore, the 24h senior would be able to see 6 new patients
● If the 24-hour senior caps prior to beginning the 6pm-6am night shift, they will be mandated to
hold to the 5N cross coverage pager in order to alleviate the workload of the other night senior.
The other night senior will be responsible for the entire 10 + 2 patient load that evening.
● Senior will be required to attend all code blue and rapid response events

7
Wards – Scenarios
● What do you do if a resident calls jeopardy but there is adequate coverage for that day?
Meaning, 1 senior and 2 interns are scheduled to work, then 1 intern calls in sick/jeopardy? -
must count towards a “day off” and not as a PTO day
○ If resident does not have any days off left in the month, then they may use PTO

● MICU downgrade/transfer rules (bold lettering identifies team responsible for patient care)
○ if the patient is downgraded and still in ED? IM on-call team
○ if the patient is downgraded and still in MSU? IM on-call team
○ if the patient is downgraded and still in SICU? stays with MICU until they leave the SICU
○ if the patient is downgraded and still in SICU2 (surgical step down)? IM on-call team
○ COVID exceptions - all MICU downgrades, regardless of location (ie: ED, MSU, SICU), go
directly to the on-call team

● If a patient is admitted by the night team and remains in the ED until noon, who sees the
patient? IM on-call team
○ If the same patient mentioned above remains in the ED for 24+ hours, they will be
redistributed to the next on-call team at noon
■ example: patient is admitted on Tuesday at 2am and is located in the ED
without an assigned bed. At noon on Tuesday, the patient will be assigned to
the on-call team (Red Team, for example). If the patient remains in the ED
without an assigned bed by Wednesday at noon, then the next on-call team will
be responsible for the care of the patient (White team, for example). The Red
team would not follow the patient. This rule continues to repeat until patient is
assigned a bed.
■ Patients with admit order and waiting in ED at 7 am every morning will be
reviewed by on call hospitalist to downgrade or transfer patient to nonteaching
service. These patients may be assigned to midlevel provider who starts shift at
7 am and 8:30 am. Any complex patients should stay on teaching service. On call
Hospitalist to decide.

8
ICU/CCU
General Guidelines

● Hours: 6am-6pm or 6pm-6am

● Latest time to receive a new patient
o Day team: 5:00pm
o Night team: 5:00am
o for the safety and care of the patient, residents should still attempt to manage basic
patient care until the on-coming team arrives (ie: place admission orders, abx, labs, etc)
● Exchange lines (Femoral to IJ) at earliest possible but use your clinical judgment
● Remove foley catheters as soon as possible
● Documentation of lines should include date of central line placement and indication
● Endorse patients when they are physically leaving the unit
o Must have downgrade/transfer note addendum to the note
o Must document who you endorsed patient to (attending and resident)
● Endorsements
o Transfer Notes - (see Survival Series Book #2)
o Acceptance Notes - (see Survival Series Book #2)
● Please see the attached gdrive document for the resident ICU/CCU handbook
o https://drive.google.com/open?id=0B_v8I50leOY4Wkh4b093bG9vb2M

Attendings
Dr. Faisal Amdani 847-217-2717
Dr. Devon Paul 919-475-0716
Dr. Juan Villegas 248-506-5169
Dr. Joseph Rosman 847-721-3817

Passcodes
Call Room Code 9874
Conference Room Code 3214
Back Elevator Entry Code 234
Nurses Room 369
Fridge/Patient Food Room 508
Medicine/Supplies Room 939
RT room 357

9
Interns
● Responsible for daily notes (max. 6 patients)
● Responsible for sign-outs and placing orders
● Interns may voluntarily begin seeing ICU consults under the following conditions:
o only during their 2nd month of ICU
o only while working the night shift
o maximum of 1 patient per night
o must be under the supervision of the ICU senior resident
▪ This will allow the intern to gain experience while transitioning into a senior, as
well as provide appropriate care for the patients.
Seniors
● Discuss with Attending/ED and Nursing Staff on what patients are most critical that need to be
transferred (from the floor) or admitted from ED based on clinical status.
● Nursing Supervisor: 6582 / 4799

Consult Resident
● Pager: 26613
● Responsible for the care of all MICU boarders or MICU overflow (ie: patients in ED, SICU, MSU)
● Overall Responsibilities
o responding to all RRTs and Code Blues outside of the unit
o answering ICU consults from the ED or floors
o evaluate patients and decide whether or not they meet MICU admission criteria
▪ discuss with ICU attending before accepting or rejecting patients for admission
o If accepting a patient
▪ decide bed assignment and coordinate with bed coordinator/nursing supervisor
▪ call MICU and let the charge nurse aware and secretary aware of the admission;
if unable to do so yourself, they or the team can update the board for you under
the “admissions” section
▪ if admitting an admission from ED - write H&P
▪ if accepting a patient from the floor (such as RRT or a IM consult) - write Critical
Care Consult Note
o if rejecting a patient
▪ write Critical Care Consult Note
▪ notify the ED or primary team attending
▪ provide brief recommendations of general management in your note
● ie: admission to MSU/tele, start IVF, trend trops, etc.
● Daily Responsibilities
o write daily progress notes for boarders and MICU overflow
o updating Boarders sign-out for night team
▪ if patient is still in ED, must include them in sign-outs as well
o assist the senior resident on call in managing RRT
o assist the MICU team with management of patients inside the unit if time permits

10
Night Float
● Hours: 6pm – 6am
● Latest time one may be assigned a new patient or transfer: 5:00am
● Night team should not admit FM patients, however can admit observation patients that will be
followed the next day by floor team.
● Must stay until all patients have been assigned and signed out to a morning team
o If a patient remains in the Emergency Room, they should be signed out (briefly) to the
incoming call team / senior on-call
● Dividing Patients
o patients should be divided in a fair order in an alternating pattern
▪ ie: no resident should be given multiple patients at one time; only exception is
the 24h weekend senior may see multiple patients early in order to sleep
● Seniors
o 10 new admissions + 2 downgrades
o One senior will carry the Medicine Call pager (16333) and the other senior the 5N pager
(26956)
o Addend intern notes, excluding downgrades (for at least the first 6 months)
o Respond to all code blues/rapid responses and write RRT/Code Blue Note
o Update “Night Float” signout list located on Sinai Net
o On weekends, you will be responsible to cover Medicine Consult Resident (intern)
patients, which will count towards the cap (please verify with your attending prior to
seeing a patient in case they wish to see them on their own)
● Interns
o 4 new admissions + 1 downgrade
o If more than 1 downgrade, each extra one will count as an “admit” towards your cap
o Responsibilities during RRT:
▪ bring computer to room (or ask a medical student); quickly and efficiently
review patient’s history, labs and medications; provide information to senior
running the RRT; place orders instructed by senior running the RRT
o During a Code Blue, be ready to do CPR.
o Responsible for carrying the 2,3,6N pager (26597) and responding to all pages
▪ ask senior for assistance if unsure of proper management

● Days Off
o Interns: Friday evening
o Seniors: Saturday for senior 1; Sunday for senior 2
o Medical Students
▪ All students are off on Saturday and Sunday
▪ For the rest of the week, they will each be scheduled 1 day off (Mon-Fri)
● At least one medical student should be scheduled to work every
weekday. Meaning, all students are not allowed to take off the same
day (ie: every student taking Friday off - not allowed)

11
Outpatient
General Guidelines

● Required to attend your primary care clinic on the following rotations:

o Electives
o Medicine Consult (intern)
o Ambulatory
o Emergency Medicine
o Geriatrics
o Wards
▪ if you are on call the same day of your clinic, you must contact your attending
and reschedule your clinic at least 1 week in advance

● Excused from clinic during the following rotations:

o MICU
o Night Float

● PGY1 Required to attend primary clinic once per week

● PGY2 and PGY 3 Required to attend your primary care clinic twice per week

12
Electives

General Guidelines
● Patient Cap
o seniors: 15 (maximum of 7 new consults per day)
o interns: 10 (maximum of 5 new consults per day)
● Sick Leave
o If a resident calls in sick on an “elective rotation” then that Resident can take an extra
call day on a weekend or work with elective attending on the weekend to make up for
the lost day
● Holidays
o If on an elective service or Medicine Consult (intern), you will not be required to work
the following holidays:
▪ New Years Day
▪ Memorial Day
▪ Independence Day (July 4th)
▪ Labor Day
▪ Thanksgiving Day
▪ Christmas Day

Jeopardy
● Both interns and seniors will be assigned to Jeopardy when they are on elective or ambulatory
blocks.
● The number of days will depend on the availability of residents on electives/ambulatory
rotation.
● Jeopardy schedule will be send to you every month by chief resident
● During that backup time, they are expected to:
o Keep their pager and/or mobile phone 24-hours a day. No exceptions (for example, at
the gym, running, etc).
o Be accessible by phone if pager is not available or they prefer to use the mobile phone
(as long as the chief resident has updated contact information – this is the responsibility
of the resident/intern to keep the data accurate).
o Be available to come into the hospital within 30 minutes, 24-hours a day.
o Not be out of town for any reason.
o Make no additional definitive plans as they may be called in.
o Only can call Jeopardy 3 times per year (any extra will be taken out of vacation/PTO)

13
Ambulatory

● Residents are required to go to their normally scheduled primary care outpatient clinic and will
be excused from their rotation for that time period.
● Residents are not required to attend morning report or noon conference. However, they are
encouraged to do so if allowed by their attending.

14
Cardiology
Morning Afternoon
Monday Inpatient Rounds Inpatient Rounds
8:30-12:00 1:00-3/3:30
Tuesday Inpatient Rounds Inpatient Rounds
8:30-12:00 1:00-3/3:30
Wednesday Inpatient Rounds Inpatient Rounds
8:30-12:00 1:00-3/3:30
Thursday Inpatient Rounds Inpatient Rounds
8:30-12:00 1:00-3/3:30
Friday Inpatient Rounds Inpatient Rounds
8:30-12:00 1:00-3/3:30
Sat/Sun Off Off

Attendings
Dr. Benatar – quick bedside rounds, pertinent information only; will spend rest of time teaching
Dr. Kovacs – may round anytime from 11:00 – 1:00pm, sometimes later if she is stuck in cath lab
Dr. Ibrahim – tends to round early, around 8:00/9:00am ; then again in late morning/early afternoon

Cardiology Attendings and Fellows

Dr. Daniel Benatar (Attending) 19489 (5084)
Dr. Zeina Ibrahim (Attending) 29055 (6406)
Dr. Mihaela Stancu (Electrophysiology Attending) 16813 (2720)
Dr. Serge Singh (Interventional Fellow) 19061
Dr. Khalid Al-Khafaji (Chief Fellow) 16309
Dr. Zoe Ortega 16193
Dr. Rahul Bhardwaj 19028
Dr. Bobby Diniotis 19015
Dr. Neha Patel 29034
Dr. Murtaza Mirza 19691
Dr. Gaurav Sharma 29398
Dr. Esteffania Villegas 16055
Dr. Anand Trivedi 26674
Dr. Evan Sternberg 16614
Dr. Rakesh Doshetty 19955
Dr. Kerlous Shehata 19117
Dr. Ali Hamoudi 16359
Dr. Alex Huh 26832

Hints/Tips
Meet with cardiology fellow every morning in the 6th floor cardiology department (L629)
Patients will be assigned to you by the cardio fellow, which you will write notes and continue to follow
Review telemetry monitor for all of your patients
Basic Knowledge Expectations: CHF management, EKG, Telemetry, Arrhythmias

15
Cardiology Outpatient Clinics Cardiologist Walk-in Clinic Days Walk-in Times
SMG Cardiology Clinic IBRAHIM Tuesday 8 am-11 am
SCI Building 1 pm-3 pm
2653 W Ogden
Wednesday 1 pm-3 pm

SMG Cardiology Clinic KOVACS Wednesday 1 pm-3 pm

SCI Building
2653 W Ogden
Friday 8 am-11 am

SMG Cardiology Clinic AZIZ Thursday 8 am-11 am

SCI Building
2653 W Ogden

ACCESS at Sinai BENATAR Friday 8 am

16
Emergency Department
General Guidelines

● Please email Dr. Jaime Moreno (Jaime.Moreno@sinai.org) 3-4 weeks prior to the beginning of
the rotation and provide the following information:
o Clinic Day (you must go to your clinic)
o Requested days off
● You will need to coordinate a day to complete orientation with Dr. Moreno before the start of
the rotation
● Total Shifts: 16 (subject to change)
Color Indication
Red To be seen
Maroon/Brown To be seen (screened by check-in PA or RN)
Blue Admit – Full Admission
Purple Admit – Observation
Green Discharged or Deceased

Area Code
Medicine Side Room 11-23
Trauma Side Room 1-10, 24-25
Medicine Carts 6241 ENTER
Bathroom (by room 14-16) 456
Physician’s Lounge 456
Phone Number (Medicine Side) 1941
Ultrasound Room 2771
Storage room 369

Helpful Hints
Paging Spanish: dial “2222” -> “19102#” -> “6241 (star) (room number)#
Answering a call on hold: dial “ (star) 9 (number/number/number/number)
Example: to answer a call holding on line five, dial *95555
Family Medicine Patient: page the attending first, then page the FM Senior On-call Resident (26656)

17
Endocrinology

Team
 Dr. Butler (2weeks).
 Dr. Havrylyan ( 2 weeks)
 Meet with Endocrine Fellow room (9th floor, room L-926) no 8 am, distributing new
patients.

Dr. Butler: (630-651-4618)

 Phone round with fellow on 9th floor , usually around 2:30 pm.
 Not requires to see consults at Schwab.

Dr. Havrylyan (847-924-7431)

 Rounds usually around 10:30 -11:00.
 For any new consult after 12:00pm, will round at 2:30-3:00 pm.

Notes:
 New Patient: MSH Endocrinology Consult
 Old Patient: Endocrinology progress note- O

Information about clinic schedule will be updated after resolution of COVID changes.

18
Gastroenterology

Morning Afternoon
Monday Inpatient Consults Inpatient Consults
8:30-12:00pm 1:00-5/6:00pm
Tuesday OR - Endoscopy/Colonoscopy Inpatient Consults
1:00-5/6:00pm
Wednesday Inpatient Consults Inpatient Consults
8:30-12:00pm 1:00-5/6:00pm
Thursday Inpatient Consults Inpatient Consults
8:30-12:00pm 1:00-5/6:00pm
Friday OR - Endoscopy/Colonoscopy Inpatient Consults
1:00-5/6:00pm
Sat/Sun Off Off

Attending/ Nurse Practitioner

Tedra Grey (NP) 773-844-0231/ 16255
Dr. Benjamin Levy 404-375-5991// office 6552
Dr. Daniel Berger 16494
Dr. Ali Haider 16297
Dr. Adelina Hung 16248
Dr. Alva 708-303-8343

Helpful Hints
Outpatient clinic location – Schwab Outpatient Clinic (first floor)
Inpatient rounds – speak with Tedra (NP) regarding new consults and divide them accordingly.
Notes will be hand-written in the chart, but students will likely open notes via Meditech
Endoscopy/Colonoscopy will be optional
Endoscopy Suite Keypad Code: #404
Endoscopy Lab on K-200, entrance by the secretary’s desk
The main way to communicate with them is via text. When Tedra is present, the main communication is
with her. She assigns you patients and tells you when rounds are, etc.

19
Geriatrics
Morning Afternoon
Monday Inpatient consults Inpatient consults
Geriatrics/ Palliative Geriatrics/ Palliative
@8:30 - with Dr. Valek with Dr. Valek
Tuesday Week 1-2 Inpatient consults
Speech Pathology Geriatrics/ Palliative
@8:30 – noon with Dr. Valek
Jennifer Elisco
(pager 16713 or Room F412)

Week 3-4
Audiology
Todd Sheldon
(3rd Floor – K344)

Wednesday Inpatient consults Inpatient consults

Geriatrics/ Palliative Geriatrics/ Palliative
with Dr. Valek with Dr. Valek
Thursday Geriatric Medicine Outpatient Clinic
@ 8:30 am
With Dr. Dennys Vera
773 384 4933
309 W Armitage
(every other week)
Friday Week 1-2 Inpatient consults
Wound Care Rounds Geriatrics/ Palliative
@8:30 – 11:00am with Dr. Valek
Mary Sandrik RN (1-9417)
End of Submit Geriatrics curriculum
rotation questions from MKSAP (the end of
rotation) – to Dr. Verda

Residents MUST attend their primary care clinic twice a week

Inpatient geriatric/palliative consults: cap of 3 new consults a day with teaching rounds with attending,
follow up on established patients if needed

20
Heme/Onc
 Arrive at 08:30am, text NP and divide new consults with NP.
 Generally, Attendings will round with the team between 11am-12pm or after finishing with
clinic.
 Attendings rotate every week.
 Once a Week there is Tumor Board (Every Thursdays from 12pm-1pm). You are expected to
attend this while you are rotating in Hem/onc.

Helpful Hints
Check for new consults at 8-8.30, then text NP and divide accordingly
Then, text the medical students and assign them patients
Afterwards, personally round on your own and start notes
Note template (for both new and old patients): Hematology/Oncology Note *
For any hematologic abnormalities (Thrombocytopenia, Anemia) - Call x 6784 or x6785 and ask the
technician to pull (if manual differential on CBC done) or make a peripheral smear for that patient.
Usually takes up to 30 minutes
 To pick up the slide - Hematology lab is situated in the 11th floor Kurtzon
building. Take a Right after you come off the elevator and it’s the room in front
of you
 It is recommended that you pick up the slide before you present your case to
the attending physician.

CLINICS
 Outpatient Clinics is run daily Monday through Friday (usually From 9am to 2pm)
 As soon as you have rounded on your patients, you are expected to come to the Clinic and see
patients with the Attending Physician
 If you see a chart outside of the door, this means the patient is ready to be seen. Ask one of the
Medical Assistants if it’s ok for you to go see this patient.

Contact Information
Christina Brennan, APN 872-220-5896.
Pager 19592; Office: 2663 (Office L438)
Afsheen Gulamhussain, APN Pager 29635; Office: 4117 (Office L438)
Dr. Pam Khosla Pager 19101
Dr. Jaya Sharma Pager 16969
Dr. Mohammed Kassem Pager 26623
Dr. Mohamad Ayoubi Pager 29630

Other useful numbers

Hem/Onc Clinic 2257 /2680
Reception area for Appointments 6120
Infusion Center Oncology 4108/2612
Radiation Oncology 6505
Bone Marrow Tech 6784/6783

21
Infectious Disease

Helpful Hints
At 8:00am – Text NP Sarah and meet with her to divide patient
Rounds will vary pending on attending for that week attending
You will be expected to write notes for both new consults and progress notes on existing patients that
you’ve been assigned/following

Contact Information
Dr. Lisa Russell 6468
Dr. Nancy Glick 5442
Dr. Sunita Mohapatra 6828
NP – Sarah Argentine 419-276-0252

22
Medical Consult Resident (Intern)
● Responsible to hold consult pager 16388
● Hours: 8AM-5PM (Mon-Fri)
● On weekends, consult patients will be seen by hospitalist.
● Consult resident does not see psychiatry consults
● Consult resident does not admit new patients by if floor teams are capped

● Patient Census:
o Cap - 10 patients total (new - 5)
o Latest time to receive new patients: 3:00pm.

● Consult requests
o Endorsement from overnight team
o Search for new consults via Meditech - Responsible for those labeled “HOSPITALIST” under
Consult Physician (ie; not responsible if it says “Bhagavan” or “Mohiuddin” etc)

● How to search for new consults:

o Log-in to Meditech -> 1.Live -> 1.SHS Admissions Live--> facility box pops up and type “.” ->
Click 87.ConsultOrderList(IP only) -> type desired dates (usually yesterday till current day)
and then “MED” for consult type -> type “VIEW” under to print option

● Rounding
o New consult: Round with on-call hospitalist
o Follow up patients: Round with the attending who you rounded with on the day of consult

● Sign-outs
o Update sign-outs and sign out to the senior resident on call
o https://sinaichicago.sharepoint.com/teams/depts/imresidents/Sign%20Outs/Forms/AllItem
s.aspx?viewid=e2b6d013%2D8f81%2D4190%2Daea5%2D41f579e4d257

● Miscellaneous
o If/when time allotted, encouraged to “shadow” MICU consult senior
o At your free time, try to keep our Lounge clean
o If transitioning from night shift to medicine consult resident, you will be required to see your
patients and round with attending. You should be done with your work (ie: notes, rounds,
etc.) and dismissed by no later than 10:00am
o Remember that we all work together and should help each other, so if you are not busy and
overwhelmed, it is ok to help ICU team, call team or attending with procedures or
admissions, even though it is not mandatory for you.

23
Nephrology

The expectations for nephrology rotation are:

1. Resident should be in the hospital at 6 am to look for new consults, start reviewing patients'
charts and communicate with primary team if they missed any recommendation (tests or
imaging studies to be ordered or medications changes).
2. Usually at 8-8.30 am: all nephrologists and residents meet on 5th floor to quickly round on
entire list of patients. Attending predominantly speak, but may ask residents for some
updates/info as well
3. Round will depend on the attending and her/his clinic schedule so resident should communicate
with the attending. Sometimes, team has to do more than one round for critically ill patients.
4. For every new consult, resident should review the chart thoroughly, get history from patient
directly (without depending on the H&P of primary or night team), doing a proper physical exam
and present it systemically with a proper assessment/plan and clinical reasoning. Resident has
to get H&P form patient and not from primary team.
5. Work day will end by 4 pm if there is no any new consult. At 4 pm, the resident should check for
new consult and if there is no any new consult, resident still can not leave the hospital without
communicating with nephrologist on service. If there is any new consult, resident will stay after
4 pm till sees the new consult(s).
6. During rotation, resident should study some common topics in nephrology; Sodium Disorders,
Potassium Disorders, AKI, CKD, ESRD, Diuretics and Volume Management.
7. Primary team should call the attending on service about any new consult even though the
consult was placed by night team.

Attendings/Hours/Notes
Dr. Georges (847)532-2320 –do not need to write progress notes; expected to write new consult notes;
Usually round at 8am and at 1pm
Dr. Ahmed – usually round at 8am, typically excuse early; may or may not need to write any notes (ask)
Dr. Serrano (224)558-0616 – hours vary; expected to write all notes (progress + new consults)
Dr. Kovacevic (754)242-2727 – hours vary; write most notes (progress + new consults), she will divide
them after rounds

24
Neurology

 Meet with NP at 9.00-9.30 in Neurology Office: 5th floor Kurtzon building – Room K582, for
patient distribution.
 Rounding with Dr. Ahmed around 9:30-10:00 AM in Neurology office
 Dr. Nadkarni usually rounds at 1.30 - 2pm over the phone
 Cynthia is in clinic on Mondays, you will be responsible for all new consults

Contact Information

Dr. Ahmed Sohail – 708 516 7791

Dr. Nadkarni 630 605 5903
Dr. Orozco – 312-505-2505 ( on weekends usually)
Cynthia Travis, NP – 773-501-9471

25
Pulmonology
Helpful Hints
Reach Pulmonology Fellow before elective for schedule clarification
Pulmonology Fellow Room – K522
Clinic takes place at Schwab Rehabilitation Hospital

Inpatient rounds Depends on attending:

With Dr. Paul rounds usually at 9, then he ask you to come to the clinic every day.
With Dr. Beard – rounds at 9 in his office, then you review pathology in the lab, then bedside rounds.
With Dr. Behal – rounds can be early at 9 and at 11 and you can usually leave after noon conference.

You see new consults and continue to follow them. Usually Pulmonology Fellow assign patients to
you.

Contact Information
Dr. Behal – 773-220-1348
Dr. Beard – 312-209-1207
Dr. Paul – 919-475-0716
Pulm. Fellow Belal - 646-706-2199
Pulm. Fellow Clifford Hecht – 765-914-0899

26
Rheumatology

Morning Afternoon
Monday Outpatient Clinic (C1300) Outpatient Clinic (C1300)
8:30 - noon 1:00 – 3:30/4:30
Tuesday Outpatient Clinic (C1300) Outpatient Clinic (C1300)
8:30 - noon 1:00 – 3:30/4:30
Wednesday Outpatient Clinic (C1300) Outpatient Clinic (C1300)
8:30 - noon 1:00 – 3:30/4:30
Thursday Outpatient Clinic (C1300) Outpatient Clinic (C1300)
8:30 - noon 1:00 – 3:30/4:30
Friday Outpatient Clinic (C1300) Consults – meet at Outpatient Clinic (C1300)
8:30 - noon 1:00 – 3:30/4:30
Sat/Sun Off Off

Contact Information
Dr. Serafin Chua 16737
Dr. Juan Schmukler 312-459-6672
Carmen Murillo, NP 630-247-1200
Rheumatology Clinic 773-257-6859 / 773-257-6601

Helpful Tips
Second Thursday of the Month: you will be assigned a topic by Dr. Chua to present for noon conference
on the second Thursday of the month. There will be specific guidelines that Dr. Chua will request and he
will review your presentation a few days prior to provide further recommendations.
Presentation Guidelines: provide 4-5 questions to begin the presentation (ie: MKSAP, UWorld, etc.).
During the presentation, you begin by reading the questions aloud (without the answers). Then,
proceed to present your topic. Lastly, you will end the presentation by answering the initial questions.

27
Unique Orders
Test to order Meditech name of test
Walk test RT Exercise Oximetry
DME Nursing Cons – INPT
Tagged RBC Scan NM GI Bleed
Brain Perfusion Scan NM Brain Spect
NM Brain Image Vasc Flow Only
Hypoglycemia Management Hypoglycemia (Category: Provider Order Management)
KUB Abdomen 1 View
Abdominal XR (post- NG tube) Chest 1 View Post Enteric Tube (RAD)
Prescription Opiates State Review IL PMP Report Inquiry (POM)
ABI (ankle brachial index) Vas Art Dop Low Ext Full BIL

Covering Chief
● Covering Chief Duties
o must be reachable by phone and/or pager during the entirety of their coverage
o responsible for managing and contacting residents in light of jeopardy coverage
o first one to be contacted in light of issues on the wards, ICU, night float, etc.
o taking attendance for morning report, noon conference, or any other scheduled lecture
● Non-urgent Matters
o All non-urgent matters to be emailed to the regular chief during business hours and will
be addressed upon their return

28
Miscellaneous
● Forwarding Pages
o enter paging system --> click [COM CTRL] --> under the top arrow, by default it says
GUEST GUEST; click the drag down arrow next to it and select the pager that you wish to
be changed --> then, select the pager you'd like to forward calls to under the FORWARD
MESSAGE TO tab

● Looking for pager numbers using Magic Office

o Open Meditech
o Click or select “4” SHS Magic Office **LIVE**
o Click or select “22” Employee locator
o Type in corresponding name and enter

● Quick Form (application)

o Used for printing forms (ie: ambulance, DNR, consent forms)
o Username: user
o Password: user

● How to Connect TV to the Internet

1. Click “Main Box” icon on the remote, then navigate to “Web Browser”
2. Click on “Most Visited Sites” and select “Sinai Health System Page”
3. If prompted, click “Access Anyways” when asked about problem with this webpage’s
security certificate
4. Scroll to bottom of Sinai Health System Wireless Access and click “accept”
5. If prompted the 404 error, repeat steps 2-7

● Physical Exam resources

o https://stanfordmedicine25.stanford.edu/about/residenteducation.html

● Time off
o Interviews / Educational Conferences
▪ residents are given 3 extra PTO days for interviews or conferences
▪ all days used for these purposes must be requested and approved using the
“Request for Authorized Leave” form
▪ any days more will be taken out of your vacation/ PTO

29
 Dragon accounts distribution
Yellow Tan Orange Red White

IM_1 IM_2 IM_3 IM_4 IM_5

One account assigned specifically for call days to be used as an extra account by call team

Call team DMO account : IM_6

ICU Team DMO accounts

IM_7 IM_8

Night Float Team DM O accounts

IM_9 IM_10

Consult Service - El ectives

IM_11 IM_12

PowerMic Mobile set up:

1. Download Nuance PowerMic Mobile App from app store/ google play
2. Open application and accept the license agreement
3. Click on the following link on your smart phone to access the PowerMic Mobile and follow
instructions
http://powermicmobile.nuance.com/PowerMicMobile/359aa84a-29b8-4d4f-864d-
6aedd1c71739/index.html
4. Allow configuration link to be opened by PowerMic Mobile App

30
Addresses
Updated clinic addresses and phone numbers can be found at: https://sinaichicago.sharepoint.com/

Main Primary Care Physicians:

Dr. Girija Kumar

Lawndale Plaza Medical Center 1108 S. Kedzie (Monday, Tuesday, Thursday and Friday)
773-722-2712
Or SMG SCI in the Siegle Building: 2653 W. Ogden, 3rd floor (Wednesdays only)

Dr. Larissa Verda

SMG SCI in the Siegle Building: 2653 W. Ogden, 3rd floor
773-257-6840

31
Maps – Lounge

Old call rooms (codes) Important Numbers:

Room 424 – 235 Kitchen/Food supply – 257-6539 / 19156 or 16563

Room 425 – 325 Boiler room – 257-6401
Room 426 - 4026 Supply room 257-6922 / 257-7072 / 19247
Housekeeping – 257-6462 / 16714
Paper for printer – 257-2323
Linen Department 257-5148 / 19313

32
Maps – 2N

33
Maps – 3N

34
Maps – 5N

35
Maps – 6N

36
Maps – MICU

37
Our pagers
PGY1 PGY2 PGY3
Ajmal Ali 16785 Bartalula Eva 10003 Arroyave Leibe 16815
Alkhaurri Bashar 19342 Fernandez Inti 16303 Ayuby Awista 16153
Blanchard Kayla 16095 Gajurel Sabin 16305 KC Sharada 19640
Emeka-Nwonovo Chinelo 29035 Jasaraj Ranjit 16307 Khoury Mtanis 16097
Ghareebian Taleen 16148 Komissarova Irina 16311 Krutko Denis 16080
Khazhikarova Marina 16932 KC Dilip 16308 Maniam Kali 19241
Lazarev Artemii 16150 Kwatra Vishal 16314 Monahan Steven 16156
Lim Jr. Roy 16152 Reddy Vijay 16319 Okorodudu Toritseju 19067
Pirnazarov Temur 16157 Sakhuja Anuradha 16320 Raikovskii Evgenii 26769
Shrestha Dhan 16168 Tran San 16322 Ranjit Deepika 19422
Shtembari Jurgen 16159 Vitkovskaya Elizaveta 16323 Hernandez Mariana 19111
Wortsman Joshua 16163 Zbarsky Dimitri 16326 Salim Michael 19595
Wu JinJin 16166 Saxena Arunima 19531
Ajmal Ali 29066 Shah Nikita 16093
Singh Nirmal 19110
Chief Mir Wasey Ali Yadullahi 29066

Important pagers
2,3,6N 26957
5N 26956
On-call pager 16333
Medicine Consult Resident 16388
Hospitalist On-Call 16985
ICU Consult Resident 26613

38
Phone Numbers and pagers
Department Number Other
2,3,6N 26957
2N 1805
2N 6669
2N - Medical Supplies Room 1236
3N 6685
5N 6682
5N On-call pager 26956
5N Step Down 5903
5N Step Down 5904
6N 6577
Access Clinic 773-522-6110
Admitting 6564
Airconditioning 3112
Anesthesia 16152 // 6850
Appointments 773-565-3200
Appointments 4045
Appointments 4049
Bathroom - 3N 425
Becky 6552
Bed Coordinator (admissions) 6564
Bed Coordinator (actual person in charge) 1630 6886
Bed Coordinator (actual person in charge) 6586
Bed Coordinator (actual person in charge) 4799 6582
Bed Coordinator 16851
Blood Bank 6821
Cafeteria 2718 (primary)
Cafeteria 6506
Cardio Fellow - On-call 19061
Cardio Fellow Room 5237
Cardio Fellow Room 2463
Case Manager - Eraida 5211
Case Manager - Eraida 16391
Case Manager - Raquel 6049
Case Manager - Raquel 29544
Cath Lab - Reading 6913
Cath Lab - Scheduling 2787
CDC Illinois - Dr. Kasey Ritger 773-447-2433
CDC Illinois - NP Angela 312-746-6158
Central Scheduling 773-257-2273 773-257-4374
Central Receiving 6752 (lab) 6756 (lab)
Chemistry Lab 6804

39
Chemotherapy Department 6120
Chief of Medicine 6449
Coumadin Clinic (Access) 773-522-6100
CT scan 6503
Cardiothoracic-Surgery PA 16069
Cytology Lab 6789 6790
Diabetes Educator 5241
Dialysis - IP 6680
Dialysis - OP 6686
Dietician 3262
Echo (Fellow Reading) 2551
Echo Schedule 4279
EGD Scheduling 5274
EKG tech 4276
EKG tech (for holter monitor) 6308
EKG tech 19426
Elanda 5914
Emergency Department 6241
ENT CLINIC 773-257-6895
ENT CLINIC 773-257-6798 8AM-5PM
ENT 6625
Endocrine Fellow 26742
Family Medicine On-call (Senior) 26656
Family Medicine On-call (Junior) 26702
Fast Track - ED 6293
Fax - 3N 773-257-1741
Fax - 5N 773-257-6305
Fax - 6N 773-257-6306
Front desk 4060
GI - Dr. Levy 19886
GI - NP Tedra 16255
Gia Mack 6597
Gift of Hope 800-545-4438
Griselda (medical records) 6402
Hand Surgery - PA (Tony) 19127
Hand Surgery 16073
HAWK (transfer) 6886
HCV Navigator 6124
HCV Navigator 16464
Hematology Lab 6784
Heme Onc NP - Christina Brennan 19592
Heme/Onc Clinic 6210
HIV Navigator 6381/6129
HIV Navigator 16464/19575
Holter Monitor 4276
Home Health (Veronica) 6272
Home Health 6049
Hospitalist IM 16985
Housekeeping 16714
ICU Consult 26613
ID - Dr. Glick 19397
ID - Dr. Mohapatra 19547

40
ID - Dr. Russell 16691
ID - Outpatient Scheduling 773-522-6616
IM - Dr. Bell 2800
IM - Dr. Kumar 26784
IM - Dr. Kumar (Office) 773-722-2712
IM Resident Lounge 3719
IM Resident Lounge 4288
Infection Control 6937
IR 6999 6501
IR 6989 6502
IT 6550
Lawndale 773-652-8295 hit pound - type number - then pound
Lexiscan Reading Room 2551
Lexiscan Scheduling 6575
MANG Insurance Department 6220
Micro Lab 6765
MICU Conference Room 3720
MICU Front Desk 6400
MICU Residents Phone 3713
MRI 4786
MRI Reading 2770
Navigator - HIV Case Manager 3-1131
Navigator - HIV/PrEP 19575
Navigator - HCV 16464
Nephro - Dr. Georges 16220
Nephro - Dr. Hathiwala 26778
Nephro - Dr. Serrano 26639
Nephrology Clinic 6840
Neuro - Dr. Yadullahi 19104
Neurology/EEG 6737
Nuclear Medicine 6575
Nursing Supervisor 16521
Nursing Supervisor 6586/6587
OBGYN On-Call Resident 19550
Opthamology 6601
OR 2594
OR (board - check GI schedule) 6520
Ortho On-Call (rotating PA) 19308
Ortho - Dr. Krishna 206-883-8314
Ortho PA - Shana Johnson 26922
Pain Clinic 773-565-3250 Schwab 2nd Floor
Pathology Lab 3626
Pharmacist - Amina 2702
Pharmacist - Amulya 8289 2702
Pharmacist - Andrew D 521-8268
Pharmacist - Basi 5252
Pharmacist - Basi 8263
Pharmacist - Dallas 8264
Pharmacy Floor - 3N 8268
Pharmacy Floor - 5N 8272
Pharmacy Floor - 6N 8274
Pharmacy IP 4006

41
Pharmacy OP 6900
Phlebotomy 16091
Phlebotomy 6752
Plastics On-call 16073
Podiatry 16115
Psych - Dr. Gartel 19306
Psych - Warikoo, Jyoti 31159
PT 16154
PT 26713
PT/OT office 6515
Pulmonary Fellow 19302
Pulmonary Function Lab 6540
Pulmonary Function Lab Scheduling 5170
Rad/Onc - NP Rita Bredesen 6501? //16244
Rad/Onc - Dr. Seif 19559
Radiology (copy images) 6502
Radiology Reading Room 2770
Radiology Reading Room 6978
Radiology Reading Room 19081
Radiology Reading Room - Holy Cross
Hospital 773-884-4761
Respiratory Therapist - MICU 26715
Respiratory Therapy - Main 16520
Rheumatology Clinic 773-257-6859 773-257-6601
Russian Interpreter 19619
Scheduling 6345 773-257-4374
Schwab (Admission) 565-3050
Security 6465
Serology lab 6771
SICU 6214
SICU 6414
Social Worker - Jordon 16764
Social Worker - Nelly 16947
Social Worker - Nicki Turner 16593
Social Worker - On-call 16636
Social Worker - Rebecca 17006
Social Worker (ICU only) 16947
Spanish Interpreter (0830-1700) 16782
Spanish Interpreter (1700-0830) 19102
SPD - Supplies (OR Supplies) 3765
SPD - Supplies (Regular Supplies) 7072
Speech 6973
Speech 26713
Step Down - Surgery 4774
Storage/Materials 6922
Surgery On-call Resident 19469
Surgery Red service 29665
Surgery Blue service 29667
Surgery White Service 29668
Transfer - Northwestern 312-926-3321
Transfer - Rush 312-669-7874
Transfer - UIC 855-455-4725

42
Transport 2571
Trauma Resident On-call 16446
Ultrasound Tech 2873
Ultrasound Tech 6504 5583
Ultrasound (Inpatient) 2873
Urology On Call (Resident or NP) 16399
Urology 313-330-6949
Urology - Dr. Pagani 16025 312-929-7642
Vasc Surgery - Dr. Wanamaker 19539
Vascular Lab 2873
Vascular Lab 5583
Vascular Lab 6504
Wound Care 19417
Xray Reading 4424
Xray Tech / Xray MICU 6502
Xray Tech (pm) 16041
Xray Tech (weekend) 4291

43
Plans for the future updates:

1) Survival Series Book #2

The following information will be provided in the Survival Series Book #2

● MICU Survival Guidelines

○ Procedures
○ Gift of Hope
○ Coroner
○ Acceptance and Downgrade Notes (structure / example)

● Useful Forms
○ POLST form
○ Ambulance form
○ AMA form
○ QuickForms
● Morning Report (structure / examples)
● Journal Club (structure / examples)
● Education Stipend
● Milestones
● Yearly Requirements
○ mini-cex
○ outpatient evaluations
○ inpatient evaluations
○ semi-annual evaluations

Information that will be moved from this book to the Survival Series Book #2

● Addresses
● Phone Numbers
● Maps
● Unique Orders
● Personal Time Off
○ Interview Days
○ Education Conferences

2) Intern Survival book

● Will include Intern Survival Guidelines and Expectations, recommendation on Time mangement,
documentation

44