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Internal Medicine Resident Quality of Life

Over the past decade, we have designed our programs to respect the quality of life and concerns of our residents. Baystate's night float system and Q4 call schedule along with intricate scheduling has assured that the work hour rules are followed and that there is a strong emphasis on work:life balance.

Night Call Schedule

Residents take overnight in-house call only in the units at Baystate for a total of six months during the 36 months of training. There are two night float systems which allow the on call R1 and R2 on the medical wards to leave at 8:00 p.m. Cross coverage is done by an R1 ward night float team. All admissions after 8:00 p.m. are admitted by the R2 night float team. With these systems, residents get an adequate amount of rest even when they are on call.

Night Float Systems

We have a very well established night float system that is designed to support our day teams and to deliver a very high level of care during the overnight hours. The floats are part of an overnight team with a dedicated hospitalist who works alongside them on both admissions and cross-coverage. This support guarantees high quality education and care. The NF team is staggered to permit the the day residents who are admitting to leave at a reasonable hour so they can be rested and prepared for the following day.

Flexibility in Scheduling

Residents have a variety of expected and unexpected family and personal needs that arise during medical training. We have been able to meet those special scheduling needs that occur as a result of childbearing, health problems, spouse career obligations or changes, and family crises. We are proud that a resident has never had to leave medical residency at Baystate as a result of financial, personal, educational, or family needs. Our residents work together with our chiefs to make certain that needs are met and this is a unique strength of our culture of community and support.

Salary and Benefits

We have attempted to maintain salaries in the 75th percentile nationally, and here in western Massachusetts, we enjoy a lower cost of living than in major urban areas. View our complete list of salaries and benefits.

Workload Limitation and Backup

We believe it is educationally limiting and medically unsafe to ask residents to care for more patients than they believe they can manage comfortably. We limit the number of admissions to interns, the total number cared for, the frequency of night call, and the number of months on call by providing conscientious faculty and resident support systems that are available 24 hours a day. We have graduated responsibilities that are competency-based to foster the development needed to both manage patients and to educate peers and patients.