Residents split their training between Wichita's three major hospitals: Ascension Via Christi St. Francis, Wesley Medical Center and the Robert J. Dole VA. These are the busiest hospitals in the state and collectively comprise around 1,200 staffed beds, with over 50,000 inpatient admissions a year. Med/Peds residents complete 24 months of Internal Medicine. Ten of these involve rounding on the general medicine service, with the rest being divided between subspecialty electives, critical care, emergency room and ambulatory rotations. Internship in Medicine is nine months, after which senior resident duties begin. Rounding teams typically consist of an attending physician, senior resident, one or two interns, a pharmacist, sub-intern, two medical students, and pharmacy residents and students as well. Daily census numbers typically vary from 15 to 25, averaging around 16-18 a day. Interns are responsible for the day-to-day management of their patients, while seniors have a supervisory and educational role, and are responsible for every patient on the service.
There are no sub-specialty wards, so general medical patients feature a wide variety of pathology, presentations, and levels of acuity. With the exception of the VA, all adult intensive care units are open, meaning residents continue to follow and manage their patients - with appropriate subspecialist assistance - from admission to discharge, regardless of where they are in the hospital. Residents also perform any common procedures their patients need. Call while on inpatient services usually averages every 5th to 6th night. Ambulatory care experience consists of a half-day of medicine clinic every other week (alternating weekly with pediatrics clinic) while on general wards, and a half-day every week while on electives and other rotations. There are also dedicated ambulatory care months which feature exposure to many different aspects of outpatient medicine, and a month spent handling all acute care clinic visits at the residency clinic.