I’ve just finished a month “on-service” as a teaching attending for a general medicine team here at GlassHospital. This means I served as the physician of record for every patient admitted to the team.
You might find it interesting to know that patients admitted to the hospital’s general medicine service get assigned to their teams by random assortment. Since there are five teams, one team takes call every fifth day. In true “general” fashion, this allows for assortative distribution of diagnoses, so that the doctors-in-training experience as much as possible over the course of their three year residencies.
I’m now a decade out of my residency, and reflecting on the distance, I find that the biggest constant in hospitals over that time is change.