There are no non-teaching services at Tulane: every patient admitted to one of our three hospitals receives care from a Tulane resident who is staffed by one teaching attending. There are no private physicians barking orders without explanation to the Tulane residents. And there certainly isn’t the “follow me around and watch me write orders” shadowing on the part of our attendings. This is important, because you cannot learn medicine without being in the position of making the critical decisions for your patients. And this decision-making cannot come by proxy: you only learn the indications and contraindications for an intervention when you are responsible for the outcomes of the decision. Tulane is about autonomy: learning to make decisions and to be comfortable with that role that will define you as an internist. Tulane is about preparing yourself as a first-rate internist, prepared to handle anything and everything that comes through the door.

This is not to say that Tulane residents do not have supervision, to the contrary, we have hand-picked some of the best clinician educators in the country to serve as our teaching hospitalists. Their role, and they have been extensively trained in this role, is to provide guidance and coaching…. Not to overstep the resident’s station of primarily managing the patient.

All of the teaching services at Tulane are staffed by Teaching Hospitalists. These are individuals who attend on the wards from six to eight months per year, so they become very good in knowing the intricacies of the system, and very adept at the art of teaching residents in the context of clinical care. Furthermore, they have no afternoon obligations (e.g., a colonoscopy clinic) that prompt them to rush through morning rounds so that they can get to their clinic. The morning attending rounds are from 10 to 12 noon each day, and they are devoted to education during this time; there is no rush. In addition, they are around in the afternoon to supervise procedures, often times rounding a second time with the senior residents to do advanced level teaching and patient planning. The final benefit is that the hospitalist each staff a discharge follow-up clinic that allows the ward teams to discharge patients without the anxiety of worrying about whether the patient will be ok until their next clinic visit.

For those interested in a career in hospitalist medicine, the extensive hospitalist system provides a great opportunity to work with mentors performing hospitalist-based research: quality improvement, patient-care protocols, and systems improvement projects.

All of our Hospitalist Faculty are required to undergo a month-long formal course in medical education. In addition to having world-class clinicians as your mentors, you can count on the fact that they are also world-class educators. We are excited to have these new faculty as part of the Tulane mission for years to come.

Come be a part of the rebuilding of New Orleans and Tulane. There is no better time to redesign a healthcare system for the betterment of one of the greatest cities on earth.

For our residents, opportunities abound to participate in subspecialty rotations or research months in subspeciality labs or projects during their three to four elective months per year. Check out the subspecialty that most interests you below...

Jeffrey Wiese, MD, Residency Program Director

Eboni Price, MD, MPH, Associate Residency Program Director

Chad Miller, MD, Associate Residency Program Director

Michelle Guidry, MD

Blackwell Evans, MD

Alys Alper, MD

Mike Landry, MD

Marlow Maylin, MD

Marcia Glass, MD

David Spruill, MD

Mark Hamblin, MD

Domnica Fotino, MD

Christian Hadi, MD

Happy Menard, MD