Sunnybrook CTU JMR Orientation
Mario Corrado PGY4
Sunnybrook Chief Medical Resident 2026-2027
Cell: 514-708-0114 Pager: 4727
Office – D416B
Join the Block 2 WhatsApp group and text Mario (514-708-0114) if you haven’t already!!
Introductions
Please pick up your CTU Team Lanyard!
Outline
GIM @ Sunnybrook
GIM Teams Structure
C4
C6
C4
D2
4 Clinical Teaching Units
Staff physician +/- Junior Attending
Senior resident (2 per block – 2 weeks)
2-3 Junior residents (GIM + off service)
2-3 Medical students
D407 (1324)
Back of C6 (4321)
Back of C4 (4947)
D240 (1530)
Non-CTU Teams
C6
K3E
K3E
Silver Team – Short Stay Unit + Flex offload
Orange Team – Hospitalist Team
Purple Team – Family Practice Team
Level 1 Beds
C4
C4
If you have concerns with these patients, or there are any admissions/transfers, INVOLVE YOUR SMR!
NEW as of March 2026: New start HFNC or BiPAP on patients who are full code are EXCLUDED (i.e., cannot come to a L1 bed)
GIM Allied Health Professionals
Teaching on GIM
| Monday | Tuesday | Wednesday | Thursday | Friday |
9-945AM | GIM Orientation (1st Monday) Morning Report | Morning Report | Morning Report | QI Rounds (FKA M&M) or Special topic (wellness, equity etc.) | Level-specific Morning Rounds |
12-1PM | | | Grand Rounds *no rounds July-September | | |
+Team-based teaching
Post-call residents excused!
Attendance at Morning Report is mandatory. You are highly encouraged and expected to attend all noon rounds as well
Logistics
How to Get Here
Where to go, what to wear
Call Rooms
Room # | Occupant | Passcode |
C844b | C8 lounge | Keycard access |
C845b | SMR (ED resident) | 543 |
C845c | Resident Yellow | 251 |
C845d | Resident Green | 243 |
C845e | Resident Blue | 421 |
C845f | Resident Red | 8456 |
C856a | MCR | 524 |
C856b | CNG | 253 |
D407 | Blue team room | 1324 |
D416 | Door outside CMR and James’ office | 2145 |
D477 | D4 resident lounge | 2351 |
D470 | Med consults meeting room | James has key |
Backup/home call
Communication
Dragon Dictation
Download PowerMic Mobile
Click on the appropriate link:
Apple Powermic Mobile link: dmic://config_?NmsToken=NTMxOTk1RjktRDUxRS00NjVELUI1NjMtRjA4RkUxMDRCMTNF&NmsBaseUrl=nms-ca.nuancehdp.com
Android Powermic Mobile link: http://config_/?NmsToken=NTMxOTk1RjktRDUxRS00NjVELUI1NjMtRjA4RkUxMDRCMTNF&NmsBaseUrl=nms-ca.nuancehdp.com
Create a new profile (first name.last name as in your Sunnybrook email)
Add auto-texts (for templates) if you wish
Food and Drink
Pearl – download HeyChef app to order ahead
Daytime Ward Processes
GIM as a Junior Resident
8:00-9:45AM | Morning report, review cases, team teaching + handover |
9:45-10:00AM | Patient care |
10:15-10:30AM | Bullet rounds |
10:30-12:00PM | Patient care |
12:00-1:00PM | Lunch +/- GIM Rounds |
1:00-2:30PM | Patient care |
2:30-4:00PM | Review patients (“run the list”), team teaching |
4:00-5:00PM | Finish up notes and outstanding tasks |
+/- attend all Code Blues if on call that night
Documentation
Documentation
Documentation Pearls
Order Entry
*MRI forms now have to be filled out electronically (form on Linktree) and then printed + faxed
When admitting overnight, please try to do as much order entry on the computer as possible!
“EPR” Orders
Order Entry
Reviewing Medications
Medication Reconciliation
Mandatory for all inpatients!
What is it? A way to reconcile in-hospital medications with home medications, based on the BPMH taken by the pharmacy team
Who can do it? Anybody on the team (including medical students - must save as draft + review with resident/staff). Ask your pharmacist for help!
How to do it?
When looking at team list on Sunnycare, look for red exclamation marks and click on them
Complete the med rec (decide what to continue, what to hold, re-order missing home meds) - see next slide
Sign and print - and place in patient’s chart in Orders section to flag to nurse (copy sent to pharmacy automatically)
Medication Reconciliation
Patient Communication Tools
*MANDATORY* Buddy Badge System on D2 and C6
Current units:
Expectations on E-monitored units
1. Scan QR code at kiosk upon entry to unit
•Personal code (registered staff)
•Generic code (guest staff)
2.Provide patient care
•Green light confirms clean
•Buzzing signals moment missed (in future)
3.Return badge to kiosk when leaving
Consults
a consult before calling!
Rad Onc consults
Addictions consults: page 2389
On weekends, all subspecialty consults for GIM patients go directly to the fellow/staff (not MCR)
Geriatrics consults
Rapid Response Team (call 5555)
If ANY uncertainty at all or unable to reach Rapid, just call a Code Blue
Procedures
Want to get in touch with (Interventional) Radiology? Access the schedule here:
Discharging Patients
Post-DC Rapid Referral Clinic
*Patients seen in RRC must be reviewed with staff prior to leaving*
Special note for Geriatrics referrals: Please ensure the referral includes complete details including staff doctor’s name, extension and fax number, otherwise it will not be booked!
Bridging Care Clinic
The DFCM has a new clinic in B1 where they are seeing patients without a family doctor that are discharged from hospital (within 1-3 weeks) for:
How to refer: Fill out and fax referral form. The PAA will call the patient with their appt date and time.
*See Dragon Dictation Templates in CMR Link Tree for what to copy/paste into DC summary!
Criteria:
Redirecting GIM Patients to KMH (New 2026)
Starting July 2026, a patient could be redirected from Sunnybrook ED to KMH Cardiology/GIM Clinic if ALL are met:
Redirecting GIM Patients to KMH (New 2026)
Patient could be redirected to from Sunnybrook ED to KMH Cardiology-GIM Clinic if ALL the inclusion criteria are met, and NONE of the exclusion criteria is met:
SMR can approach the PAA in the ED who can book a follow up directly at KMH (after reviewing with staff)
Feedback while on CTU, subspecialty, and life
Overnight On Call Processes
GIM as a Junior Resident
5:00PM | Overnight call starts |
6:00PM | Night meeting @ Second Cup– SMR, JMRs, CC3/4s, Orange Fellow, MCR |
5:00-~6:00AM | See and review overnight consults with the SMR |
5:00-8:00AM | Manage overnight ward issues |
~7:00-10:00AM | Review new admissions with Attending Staff |
Overnight Responsibilities
Call Team
GIM as a Junior Resident
Weekends
ED Basics
Green Zone
Monitored stretcher area
Continuous monitoring possible
Rooms 14-28
Blue Zone
Monitored stretcher area
Continuous monitoring possible
Rooms 1-12
Orange Zone
“Ambulatory” medical patients
NO continuous monitoring
Rooms 29-38
Purple Zone
“Minor” patients�EENT, extremity and skin issues
Rooms 39-47
*Colours have no association with GIM Teams!
Consult room in hallway between Blue 2 and Blue 3!
JMR Responsibilities
Completing Consults
Internal Medicine Consult Note Structure:
Approaching Your Overnight Consults – Workflow
Admitting Patients
A Note on Paper Orders
Delirium Order Sets
Fill out a delirium order set!
Created with input from our geriatrics team based on Choosing Wisely recommendations
Includes:
Investigations (metabolic work-up, imaging, etc.)
Non-pharmacologic management
Pharmacologic management
Available on C4, C6, D2, and in ER (blue and green zone)
L1 Transfers Overnight
Example scenario: Red team patient needs a L1 bed, open L1 bed under Blue team, Green team staff is staff is on call
Steps:
Reminder that all ins/outs of L1 should be discussed with on call staff!
Reviewing Consults in the Morning
https://sunnynet.ca/Default.aspx?cid=124366&lang=1
https://sunnybrook.ca/content/?page=dept-med-div-geri-senior-friendly-antipsychotics
Contact: Lynne. Downey @ Sunnybrook.ca
Vague Language | Specific Language |
agitated | “person leaning over bedrail, voice getting louder” |
aggressive | “ while being assisted to a standing position patient pulled PT’s hair” |
confused | “ unable to recognize family members “ |
Antimicrobial Stewardship
Thrombosis Resources
Code Blues
Code Blue
Code blue pager
SENIOR
Handover at D416 alcove at 8am (9 am on weekends/holidays) and 5pm
JUNIOR
There is a SBK Code Pager WhatsApp group that Mario will update every month to facilitate smooth transfers for SMR pager
All cardiopulmonary arrests are protected
(i.e., droplet + contact precautions + N95 mask).
No CPR/AGMP = routine precautions.
Code Blue Locations
*Must go through Ground Floor to get to F- and T-wing!
Cover all units and wings of main building except ICU/ED (ABCDEFHUMST)
A separate team (ICU) covers K-wing
Info on dedicated “second Code Blue” team coming soon
Tracheostomy Decannulation
•The complete Sunnybrook Decannulation drill for patients with tracheostomies can be found here on Sunnynet.
GIM JMR FAQs
Who do I ask for help?
Do I go to Morning Report post call?
Do I do subspecialty (EX: Respirology) call?
What does back up call mean?
Illness and Support
What if I feel unwell?
Want to debrief/need support?
Have questions or concerns about something that happened on-call?
Make a mistake or wonder if something should have been done differently?
It happens to all of us!
No matter how big or small, come find your friendly CMR to chat ☺
Key Contacts
Site Director: Kevin Singh
416-689-8215 kevin.singh@sunnybrook.ca
CMR: Mario Corrado
514-708-0114 Chiefresident@Sunnybrook.ca
Education Coordinator: James LeBlanc
Key Resources
Sunnybrook LinkTree - updated schedules, call guides and resources for current block
Remote Access to Sunnynet:
https://sunnybrook.ca/content/?page=staff
GIM Teaching Schedule
Antimicrobial Recommendations
https://sunnybrook.ca/content/?page=antimicrobial-stewardship-treatment-guidelines
Questions?
Come say hi and grab snacks, D416B