|  The
Firm System
MSU
organizes its general medicine inpatient and outpatient services
into a "Firm" system. A "Firm" consists
of a group of residents and faculty that function as a cooperative
group practice throughout the 3 years of training. The Firm
system enhances the continuity of care of patients in and
out of the hospital. There are two large Firm Teams: White
and Green (the MSU colors). The White and Green Teams are
further divided into 3 clinic teams, forming a total of 6
resident clinics, each with 5 residents.
Each
resident clinic team works together as an ambulatory group
practice. Whenever possible, a member of each clinic team
is assigned to the inpatient general medicine service, so
that continuity clinic patients requiring admission can be
cared for by a team colleague in the hospital.
While
assigned to the inpatient general medicine wards, residents
work with their White or Green Team colleagues, in order to
maintain continuity of patient care and to build strong collegial
relationships. Because these general medicine wards are cared
for with the Firm structure, the inpatient ward rotations
are also called "Firm rotations." 
The inpatient Firm rotation rounding groups are therefore
composed of representatives from the resident clinic groups.
Inpatient Firm rounding groups consist of:
- 1
attending
- 1
PGY-2 or PGY-3
- 2
PGY-1
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