Core training in hospital medicine occurs on the inpatient general pediatric service in the Hoop’s Family Children’s Hospital at Cabell Huntington Hospital. Our hospital inpatient service is busy and growing. We have a 25 bed pediatric unit with 1716 admissions per year and an average daily census of 15.8. Census numbers during busy winter months peak around 36. Hoops Family Children’s Hospital has a 10 bed PICU, a 36 bed NICU and a recently developed child advocacy center. There are 2600 annual deliveries resulting in a busy newborn nursery service as well as a neonatal therapeutic unit for infants with neonatal abstinence syndrome.