| Goals: |
- Resident will gain knowledge, skills, attitudes necessary to evaluate and manage issues involving adult patients integrating patient, family and community resources
- Time management/balancing of rotation responsibilities and outpatient responsibilities
|
| Objectives: |
- Accurate history from patient, family, other sources, complete physical exam, formulate DDx, plan of treatment with referral as needed.
- Coordinate continuous care by engaging in discharge planning.
- Procedures – be able to know indications, how procedure done and perform procedure. Competency based on number and evaluation.
- Running Code
- Bone Marrow Aspiration
- ECG Interpretation
- Thoracentesis
- Paracentesis
- Endotracheal intubation
- Central Venous Pressure Monitoring and access
- Lumbar Puncture
- Nasogastric Tube Placement
- Develop attitudes and interpersonal skills
- Acceptance of responsibility
- Reliability
- Learning initiative
- Effective communication with other health professionals
- Effective communication with patient and family
- Thorough but efficient interviewing techniques
- Empathy
- Develop excellent communication between primary care physicians and consultants
- Understand different roles and information needed
- Integrate EBM application to practice
- Understand indications for and ordering of various nutrition modalities
- Various Diets
- PPN
- TPN
- Tube Feeding
|
Teaching Strategies—rotations, tactics, resources
|
| Noon Lectures |
Rotation/Cycle |
Responsible Faculty |
| EKG Basic Interpretation |
Yearly |
.. |
| Fluid Electrolytes Review |
Yearly (near beginning) |
. |
| Antibiotic Management |
. |
. |
| DM |
Yearly |
. |
| HTN |
Yearly |
. |
| Roles of FP – TPN, Tube Feeding |
1st Years |
Kruse |
|
Rotation Experiences/Activities (Items marked with * address other curriculum goals and objectives but are integrated during this rotation.)
|
 |
| Emergency Room |
- Appropriately assess, diagnose and treat patients – outpatient management and inpatient management
|
| Behavioral Science Rotation |
- Family Involvement
- Medical Legal – DNR, Surrogate
- Grief
- Telling bad news
- Approach to patient with chronic illnesses
- Loss of total wellness
|
| Nursing Home Patients |
- Long-term management of chronic illness
- Maximize patient potential and comfort
|
| Community Medicine |
- Patient resources – home care, durable medical equipment, Meals on Wheels, etc.
|
| In-training exam |
|
| Rural Medicine |
- Contrast difference in care between rural hospital & Quincy
|
| Geriatrics |
- Continuing care of hospital patients, hospital prevention strategies
- Levels of care & appropriate referral
- Skilled, supportive, rehab qualification for discharge planning
|
| Rotation Mechanics |
- Check with individual attending
- Rounding time
- Expectations
- Satisfactory rotation completion is determined by the program director in consultation with the supervising attending physician.
|
| Evaluation |
- Attending physician completes resident evaluations.
|
| Resources |
|
|
Last updated: 8/17/07
