Department of Medicine


Educational Goals and Objectives:

This rotation is intended to

1) Allow residents to gain experience in managing hospitalized patients independently.
2) Learn the skill to prioritize the tasks; time management and systems based practice.

The month is split between one PGY-2 resident and one PGY-3 resident. Residents on Admitting Resident Rotation typically work 15 days out of the month with maximum of three consecutive days in a row. The work shift is 8am to 8pm. Morning report attendance and participation is mandatory but didactic attendance is not required during the rotation. Residents are still required to attend their respective continuity clinic responsibilities during their admitting resident month rotation. During their respective clinic day the other resident will carry out the duties of the Admitting Resident.

  PGY 2 / PGY 3
Patient Care • The residents are to efficiently triage all admissions in the ED and work up the most critically ill patients first.
• The residents must discuss any invasive procedures with the supervising attending physician prior to obtaining consent or performing the procedure.
• The resident on call Code Blue team is expected to respond to all codes and to work with the attending ER physician in the acute resuscitation and stabilization of these patients.
Medical Knowledge • Respiratory failure, mechanical ventilation, complications of mechanical ventilation, noninvasive ventilation.
• Develop an analytic approach to clinical scenarios.
Practice-Based Learning and Improvement • Residents are allotted PBL projects during this Rotation.
• Residents will use major textbooks, review articles, and current literature to facilitate patient care.
Interpersonal and Communication Skills • The residents are responsible for supervising the interns with all of their notes and orders as well as providing assistance and supervision of cross cover issues.
Professionalism • Set a tone of respect and collegiality for the team.
• Identify ethical issues and employs available resources to solve them.
Systems-Based Practice • Understand and develop cost-effective care. The residents are expected to consult with their supervising attending physician regarding any problems that they are unfamiliar with or where there is concern regarding the diagnosis or plan of care.

Teaching Methods
1. Direct patient care
2. Directly supervised procedures
3. Faculty supervision
4. Core curriculum
5. Observed clinical examination skills
6. Reading materials and literature search

Assessment Methods – Competency Score Card:
Medical Knowledge
1. Monthly test
2. New Innovation evaluations
Patient Care
1. Procedures
2. Mini-CEX
3. New Innovation evaluations
Practice-Based Learning
1. New Innovation evaluations
2. Consultation/Literature search
System-Based Learning
1. New Innovation evaluations
1. Medical record completion
2. New Innovation evaluations
3. Dictation completeness
1. 360 evaluations
2. New Innovation evaluations
3. Transition of care (hand-off)

Assessment Methods – Competency Score Card:
Harrison's Principle of Internal Medicine

Last Updated: 3/23/15