06.06.2016

SummaHealth/NEOMEDInternalMedicineClerkship

Welcome!

We’regladyou’rehere!

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“Firstsaytoyourselfwhatyouwouldbe;andthendowhatyouhavetodo.”

—Epictetus

1. NoRules!• Why?

2. NoGuilt

Rules

Drs.MooreandAlbainy

Eachstudentwillbeassignedonedirectorastheiradvisorformid-rotationandend-of-rotationfeedbacks.

Wearehereforyou!Don’tbeastranger!

Directors

PerNEOMED,youmusthonortheShelfExamtoachievehonorsfortheClerkship.

Thegradethatreallymatters?

Grades

CallSchedules

Shouldbeoffoneweekenddayperweek.Youlikelywillbeoffbothweekenddayswhenyouareonsubspecialty.EveryoneisofftheweekendbeforetheShelfExam.

ChangingSchedules-Donotchangescheduleswithstudentsonotherteams.

MissedDays-MustletStaci,Dr.Moore,andNEOMEDknow.Youmustalsoletyourclinicalteamknow.

Schedules

• ResidentNoonConference

• StudentGroupSessions—Participate!

• NoonSessionswithDr.Moore

• StudentPresentations• Shareaboutsomethingmeaningfultoyou.Thisisatimetogettoknoweachother.

• It’salsoachancetopracticeteaching/presenting

Conferences

• Mustcompletethiscomponentoftheclerkship!

• Researchaclinicalquestionyourteamhas,analyzeastudy,andpresentthefindingstoyourteam.

• HaveyourresidentorattendingfilloutyourevaluationformandhandintoStaci.

PBLIProject(PPICO)

• InternalMedicineCenter• Attend6halfdayafternoonsessionswhileonMedTeam(oneperweek).

• Attendwithoneoftheresidentsonyourteam.• Thereisnevermorethan1studentwitharesident.• Shouldseeandbeinvolvedwithatleast2patientseachhalfday.

• Ideally,youwillseesomepatientsyouhaveseeninthehospitalforhospitalfollowups,butyoucanseeanypatient

• Electives• Attendoutpatientasdirectedbyyourteam

AmbulatoryExperiences

• PleasecompleteperNEOMED’spolicy

• Onecasetocompleteanddiscussasagroupthefirstweek(eachneedtosubmitindividually).

• 18TotalCasesneedtobecompleted,including:• IMCase5(Fatigue)• IMCase20(HIV)• IMCase30(DVT)• PedsCase16(DM1/DKA)• CultureinHealthCase1(SeizureDisorder)

• Dothemearly!

Aquifer(Simple)Cases

1. PerNEOMED,mustpurchaseandcompleteonepracticesubjectexampriortomid-clerkshipmeetingwithsitedirectorandsharetheresultsatthemid-pointfeedback.

2. Itisstronglyrecommendedtotakethesecondpracticetestatleastoneweekpriortotheendoftheclerkshipforselfassessmentandfocusingstudy.

NBMESubjectExam

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• DoasmanyH+Psasyoucan.ThisisthetrueskillofanInternist.

• ReviewyouH+Pswithyourresidentsandattendings.Activelyaskforfeedback.

• Printoffandturnin6H+Psand2SOAPnotesbytheduedate.

H+Ps

1. 12EKGStobecompletedandturnedinbyduedate.2. ThesewillbegiventoyouafterDr.Moore’s2ndEKGlecture

3. Showyouwork.DoallthestepsandthenwritedownasummarystatementoftheEKG.

EKGAssignment

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• Ifyouencounteragreatcaseconsiderwritingitupforpresentation.

• Askyourteamtohelp.I’malsousuallyhappytohelpaswell.

Presentations

1. DutyhoursshouldNEVERbeviolated.2. Pleaseinformme,Dr.Albainy,orStaciWestrenifyouaregoingtobreakdutyhoursandleaveworkbeforeyoudo.Don’treturnsoonerthanthemandatedtimeoffinbetweenshifts.

3. Dutyhoursviolations1. Morethan80hoursperweekaveragedovera4weekperiod2. Lessthanonedayoffinsevenaveragedoverafourweekperiod

3. Shiftlastinglongerthan24hours+4hoursforeducationorcontinuityofcare(nonewpatients)

4. Lessthan14hoursoffafter24hourshiftorlessthan8hoursoffinbetweenallothershifts

DutyHours

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CSEP-AreastoFocusOn

• PrescriptionWriting(41%)

• AdmissionOrders(41%)

• RectalExam(41%)

• EKGReading(46%)

• CageQuestionnaire(49%)

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1. Designedtohaveyouexperienceandrecognizeabnormalfindings.

2. Bringtomid-pointandfinalevaluation.3. Grouptextsworkgreat—sharethefindings!4. MustuploadcompletedPassporttoAIMSM3Siteatendofclerkship.

IMClerkshipPassport

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1. Ifyouaretiredorfatiguedpleasedonotattempttodrivehome.Callroomsareavailableforsleepingoraridecanbearrangedforyou.PleasecontactmeorStaciWestrenorDr.Moore.Ifwearenotavailable,pleasecontactprotectiveservices.

Fatigue

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1. YoushouldneverbemistreatedbyanyonehereatSumma.Ifanyone—anattending,resident,staffmember,patient,oranyoneelsemistreatsyoupleasecontactmeimmediatelyandnotifyNEOMED.

2. MyCell:419-571-5530

Mistreatment

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• Yougetoutwhatyouputin• Youareourcolleague—don’tshadow,beengaged.• Yourworkcounts,youmakeadifference.• Findwaystohelpyourpatientsandyourteam.Makeyourselfindispensable.

• Don’tlettheresidentsalwayssendyouhomeortobed—makeyourselfsousefultheywon’twantto.

TipsforaGreatRotation

• Thepatientiswhywearehere—alwaysactinthebestinterestofthepatient.

• Takecareofeachother—PartofaFamily• Weareallheretogrowasphysiciansandpeople—workhard.Let’sgrowtogether.

GuidingPrinciples