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Intern Orientation 2012
Welcome
Dr. Richard Walsh Chair, Department of Medicine Chief of Medicine, UH
Dr. Robert Bonomo Vice Chair for VA Chief of Medicine, VA
Keith Armitage, MD Program Director
Carla Harwell, M Associate Program Director
Primary Care, Health Care Disparities, Woman’s Health
Simran Singh Associate Program Director
Ambulatory Programs, Woman’s Health
Armand Krikorian, MD Associate Program Director
Quality, Pt Safety
Lisa Arfons, MD Associate Program Director
Clinical Skills Block
Ronda Mourad, MD Associate Program Director
Ambulatory Block curriculum
Program Leaders/Administration Deena Segal
Administrative Coordination for Educational Programs
Tyler Estell, Jim Barry VA Housestaff Office
Barbara Bonfiglio UH Housestaff Office
Notary Historian Copy machine queen Amateur psychiatrist Provider of batteries
Most Importantly: Chief Residents
Morgan Oberle UH
Hiloni Bhavsar Ambulatory
Brandon Kellie VA
Dana Angelini Pt Safety
Gigi Gaudiano Med-Peds
Chiefs…..
Q 3 month rotation (except MP)
UH 31250 VA 31533 Ambulatory 31529 Med-Peds 36672 Patient Safety and
Quality 36644
Who are you?
34 Categorical IM 5 Med-Peds 6 IM Prelims 12 Neurology Prelims 12 Anesthesia Interns
Who are you?
PhD (4) MPH (5) Masters (3) Languages
Arabic, Aramaic, Russian, Macedonian, Hindi, Filipino, Ilocano, Mandarin Chinese, Konkani, French, Gujarati, Spanish, German, Taiwanese, Bengali, Thai, Sign
Who are you?
Hobbies/Interests Karate, soccer, comic books, rock climbing, volleyball,
photography, hiking, sky diving, golf, travel, cooking, movies, skiing, piano, tennis, biking, history, literature, art, jogging, yoga (6), science fiction, model building, Indian classical dance, basketball, baking, karaoke, violin, kayaking, snowboarding, singing, clarinet, London, ND football, quilting, coffee, theatre, guitar, biking, spinning, weightlifting, swimming, wood working, water skiing, building radio controlled vehicles, softball, touch football, dog rescue, meditation, keyboard, Cleveland sports, water color, technology/computers, investing, triathlons, wine tasting, racquetball, ultimate frisbee, crossword puzzles, horseback riding, auto shows, lacrosse, reef aquariums, canoeing, lawn mowing…..
The goals of internship
Learn Patient Care Supervised clinical experience 36,000,000 admissions/year
You will do about 200
Fund of Knowledge Career Goals
Subspecialty training Primary care Research Other
The ‘curriculum’ of Internship The goal- gain clinical
competence in the care of adult patients (ACGME Competencies) “the patient is the curriculum” General medicine and
specialty wards; ICU and ambulatory rotations, clinical skills block, neurology
Noon conference Other conferences
Attending rounds; walk rounds Morning report Grand Rounds Reading
ACGME Competencies
Patient Care Medical
Knowledge Practice Based
Learning and Improvement
Communication Professionalism Systems Based
Practice
Research and Elective Time
No “assigned” elective Be available 8-5, M-F; let
the Chief Resident know about other time away
Dr. Walsh, Dr. Bonomo, Program Directors and Chief Residents can assist in picking elective and research mentors
GI Elective/Jeopardy
Annual Events
Intern Mini-retreat- October/November Getting feedback on the program Professional Development
Bronson Day Holiday Party Spring Dinner – May 23, 2013 Intern Retreat- June, 2013 End of the Year Picnic- June 2013 End of Internship- June 23, 2013
Last week of June = 5th week vacation
Evaluation and Feedback:Getting and giving “Self feedback” Electronic-
www.myevaluation.com Attending feedback! Rotation and program
feedback On-going feedback
about the way things are going
Semi-annual review Doors of Program
Directors are always open (honestly)
Faculty Mentors Meet with Dr. Walsh this fall
Be on time Meet December or January with
one of the program directors Dr. Walsh, Dr. Bonomo, and
Chief Residents can help select mentors
Meeting with subspecialty directors, fellows and peers New Fellowship time line….
Picking a faculty advisor
Duty Hours 80 hour work week
Averaged over rotation 16 hours
Work flow, efficiency There will be a ‘system
learning curve’
8-10 hours out of the hospital- between periods of duty
Should leave at 9; must leave by 11
1 in 7- averaged over 28 days
Duty Hours
Monitoring Rotation evaluations Web based surveys
(program and acgme) Signout rounds with
Chief Residents and Program Directors
Each Block- one week audit via www.myevaluation.com
Duty Hours
Days off- be proactive
Please let me know if you feel you are not in compliance
Keith.Armitage@uhhs.com
kba@case.edu
Misc. StuffEmail
all communication from the residency, hospital GME office, etc. will be to uhhs.com or UHhospitals.orgmail.uhhs.com; outlook
Patient related emails- UH or VA only!! HIPPA
Switch dates/block schedule
ClinicMaternity/Paternity leaveVacations
Misc. stuff, cont
Meal tickets/swipe card
Jeopardy schedule (“safety net” for urgencies)
Step III- must be done by end of PGY2 year
Dictations- must be done the day of discharge
Misc.,Medical records
Typical daily schedule
7:15 -8 Preround- not on call day
8-10:30 Work Rounds
10:30-11:30 Morning Report (residents M,W,F; interns Th) (10-11 VA)
11-12 Attending Rounds*
12-1 Noon Conference (M&M- Tu. UH, Wd VA)
Grand Rounds, M and Ms
1-2 Attending Rounds*
2 Post call interns signout and leave
What are “pre-rounds”
Leave/Sickness-
Misc.
Computer resources Core Library Dress Code Intern Orientation
Handbook
My advice……..
Ask questions………………Know Your Limitations; Ask for Help
You NEVER have to be Alone
Learn to say “I don’t know” (don’t make it up) Have fun Always take a patient centered approach Develop Effective Time Management and
Teamwork Skills
More Take Home Points*Yes, the Schedule will may
change**Avoid Cynicism & Negativism …
They are Infectious Diseases that will Fatigue You
*Focus on:H & P's and Attentive Patient
Follow-upKnowing Where Your Limits
AreAsking “Why?”
*As I said………….Expect to Work Hard ... AND HAVE FUN!
Intern orientation…
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