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Objectives

Objectives. To provide knowledge required by an intern in preparation for the medical board exam To provide skills necessary for optimum patient management and care To develop relationship skills with patients and colleague s. Internal Medicine Staff.

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Objectives

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  1. Objectives • To provide knowledge required by an intern in preparation for the medical board exam • To provide skills necessary for optimum patient management and care • To develop relationship skills with patients and colleague s

  2. Internal Medicine Staff • Composed of 20 consultants and 19 residents • Chair- Rosa AllynSy, M.D., FPSEM • Training Officer- Ofelia Javellana, M.D., FPSN • External Chief Resident- Frederick Ogbac, M.D. • Internal Chief Resident- Luz Margaret Escueta, M.D.

  3. Faculty • Dra. Josierina Sarmiento, M.D., FPSN • Dra. Ofelia Javellana, M.D., FPSN • Dr. Joseph Parra, M.D., FPCMO

  4. Medicine Ward- 5th floor • ICU- 5th floor • OPD- 2nd floor of annex building

  5. 2 weeks duration of rotation per subgroup • 3 per subgroup • Medicine Ward • 5 days • ICU • 5 days • OPD • 5 days

  6. 2 per subgroup • Medicine Ward • 7-8 days • OPD • 7-8 days

  7. Schedule of duty • Time-in: 7:45 A.M. • Pre-duty • 7:45 A.M.- 5:00 P.M. • Duty • 7:45 A.M.- 8:00 A.M. • Post-duty • 8:00 A.M.-12:00 PM

  8. Day-time post

  9. Night-time post

  10. Interns will be assigned to patients admitted during the particular day that the intern is on duty • Patient’s clinical database • Progress notes

  11. Inpatient progress Notes • Subjective data> symptoms and changes in symptoms, their appearance and disappearance, and their response to therapy • Objective data> changes in and new physical signs and laboratory findings and their response to therapy • Assessments • Plan> diagnostic tests, therapeutic interventions and instructions to the patient and nursing staff

  12. Clinical cases • Hypertension • Acute coronary syndrome • Heart failure • Cerebrovascular disease • Seizure disorder • Meningitis • Diabetes mellitus • Thyroid disease • Pneumonia

  13. PTB • COPD • Bronchial asthma • Viral hepatitis • Pancreatitis • Cholecystitis • Gastroenteritis • Peptic ulcer • Liver cirrhosis

  14. Hepatic encephalopathy • Upper/lower GI bleeding • UTI • Acute and chronic renal failure • Nephritic syndrome • Viral exanthem • RA/OA/gouty arthritis • Hema/Onco

  15. Skills • IV insertion • ABG • Skin testing • IFC insertion • NGT insertion • Handwashing • Asepsis technique

  16. Hippocratic oath • I swear to fulfill, to the best of my ability and judgment, this covenant: I will respect the hard-won scientific gains of those physicians in whose steps I walk, and gladly share such knowledge as is mine with those who are to follow. • I will apply, for the benefit of the sick, all measures [that] are required, avoiding those twin traps of overtreatment and therapeutic nihilism. • I will remember that there is art to medicine as well as science, and that warmth, sympathy, and understanding may outweigh the surgeon's knife or the chemist's drug. • I will not be ashamed to say "I know not," nor will I fail to call in my colleagues when the skills of another are needed for a patient's recovery. • I will respect the privacy of my patients, for their problems are not disclosed to me that the world may know. Most especially must I tread with care in matters of life and death. If it is given to me to save a life, all thanks. But it may also be within my power to take a life; this awesome responsibility must be faced with great humbleness and awareness of my own frailty. Above all, I must not play at God. • I will remember that I do not treat a fever chart, a cancerous growth, but a sick human being, whose illness may affect the person's family and economic stability. My responsibility includes these related problems, if I am to care adequately for the sick. • I will prevent disease whenever I can, for prevention is preferable to cure. • I will remember that I remain a member of society, with special obligations to all my fellow human beings, those sound of mind and body as well as the infirm. • If I do not violate this oath, may I enjoy life and art, respected while I live and remembered with affection thereafter. May I always act so as to preserve the finest traditions of my calling and may I long experience the joy of healing those who seek my help.

  17. Thank you

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