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Intern Orientation 2012

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

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Intern Orientation 2012

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  1. Intern Orientation 2012

  2. Welcome • Dr. Richard Walsh • Chair, Department of Medicine • Chief of Medicine, UH • Dr. Robert Bonomo • Vice Chair for VA • Chief of Medicine, VA

  3. 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 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 Program Leaders/Administration

  4. Morgan Oberle UH Hiloni Bhavsar Ambulatory Brandon Kellie VA Dana Angelini Pt Safety Gigi Gaudiano Med-Peds Most Importantly: Chief Residents

  5. Q 3 month rotation (except MP) UH 31250 VA 31533 Ambulatory 31529 Med-Peds 36672 Patient Safety and Quality 36644 Chiefs…..

  6. Who are you? • 34 Categorical IM • 5 Med-Peds • 6 IM Prelims • 12 Neurology Prelims • 12 Anesthesia Interns

  7. 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

  8. 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…..

  9. 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

  10. 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

  11. Patient Care Medical Knowledge Practice Based Learning and Improvement Communication Professionalism Systems Based Practice ACGME Competencies

  12. 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

  13. 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

  14. 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)

  15. 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

  16. 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

  17. 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

  18. 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

  19. Email all communication from the residency, hospital GME office, etc. will be touhhs.com or UHhospitals.org mail.uhhs.com; outlook Patient related emails- UH or VA only!! HIPPA Switch dates/block schedule Misc. Stuff Clinic Maternity/Paternity leave Vacations

  20. 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

  21. 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-

  22. Misc. • Computer resources • Core Library • Dress Code • Intern Orientation Handbook

  23. 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

  24. 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-up Knowing Where Your Limits Are Asking “Why?” *As I said………….Expect to Work Hard ... AND HAVE FUN!

  25. Intern orientation…

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