ROTATION Details pgy-1

AnesthesiaUltrasoundEmergency MedicineMedical Intensive Care UnitObstetricsOrthopedicsTrauma ICU

 

Medical Intensive Care Unit

 

OBJECTIVES:

1.      To gain skills in the evaluation and treatment of common acute medical problems including those requiring admission to the intensive care unit (Medical knowledge, practice-based learning).

2.      To learn who requires inpatient care and why (Practice-based learning, system-based practice).

3.      To learn a rational approach to diagnosis and effective resource utilization (System-based practice).

4.      To learn ventilator management, the use of hemodynamic monitoring, and the approach to geriatric care (Medical knowledge, practice-based learning and improvement, system-based practice).

5.      To specifically manage and understand the pathophysiology of pneumonia, sepsis, renal failure, obstructive lung disease, myocardial ischemia/infarction, pulmonary embolism, CHF, liver failure, inflammatory bowel disease, GI bleeding, stroke, TIA, DKA, thyroid disease, and the principles of caring for the elderly (Medical knowledge, practice-based learning and improvement).

6.      To understand the inpatient environment and how to communicate with internists about their patients (Practice-based learning and improvement, communication skills).

DESCRIPTION OF CLINICAL EXPERIENCE

·         Each first year resident will spend two months with the internal medicine service in an ICU setting. While on-service, residents are supervised by upper-level Internal Medicine or Emergency Medicine residents and an Internal Medicine faculty attending physician.

DESCRIPTION OF DIDACTIC EXPERIENCE

·         Residents have daily attending rounds and Chief Resident Morning Report. In addition, Internal Medicine Grand Rounds occur on a weekly basis.

EVALUATION PROCESS

·         Written feedback from both upper-level Internal Medicine residents and faculty with whom the resident works.

FEEDBACK MECHANISM

·         Direct bedside feedback, written formatted rotation evaluation.

 

This rotation has been agreed to and approved by the Chairman of the Department of Internal Medicine and the Director of House Staff Training. Residents are given copies of all rotation summaries at the beginning of their PGY-1 year. Residents should use rotation summaries, formatted written rotation evaluations, and their performance on the In-service Examination to assess the rotation’s effectiveness.