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ADMITTING OFFICER
(AO)
Overview
The admitting officer (AO)
rotation exposes the resident to a wide variety of medical problems found at the
transition from emergency care to inpatient hospitalization. Residents will be
expected to accurately and efficiently perform histories, physical examination,
and synthesis of data in order to initiate appropriate diagnostic and management
plans. Residents will utilize and be evaluated in communication and clinical
skills while interfacing with patients, family, ER staff and admitting attending
staff.
The AO will be responsible for
coordinating admissions to the Hospital. They will personally perform up
to 10 admissions in a 24 hour period and distribute other admissions to
appropriate housestaff.
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Patient Care- Principle Educational Goals |
Learning Activities |
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Refine skills in history taking |
DPC, MR AR |
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Refine skills in physical examination |
DPC, MR, AR |
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Recognize common inpatient medicine problems and
generate relevant differential diagnosis |
MR, GR, AR, DPC |
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Refine skills in ordering and interpreting diagnostic
tests |
DPC, MR, AR, NC |
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Medical Knowledge -Principle Educational Goals |
Learning Activities |
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Increase clinical medical knowledge of general medical
problems as they present acutely |
NC, MR |
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Increase basic science knowledge of general medical
problems |
NC, GR |
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Demonstrate ability to find relevant medical literature |
AR, MR |
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Practice Based Learning and Improvement -Principle
Educational Goals |
Learning Activities |
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Identify areas that need improvement in medical
knowledge, decision making, and communication in regards to the care of
hospitalized patients |
MR, DPC |
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Develop mechanisms to improve on identified areas of
weakness |
MR, AR, DPC |
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Interpersonal Skills and Communication-
Principle Educational Goals |
Learning Activities |
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Communicate plan of care with patients |
DPC |
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Communicate effectively with nursing |
DPC |
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Communicate effectively with other physicians involved
in the care patients being admitted |
DPC, MR |
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Present cases to other members of the care team and in
educational conferences |
AR, MR |
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Professionalism -Principle Educational Goals |
Learning Activities |
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Behave professionally of patients and other members of
the care team |
DPC |
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Systems Based Practice –Principle Educational Goals |
Learning Activities |
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Gain an understanding on how best to utilize and access
hospital resources for the care of patients being admitted to the hospital |
DPC, NC,MR |
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Use evidence based and cost conscious strategies to
care for patients about to enter the hospital |
MR, AR, DPC |
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Resources
Residents have 24 hour a day
access to the AMH library. Library staff can be asked to obtain any references
not physically located in the library through interlibrary loan. In addition
residents can access information through UpToDate which is available on every
computer within the hospital.
Evaluation Methods
Residents will be evaluated
through end of rotation ABIM 9 point lichert scale evaluation forms completed by
faculty. Residents will be required to submit H+Ps and present cases for
discussion and evaluation at morning report.
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