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Chiefs Medicine

Overview

The Chiefs Medicine Service exposes the resident to a wide variety of medical problems. Residents will function within teams consisting of a teaching attending, R3 and R1. Residents will be expected to evaluate and manage patients, enter orders and be responsible for the day to day care of patents on their teams with the oversight of the attending physicians. Residents will also manage the medical problems of patients on the surgical service in a consultative role.

Principle Teaching/Learning Activities

Morning Report

This conference occurs from 8:30 to 9:30AM (M,T,TH,F) in the resident resource room. Residents present cases to either a subspecialty attending or to a core faculty. Generalist. Residents are expected to prepare educational bullets to share with the group.

Grand Rounds

This conference is a lecture driven format and occurs on Wednesday mornings in the Beardwood classroom.

Attending Rounds

Attending rounds occur daily in the context of ongoing patient care. Rounds will mix both patient management discussions and didactics.

Noon Conference

This conference occurs daily from 12 to1PM. A variety of presentations occur during this sessions including but not limited to: journal club, autopsy rounds, clinical didactics, communication video tape review, ethics topics etc.

Principle Educational Goals by Competency

In the tables below the principle educational goals for the General Medical Floors are outlined by competency. The second column of the table indicates the teaching activity that is most relevant to that competency.

MR= Morning Report AR=Attending Rounds NC=Noon Conference
DPC =Direct Patient Care GR= Grand Rounds

Patient Care- Principle Educational Goals	Learning Activities
Refine skills in history taking	AR, DPC
Refine skills in physical examination	AR, DPC
Recognize common inpatient medicine problems and generate relevant differential diagnosis	AR, DPC
Refine skills in ordering and interpreting diagnostic tests	AR, DPC, MR, NC

Medical Knowledge -Principle Educational Goals	Learning Activities
Increase clinical medical knowledge of general medical problems	AR, DPC, MR, NC
Increase basic science knowledge of general medical problems	NC
Demonstrate ability to find relevant medical literature	AR, DPC, MR

Practice Based Learning and Improvement -Principle Educational Goals	Learning Activities
Identify areas that need improvement in medical knowledge, decision making, and communication in regards to the care of hospitalized patients	AR, DPC
Develop mechanisms to improve on identified areas of weakness	AR, DPC, MR,

Interpersonal Skills and Communication- Principle Educational Goals	Learning Activities
Communicate plan of care with patients	DPC, MR
Communicate effectively with nursing	DPC, MR, NC
Communicate effectively with other physicians involved in the care of hospitalized patients	DPC
Present cases to other members of the care team and in educational conferences	DPC, AR, MR

Professionalism -Principle Educational Goals	Learning Activities
Behave professionally towards patients and other members of the care team	DPC, AR, MR

Systems Based Practice –Principle Educational Goals	Learning Activities
Gain an understanding on how best to utilize and access hospital resources for the care of hospitalized patients	AR, DPC. MR
Gain an understanding on how best to establish and maintain services for patients leaving the hospital	AR, DPC
Use evidence based and cost conscious strategies to care for hospitalized patients	AR, DPC

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 and peers. All faculty (attending) evaluations will be performed in a face to face fashion. Residents will also receive evaluation from nursing staff and on some rotations trough patient surveys.

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