|
|
Outpatient Medicine
Overview
The General Medical Floor
Experience (GMF) exposes the resident to a wide variety of medical problems.
Residents will function within teams consisting of a teaching attending, upper
year resident, intern and medical students. 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.
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 tp 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 at least
three times a week for 1 ˝ hours (total 4 ˝ hours per week). Residents present
cases to the primary teaching attending and receive both didactic and bedside
teaching.
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 for ambulatory patients |
DPC, MR, GR, NC |
|
Refine skills in physical examination for outpatients |
DPC, AR |
|
Recognize common outpatient medicine problems and
generate relevant differential diagnosis |
GR, MR |
|
Refine skills in ordering and interpreting diagnostic
tests |
AR, MR, NC |
|
|
|
|
Medical Knowledge -Principle Educational Goals |
Learning Activities |
|
Increase clinical medical knowledge of general medical
problems presenting in the outpatient setting |
GR, NC |
|
Increase basic science knowledge of general medical
problems presenting in the outpatient setting |
GR, NC |
|
Demonstrate ability to find relevant medical literature |
AR, NC, 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
ambulatory patients |
MR, NC, GR |
|
Develop mechanisms to improve on identified areas of
weakness |
MR, AR |
|
Interpersonal Skills and Communication-Principle
Educational Goals |
Learning Activities |
|
Communicate plan of care with patients |
DPC |
|
Communicate effectively with nursing |
DPC |
|
Communicate effectively with other physicians involved
in the care of outpatients |
DPC |
|
Present cases to other members of the care team and in
educational conferences |
AR, MR, NC |
|
Professionalism -Principle Educational Goals |
Learning Activities |
|
Behave professionally of patients and other members of
the care team |
DPC |
|
Systems Based Practice –Principle Educational Goals |
Learning Activities |
|
Gain an understanding on how best to utilize and access
hospital and community resources for the care of ambulatory patients |
MR, NC, GR |
|
Gain an understanding on how best to establish and
maintain services for ambulatory patients |
DPC, NC |
|
Use evidence based and cost conscious strategies to
care for ambulatory patients |
DPC, NC |
|
Gain an understanding of managed care issues
(referrals, drug formularies etc) |
NC, MR, AR |
|
|
