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Discharge Summaries

 

Plaza Rotation
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Goals:

To deliver an experience to residents that fosters independent decision making in the context of patient care while continuing to reinforce basic medical skills such as history taking, physical examination skills, laboratory/data ordering and interpretation and professionalism

Objectives:

An R3 and R2 will be assigned to the PLAZA 2team.

A subintern will be assigned to the PLAZA team,

A third year medical student will be assigned to the PLAZA team.

The already existing GMF D (PLAZA 1) team which consists of an R2, and Sub I will continue to take call in a cyclic fashion with the other GMF teams however only PLAZA patients will be covered by this team. GMF D (PLAZA 1) and the PLAZA 2 team will split the census and provide coverage throughout the general medical floors independent of location.

The GMF D (Plaza1) team will take call in rotation with the other GMF teams. An intern from Team C will take call with Team D.

The patients may be primarily on the PLAZA service or may be seen in consultation.

The R3 on service will perform all consults and be responsible for primary management of patients as directed by the attending.

The target number of patients to be covered by both GMF D (PLAZA 1) and PLAZA 2 is 28

Depending on the volume of patients the teams may be asked to see patients in the CCU or ICU.

The R2 will be required to follow the subIs patients but will not be required to write a note on a daily basis.

The housestaff will be expected to see the patients prior to the Plaza attending and formulate a therapeutic plan for the day. He or she will also be required to complete any discharge paperwork required.

The housestaff will be required to dictate discharge summaries.

The PLAZA attending will be required to physically round on the most seriously ill patients with the R2 and SubI. The plan for the less seriously ill patients must be discussed but joint rounding on these patients is not required.

 

 
     

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