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Plaza Consult Service
R3
Overview
The Plaza Consult Service exposes
the resident to a wide variety of medical problems that are encountered in
consultative medicine. Residents will be expected to take an active role in the
medical management of patients in the perioperative period, peripartum period
and those admitted for psychiatric reasons. The resident will function with the
oversight of an attending physician from the Abington Plaza medical practice
with whom he or she will have daily close contact.
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
Given the nature of the rotation
residents will round with the attending physician covering hospitalized Plaza
patients on a daily basis. Teaching will occur I the context of care delivery
and will be a minimum of a t least 41/2 hours per week.
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
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Patient Care- Principle Educational Goals |
Learning Activities |
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Refine skills in history taking |
DPC, AR, MR, NC |
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Refine skills in physical examination |
DPC, AR, MR, NC |
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Recognize common inpatient medicine problems and
generate relevant differential diagnosis |
DPC, AR, MR, NC |
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Refine skills in ordering and interpreting diagnostic
tests |
DPC, AR, MR, NC |
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Medical Knowledge –Principle Educational Goals |
Learning Activities |
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Increase clinical medical knowledge of geriatric
medical problems |
DPC, AR, MR, NC |
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Increase basic science knowledge of geriatric medical
problems |
DPC, AR, MR, NC |
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Demonstrate ability to find relevant medical literature |
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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
geriatric patients |
DPC, AR, MR, NC |
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Develop mechanisms to improve on identified areas of
weakness |
DPC, AR, MR, NC |
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Interpersonal Skills and Communication-
Principle Educational Goals |
Learning Activities |
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Communicate plan of care with patients |
DPC, AR, MR, NC, Nursing Evaluations |
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Communicate effectively with nursing |
DPC, AR, MR, NC, Nursing Evaluations |
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Communicate effectively with other physicians involved
in the care of geriatric patients |
DPC, AR, MR, NC |
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Present cases to other members of the care team and in
educational conferences |
DPC, AR, MR, NC |
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Professionalism -Principle Educational Goals |
Learning Activities |
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Behave professionally towards patients and other
members of the care team |
DPC, AR, MR, NC, Nursing Evaluations, Peer Review |
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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 geriatric hospitalized patients |
DPC, AR, MR, NC |
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Gain an understanding on how best to establish and
maintain services for patients leaving the hospital |
DPC, AR, MR, NC |
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Use evidence based and cost conscious strategies to
care for geriatric patients |
DPC, AR, MR, NC |
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Drug
metabolism, reactions, and interactions |
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Medical complications of pregnancy |
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Nutritional assessment |
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Physiologic changes in the elderly |
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Postoperative complications |
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Acid-base disorders |
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Acute neurologic disease |
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Acute renal failure |
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Adult respiratory distress syndrome |
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Arrhythmia, cardiac arrest |
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Atelectasis, pneumonia, aspiration |
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Chest pain, dyspnea |
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Delirium |
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Diabetes |
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Fever |
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Gastrointestinal dysfunction |
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Hematologic disorders, bleeding |
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Hypertension, hypotension |
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Jaundice, liver dysfunction |
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Postoperative pain |
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Sepsis, multiorgan failure |
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Thromboembolic disease |
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Transfusion reactions |
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Volume, tonicity, or electrolyte disorders |
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Pre-operative evaluation of disease-related risk from surgery |
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Acute or chronic renal failure |
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Arrhythmias, conduction disturbances |
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Cerebrovascular or other neurologic disorder |
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Chronic obstructive pulmonary disease, asthma |
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Congestive heart failure |
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Coronary artery disease |
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Diabetes mellitus |
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Electrolyte disorders |
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Hematologic and clotting disorders |
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HIV infection |
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Infectious disease |
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Liver disease |
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Obesity |
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Psychiatric disease |
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Rheumatologic disorders |
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Substance abuse |
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Thyroid disease |
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Valvular heart disease |
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Prevention of complications |
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Antibiotic prophylaxis (including for endocarditis) |
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Postoperative pulmonary complications |
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Reactions to contrast media |
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Stress-related gastrointestinal mucosal disease |
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Thromboembolism |
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Transfusion-associated disease |
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