CORE COMPETENCY: LEARNING AND IMPROVING IN PRACTICE PGY LEVEL OBJECTIVE Ask questions that can answer new information needs. Develop a system to track, follow and reflect on clinical questions PGY LEVEL OBJECTIVE Acquire best advice. Reflect on feedback in developing plans for improvement PGY LEVEL OBJECTIVE Improve through self-assessment.
PGY LEVEL OBJECTIVE Participate in training of all members of the healthcare team OBJECTIVE. Recognize the need to assist colleagues in carrying out tasks PGY LEVEL OBJECTIVES Individual Patient Advocacy Practice. PGY LEVEL OBJECTIVES Respect dignity, culture, beliefs, values and opinions or the patient's GOALS.
CORE COMPETENCY: SYSTEMS-BASED PRACTICE PGY LEVEL OBJECTIVE Work effectively within multiple health delivery systems. PGY-LEVEL OBJECTIVE Identify forces affecting the cost of health care and advocate for cost-effectiveness.
Evaluation Methods
INTENSIVE CARE UNIT (TICU/MICU) SERVICE SERVICE SPECIFIC GOALS and OBJECTIVES
- Morning Report – Monday, Tuesday, Thursday and Friday at 8:30 AM
- Core Conference - Monday, Tuesday, Thursday and Friday at 12:15 PM
- Grand Rounds – Wednesday at 8:00 AM
- Patient Safety Conference – 4 th Tuesday of Month at 12:00 Noon
- Clinicopathologic Conference – 2 nd Monday of Month at 12:00 Noon
- Journal Club – 3 rd Friday of the Rotation Block at 1:00 PM
Understand the relevant pathophysiology and basic understanding necessary for the initial diagnosis and treatment of common conditions in intensive care. Demonstrate sufficient knowledge to diagnose and treat common conditions requiring hospitalization. Demonstrate sufficient knowledge to diagnose and treat undifferentiated and emergency conditions. Demonstrate sufficient knowledge of the social-behavioral sciences, including but not limited to health care economics, medical ethics, and medical education.
CORE COMPETENCY: PRACTICE-BASED LEARNING AND IMPROVEMENT OBJECTIVES Participate in training of all members of the healthcare team.
Emergency Medicine Service - KU
EMERGENCY MEDICINE SERVICE KU
OVERALL GOALS and OBJECTIVES
Demonstrate sufficient knowledge of socio-behavioral sciences, including but not limited to health care economics, medical ethics, and medical education PGY PAYMENT PAYMENT Diagnostic tests. Assess the quality of medical information sources and choose among them based on the characteristics of the clinical question. Respond welcomingly and productively to feedback from all members of the health care team, including faculty, fellow residents, students, nurses, allied health workers, patients, and their advocates.
Provide leadership for a team that respects patient dignity and autonomy PGY LEVEL OBJECTIVES Provide timely, constructive feedback to colleagues. Recognize that there are differences in health care among populations and that they can affect the treatment of the patient. Appreciate the roles of a range of health care providers including, but not limited to, consultants, therapists, nurses, home care workers, pharmacists and social workers.
PGY-LEVEL OBJECTIVES Identify forces influencing health care spending and advocate for cost-effective care. Identify the role of various healthcare stakeholders including providers, suppliers, funders, purchasers and consumers and their different impacts on the cost of and access to healthcare.
EMERGENCY MEDICINE SERVICE-KU SPECIFIC GOALS and OBJECTIVES
Understand the relevant pathophysiology and basic science for common medical cases prompting emergency department evaluation. Demonstrate sufficient knowledge to diagnose and treat undifferentiated and emergent conditions in the emergency room. Demonstrate sufficient knowledge to identify and treat medical conditions requiring intensive care in the emergency room.
Note: Didactics are attended as appropriate within working hours guidelines and stabilization of patients given the nature of both ER shifts and patient care. The purpose of resident rotations on the inpatient general medicine service is to gain experience in the management of acute medical illnesses across a wide spectrum of patient ages and diagnoses. In addition to advancing competence in patient care and medical knowledge, the service provides critical experience in collaboration with other members of the healthcare team, including nursing care coordinators, social workers and pharmacists, as well as students and fellows.
Direct observation of patient care and bedside teaching take place within the framework of daily hospital visits with the patient. Residents evaluate and treat patients in both a follow-up and initial assessment capacity.
INPATIENT GENERAL IM SERVICES KU
INPATIENT OVERALL GOALS and OBJECTIVES
Clearly communicate the consultant's role to the patient, supporting the primary care relationship. Understand how cost-benefit analysis is applied to patient care (ie through principles of screening tests and clinical guideline development).
GENERAL IM SERVICES KU
Understand the relevant pathophysiology and basic science of common medical conditions in the inpatient setting.
Ambulatory Medicine
Ambulatory Blocks –
In 2 rotations, the resident spends 2 weeks in the outpatient clinic and 2 weeks in the Night Float service. Please refer to the Night Hover Syllabus for details on the Night Hover rotation portion. During the outpatient component of the rotation, the resident spends several half-days each week with subspecialists evaluating common outpatient problems in the appropriate clinical area.
For example, half days are spent with endocrinologists, pulmonologists, dermatologists, geriatricians, otolaryngologists, orthopedic surgeons, rehabilitation medicine specialists, gynaecologists, anesthesiological pain specialists or ophthalmologists. Ambulatory/Rotary - Each supervising resident has 1-2 ambulatory blocks as part of ambulatory/rotary rotations each academic year. Outpatient/Swing shift rotation, the resident spends 2 weeks in the Outpatient Clinic and 2 weeks on the Swing shift.
See the Swing Shift Service Curriculum for details on the swing shift portion of the rotation. Rapid Return Clinic, University of Kansas Internal Medicine – Within the outpatient blocks, as part of the Ambulatory/Night Floating or Ambulatory/Swing Shift rotations, residents spend several half days each week in the Rapid Return Clinic, under the supervision of a general internist faculty member. In addition, the resident works with the same faculty member to review abnormal test results from previous urgent care clinic sessions or from the resident's continuity clinic, determining whether the result can be reviewed by the primary care physician at the time of the next clinic session, or whether immediate contact should be made.
When the primary physician is not available, the Rapid Turnaround resident and faculty member work with the office nursing staff to make calls and resolve problems. Ambulatory Private Practice Rotation – Senior residents are offered opportunities to work with a general internist or emergency department private practice in the community.
Private Practice Ambulatory Rotation – Upper level residents are provided opportunities to work with a private practice General Internist or community setting Emergency Department in one
Role model who gathers subtle and reliable patient information for junior members of the healthcare team, as appropriate. Demonstrate and teach how to elicit important physical findings for junior members of the healthcare team. Customize care in the context of patient preferences and overall health. PGY LEVEL PURPOSE Consultative care.
AMBULATORY MEDICINE-KU SPECIFIC GOALS and OBJECTIVES
Geriatrics Didactics – Fridays at 2:00 PM
GERIATRIC MEDICINE-KU SPECIFIC GOALS and OBJECTIVES
Make appropriate clinical decisions based on the results of common diagnostic tests, including, but not limited to, routine blood chemistries, hematologic studies, coagulation tests, arterial blood gases, ECG, chest x-rays, pulmonary function tests, urinalysis, and other body fluids. Internal Medicine Residency Program at the University of Kansas Medical Center adapted from ABIM Developmental Milestones. Supervision: Participant Responsible for Endocrinology Clinic or Consult Service Facility: University of Kansas Medical Center.
Rotation in the Endocrinology Consult Service provides experience in the role of evaluation and management of endocrine problems arising in both the outpatient and inpatient settings. This goal is achieved through a combination of faculty-oriented patient care activities and didactic learning experiences. Residents gain experience across the spectrum of diabetes care, from acute inpatient care to chronic preventive care, as well as the diagnosis and treatment of less common endocrine disorders.
Residents gain experience in a variety of settings, including Endocrinology / Diabetes / Osteoporosis / Genetics Clinics, Inpatient Endocrinology Consultation Service, and Outpatient Telephone Consultation Service. Direct observation of patient care and bedside teaching occurs both in the ambulatory clinic setting and in daily consultation rounds with attendings. Residents assess and treat patients in both a follow-up and initial consultation capacity.
Pub Med Literature Search - online via KU Library for specific literature related to patient-related problems.
KU ENDOCRINOLOGY CONSULT ROTATION CONSULTS OVERALL GOALS and OBJECTIVES
With supervision, manage patients with common clinical disorders seen in inpatient and outpatient internal medicine practice. Faculty Assessment, ITE, Morning Report Assessment, Direct Observation CORE COMPETENCY: MEDICAL KNOWLEDGE PGY LEVEL OBJECTIVE Core content knowledge.
KU ENDOCRINOLOGY CONSULTS ROTATION ROTATION SPECIFIC GOALS and OBJECTIVES
Core Conference - Monday, Tuesday, Thursday, Friday at 12:15 PM